Intended for healthcare professionals

Bmj Usa: Letter

Rapid Responses from bmj.com

BMJ 2003; 327 doi: https://doi.org/10.1136/bmjusa.02100006 (Published 19 November 2003) Cite this as: BMJ 2003;327:E156

From BMJ USA 2002;October:560

Following are edited excerpts from Rapid Responses generated by this article, which can be read in their entirety at http://bmj.com/cgi/eletters/325/7361/418Editor

Confounding factor

  1. Des Spence, general practitioner (destwo@yahoo.co.uk)
  1. Glasgow, UK
  2. Nordic Cochrane Centre, Rigshospitalet, Denmark
  3. University of Hull, Cottingham, UK

    EDITOR—We are not shown the trend in mastectomies prior to 1990 and whether a downward trend had preceded screening mammography. It should be noted that from the mid-1980s it was recognized that lumpectomy was as effective as mastectomy. This change in surgical practice might explain the observed reduction in mastectomy rates rather than breast screening.

    Misleading paper

    1. Peter C Gøtzsche, director (pcg@cochrane.dk)
    1. Glasgow, UK
    2. Nordic Cochrane Centre, Rigshospitalet, Denmark
    3. University of Hull, Cottingham, UK

      EDITOR—Since the mastectomy …

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