Canadian ladies must be punished. On Tuesday, the canadian motivated force on preventive health care released its own latest main basis of the cancer screening of the breast for ladies with average risk. They do not suggest mammography to women aged 40 to 49 years of age, do not perform the self test of the breast and not to have a breast exam health professionals. They advise girls aged 50 to 74 years to create mammograms any two or three years.

In 2014, a screening study in Canada found 40 % fewer deaths between ladies, screening mammograms than ladies who did not do this, but a motivated group deliberately chose to avoid studies made with progressive mammography equipment in favor of randomized control testing (RCT) from the 1960s to the 1990s, which show only a 15 to 20 percent reduction in mortality.

The single measurable outcome of RCT is how many women die from breast cancer, and as a result, the motivated group ignores 3 other significant outstanding qualities of early cancer detection: the ability to avoid mastectomy, lymphedema and chemotherapy.

How does a motivated group not advise a yearly mammogram from the age of 40, if it saves a lot of lives and allows girls to have the least brutal treatment? The answer lies in the fact that they are focused on the” harm “ — the number of ladies, of whom withdraw for further research subsequently screening and "hyperdiagnosis".”

Within 10 % of the ladies need additional examinations afterwards. A motivated group uses the pejorative term " false-positive.""This term suggests, in fact, that cancer was diagnosed when it was not. This is not the case. Ladies remember when there is probable cancer. This causes excitement in many ladies, but it is transient, and studies demonstrate, in fact, that it does not harm the girls in a long-term opportunity.

Motivated team allocates excess weight overdiagnosis in harm to the discussion. Hyperdiagnosis is a theoretical possibility that the lady will actually be diagnosed with breast cancer and cured it, but to die something else, like a good-hearted attack, before that than she would have died from cancer. The overdiagnosis rate may only be regarded. According to estimates of professionals, it takes no more than 10 %.

The motivated group talks, in fact that the bulk of the ladies aged 40 to 49 years would prefer not to proceed with the survey. Of my thousands of conversations with the fairer sex during my career, when I was told that mammography has the ability to prevent death from breast cancer and allow them to arrange a lumpectomy and avoid chemotherapy, if the cancer is seen early, the bulk of the ladies like to proceed screening.

The motivated group refers to the density of the breast as a problem. We know about this for 40 years!

The presence of impenetrable Breasts is considered to be more of a risk than the presence of a mother or sister with breast cancer. Mammography is 96% sensitive to oily Breasts,but only 50% - to the most impervious. And when cancer goes unnoticed by mammography, it increases and has the ability to spread by that time, as it will be found. The motivated group did not accept the harm caused by the lack of auxiliary examination of ladies with impenetrable Breasts.

The motivated group talks, actually that there is no necessary evidence to advise auxiliary screening for ladies with impenetrable Breasts because of their insistence on RCTs. RCT ultrasound screening is conducted In the land of the rising sun, but it will last at least 7 to 10 years before it has the ability to justify a reduction in mortality. We have research data from several studies showing that ultrasound finds three or four more cancers per thousand ladies. Detection of these cancers before will allow to carry out the least brutal healing and reduce mortality. In the presence of convincing research data ladies are not required to die in advance before the end of the Japanese trial.

The motivated group multiplies the" damage " of the screening, but they do not mention the harm of not screening. In Canada, if you follow in the footsteps of a motivated group rather than start screening at the age of 40, it is possible to expect that approximately 4,000 more women will die from breast cancer in the proper decade.

The motivated group derived to consider confirmation, in addition to RCTS. The canadian taxpayer is funding this misadventure, which will lead to death and worthless suffering for ladies who develop breast cancer and who are denied early diagnosis when cancer is small, limited to breast and more safely treated.

Every year mammographic screening, starting from the age of 40, helps out the bulk of lives, but also with the inconvenience and stress of memoirs and the theoretical probability of hyperdiagnosis. Auxiliary screening for ladies with impenetrable Breasts allows to detect early cancers missed on mammography, saving more lives. All ladies and their home doctors deserve this, in order to own all the precedents and the probability of General acceptance of conclusions, in order to decide whether the damage outweighs the real benefits.

Instead of this, in order to defend the women from the screening, it's time to start to gain life ladies.

Dr. Paula Gordon has been a breast radiologist for 35 years and is considered a clinical doctor of medicine at the Institute of English Columbia.