Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort

LettersOctober 2022Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening CohortSherwin Chiu, MD, MPH, Benjamin Williams, MD, Kevin Shahbazian, DO, Michelle V. Lee, MDSherwin Chiu, MD, MPHMedical College of Georgia at Augusta University, Augusta, GeorgiaSearch for more papers by this author, Benjamin Williams, MDMedical College of Georgia at Augusta University, Augusta, GeorgiaSearch for more papers by this author, Kevin Shahbazian, DOMedical College of Georgia at Augusta University, Augusta, GeorgiaSearch for more papers by this author, Michelle V. Lee, MDMedical College of Georgia at Augusta University, Augusta, GeorgiaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L22-0276 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: We applaud Ryser and colleagues (1) for their focus on patient-centered, evidence-based care and use of Bayesian algorithms to quantify a difficult-to-measure metric. All women should be empowered to make informed decisions for their health care, and these data are important in understanding the risks and benefits of breast cancer screening. The implementation of screening mammography has contributed to a statistically significant reduction in breast cancer morbidity and mortality and remains one of our best tools for detecting treatable breast cancer (2, 3). Although 1 in 7 cases of cancer may be overdiagnosed and overtreated, 6 in ...References1. Ryser MD, Lange J, Inoue LYT, et al. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Ann Intern Med. 2022;175:471-478. [PMID: 35226520] doi:10.7326/M21-3577 LinkGoogle Scholar2. Morris E, Feig SA, Drexler M, et al. Implications of overdiagnosis: impact on screening mammography practices. Popul Health Manag. 2015;18 Suppl 1:S3-11. [PMID: 26414384] doi:10.1089/pop.2015.29023.mor CrossrefMedlineGoogle Scholar3. Monticciolo DL, Helvie MA, Hendrick RE. Current issues in the overdiagnosis and overtreatment of breast cancer. AJR Am J Roentgenol. 2018;210:285-91. [PMID: 29091010] doi:10.2214/AJR.17.18629 CrossrefMedlineGoogle Scholar4. Mukhtar RA, Wong JM, Esserman LJ. Preventing overdiagnosis and overtreatment: just the next step in the evolution of breast cancer care. J Natl Compr Canc Netw. 2015;13:737-43. [PMID: 26085389] CrossrefMedlineGoogle Scholar5. Kanbayashi C, Thompson AM, Hwang E-SS, et al. The international collaboration of active surveillance trials for low-risk DCIS (LORIS, LORD, COMET, LORETTA). J Clin Oncol. 2019;37:TPS603. doi:10.1200/JCO.2019.37.15_suppl.TPS603. CrossrefGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Medical College of Georgia at Augusta University, Augusta, GeorgiaDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L22-0276. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEstimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort Marc D. Ryser , Jane Lange , Lurdes Y.T. Inoue , Ellen S. O’Meara , Charlotte Gard , Diana L. Miglioretti , Jean-Luc Bulliard , Andrew F. Brouwer , E. Shelley Hwang , and Ruth B. Etzioni Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort Marc D. Ryser and Ruth B. Etzioni Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort Arn Migowski Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort Charles Harding , Dmitriy Burmistrov , Marybeth Pompei , and Francesco Pompei Estimation of Breast Cancer Overdiagnosis in a U.S. Breast Screening Cohort Per-Henrik Zahl and Karsten Juhl Jørgensen Metrics October 2022Volume 175, Issue 10Page: W115-W116KeywordsBreast cancerBreast cancer screeningCancer epidemiologyCancer screeningMammographyNatural history of diseaseOverdiagnosisPrevention, policy, and public health ePublished: 18 October 2022 Issue Published: October 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...