Screening mammography. A risk versus risk decision.

Abstract:

:The potential risk of a radiologic procedure often is compared with the potential benefit of the procedure. While risk vs. benefit analysis has been useful as a step toward increased communication and understanding among radiologists, referring physicians, and the general public, it has the disadvantage that risk and benefit are fundamentally different quantities. Hence, their juxtaposition for purposes of comparison presents contextual difficulties. In this article, the concept is presented of comparing the risk of doing a procedure with the risk of choosing not to do the procedure. An example of risk vs. risk analysis of screening mammography for women over the age of 50 is given, with the conclusion that the risk of having yearly mammograms is less than 1/10 the risk of early death caused by failure to diagnose breast cancer by x-ray mammography. This approach to risk analysis would yield interesting data for examinations that are part of more complicated diagnostic pathways.

journal_name

Invest Radiol

journal_title

Investigative radiology

authors

Ritenour ER,Hendee WR

doi

10.1097/00004424-198901000-00005

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

17-9

issue

1

eissn

0020-9996

issn

1536-0210

journal_volume

24

pub_type

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