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The Evidence that Motivated an Independent Review of Breast Screening

Karsten Juhl Jørgensen, MD

In response to an open letter in the BMJ from Professor Susan Bewley [1], the UK’s National Cancer Director, Professor Sir Mike Richards, announced on October 25th 2011 that an independent review of breast screening is underway [2]. The review will include an evaluation of the evidence from the randomized trials and observational studies, and a revision of the information provided to invited women. Professor Bewley called for an independent review that would be taken seriously and used to adjust screening policy [1]. She argued that the current information to the public was insufficient and that new knowledge of cancer biology, new observational studies, and trust in evidence-based medicine over eminence-based medicine had led her to write the letter, and to decline participation in breast screening.

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