Screening for women can be misdiagnosed

Thousands of women who had been to medical professionals for routine breast screenings, are incorrectly told that they have life-threatening cancer, and thus undergoing unneeded treatment each year, according to researchers.

A large number of women and families who have been affected by these misdiagnoses can receive compensation claims for the medical negligence that has taken place.

Both physical and psychological effects could be caused to the patient and people close to them, so filing a compensation claim can help in such a situation.

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With the advice and help of an injury lawyer a claim can be made to help out financially, if a misdiagnosis has been made.

An independent scientific review of the NHS breast screening programme holds the Government responsible for providing misleading propaganda to persuade women of the benefits of screening, without mentioning the drawbacks.

Ministers, health charities and the majority of doctors encourage women to have regular mammograms in middle age, on the basis of estimates that the checks save 1,400 lives each year.

Misdiagnosis leading to unneeded treatment

However, the review by the Nordic Cochrane Centre, in Copenhagen, disputes the value of such checks, saying that there is "no convincing evidence" that screening has saved so many lives

All women aged 50 to 70 are offered breast cancer screening in Britain. More than 1.7 million women take up the invitation every year.

As well as detecting tumours developing in the breast, screening can also help to identify women who have ductal carcinoma in situ (DCIS) - precancerous lesions contained in the milk ducts, which may develop into cancer.

Up to half of women who receive a diagnosis of DCIS never go on to develop breast cancer but as it is not possible to predict who will, all women with abnormalities are treated with surgery, radiotherapy or chemotherapy.

Professor Peter Gøtzsche, the lead author of the Cochrane review, said that more than 21,000 women aged 50 to 69 had breast cancer diagnosed in Britain in 2007. He added that one in three of the cancers diagnosed among the screened age group could be "unnecessary" diagnoses of benign DCIS.

He said: "Each year 7,000 women in the UK receive an unnecessary breast cancer diagnosis and unnecessary breast cancer treatment because of over diagnosis in the NHS breast screening programme."

Screenings can be beneficial

The Department of Health agreed to review the information leaflets that it publishes on breast screening, after a previous study from the Cochrane researchers and a letter from 23 health professionals from a national paper, criticised their biased nature.

The latest review directly criticises the official annual review of the breast screening programme, published by the Department of Health in 2008.

It said: "The review exaggerates the benefit, omits the harms, and looks like propaganda aimed at persuasion. We arrive at a different conclusion than those who wrote the annual review. There is no convincing evidence that [screening] has saved lives."

However, Julietta Patnick, the director of the NHS Cancer Screening Programmes, rejected Professor Gøtzsche's conclusions. "Numerous independent studies have shown breast cancer screening reduces mortality," she said.

"A report from the World Health Organisation's International Agency for Research on Cancer concluded that there is a 35 per cent reduction in mortality from breast cancer among regularly screened women aged 50 to 69 years," she added.

Updated on 25/01/2010



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