Rethinking Healthcare

Screens find little cancers not deadly ones

Screens find little cancers not deadly ones

Posting in Cancer

Folks are being torn up inside-and-out by cancers that won't kill them and they're not getting help on cancers that will.

This week's Journal of the American Medical Association contains a surprise.

Linda Esserman of UC-San Francisco and Ian Thompson of UT-San Antonio analyzed the results of breast and prostate cancer screenings going back 20 years, and found they didn't keep people alive:

Screening may be increasing the burden of low-risk cancers without significantly reducing the burden of more aggressively growing cancers and therefore not resulting in the anticipated reduction in cancer mortality.

The study concludes "new approaches for screening, early detection, and prevention" should be considered.

The short version for this is a bombshell. Some doctors fear the news may keep people from being tested.

And there's good reason. Esserman and Thompson have identified an epidemic of overtreatment. Folks are being torn up inside-and-out by cancers that won't kill them and they're not getting help on cancers that will.

Esserman has the right perspective on this. She told The New York Times we're just going to have to find better screening procedures. Science isn't perfect. "There is no free lunch."

All we can do is our best.

UPDATE: The American Cancer Society has formally reversed itself on the necessity of regular cancer screenings in reaction to the study.

Share this

Dana Blankenhorn

Contributing Editor

Contributing Editor Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta. Follow him on Twitter. Disclosure