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Public Health On Call

829 - Do Mammograms Save Lives?

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

News, Health & Fitness, Medicine

4.6 • 644 Ratings

🗓️ 16 December 2024

⏱️ 21 minutes

🧾️ Download transcript

Summary

About this episode:

For decades, regular mammograms to detect breast cancer have been recommended for women ages 50-75. In 2024, the age range dropped to include women 40-49 as well. But what do we really know about mammography as a tool to save lives? Are all scans created equal? What is the risk/benefit analysis to upping the number of screenings a woman is recommended to receive in her lifetime? In today's episode: a deep dive into the evidence around mammography, and a look at the new guidelines—including the controversy around them.

Guest:

Dr. Otis Brawley is a globally-recognized expert in cancer prevention and control whose work focuses on developing cancer screening strategies and ensuring their effectiveness. He is a Bloomberg Distinguished Professor and faculty at the Johns Hopkins Bloomberg School of Public Health in epidemiology with a joint appointment in oncology at Johns Hopkins Medicine. He was the former Chief Medical Officer of the American Cancer Society.

Host:

Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs, the largest center at the Johns Hopkins Bloomberg School of Public Health.

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Transcript

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0:00.0

Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

0:05.9

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

0:16.3

If you have questions or ideas for us, please send an email to public health question at jhhhu.edu.

0:23.8

That's public health question at jhhu.edu for future podcast episodes.

0:31.7

Hey listeners, it's Lindsay Smith-Rogers, producer of public health on call.

0:36.1

As 2024 winds down, we acknowledge that we're

0:39.5

facing a lot of unknowns in 2025. This podcast started in a moment of extreme uncertainty in March of

0:46.2

2020. Since then, we've worked to bring context, evidence, and personal stories to critical

0:52.3

public health issues, and we remain committed to being

0:55.3

your regular dose of informed discussion. Thank you for listening, for writing to us, and for being

1:01.2

with us on this journey. We're taking a much-needed break for the holidays, and we'll be back with

1:06.0

new episodes in January. As always, please keep sending your ideas and questions to public health question

1:11.9

at jh.edu, and we'll see you in 2025. Today, Dr. Otis Brawley, a Johns Hopkins-Bloomberg

1:20.4

distinguished professor and epidemiologist, returns to the podcast. He talks with Stephanie

1:25.5

Desmond about the ins and outs of mammography and breast

1:28.7

cancer, including the biggest question of them all, do mammograms save lives? Let's listen.

1:36.9

Otis Brawley, thanks so much for returning to the podcast. Oh, thanks for having me. So I want to

1:42.7

start with a big question.

1:45.9

Do mammograms save lives?

1:49.3

That is a very good question.

1:55.7

And to answer it, I have to go back to a Jesuit philosopher who taught me in high school who said, you should always tell people what you know, what you don't know, and what you believe.

2:03.7

In the case of mammograms, we have 12 studies that show that mammograms save lives when done in women age 50 to 75. We know that,

...

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