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Nutrition Facts with Dr. Greger

Who Should Get Mammograms?

Nutrition Facts with Dr. Greger

Michael Greger, M.D. FACLM

Nutrition, Alternative Health, Health & Fitness

4.83.7K Ratings

🗓️ 19 April 2018

⏱️ 18 minutes

🧾️ Download transcript

Summary

Today we ask the question, “Who should get mammograms?” The guidelines for mammograms have been changing. So, where does that leave us now?

This episode features audio from 9 out of 10 Women Misinformed about Mammograms, Mammogram Recommendations: Why the Conflicting Guidelines?, and Should Women Get Mammograms Starting at Age 40?. Visit the video pages for all sources and doctor's notes related to this podcast.

Transcript

Click on a timestamp to play from that location

0:00.0

There are lots of good reasons to try and follow a healthier diet. You lose weight. You feel

0:06.6

good, but the main reason to live a longer, happy, productive life. Sounds good, right?

0:15.0

And though it may sound deceptively easy, the devil is in the details. Welcome to the Nutrition

0:21.2

Facts podcast. I'm your host, Dr. Michael Brecker.

0:26.0

Today we ask the question, who should get mammograms? Some women, all women, no women?

0:33.0

The guidelines for mammograms have been changing. None of the authorities seem to agree.

0:39.2

Should women start in their 40s, 50s every year, every other year? Well, as it turns out,

0:45.3

most women are just being told what to do rather than being given the facts necessary to make a fully

0:52.6

informed decision. Here is the story. Selling cancer screening can be easy. Starts an editorial

1:01.3

in the journal, The National Cancer Institute, induced fear by exaggerating risk, then offer hope

1:06.4

by exaggerating the benefit of screening and don't mention harms caused by the screening.

1:12.4

This ploy is especially easy with cancer. No diagnosis is more dreaded. And we all know the

1:18.8

mantra, early detection is the best protection. Doubt it and someone may suggest you need your

1:25.0

head examined and they are not exaggerating. Screening can lead to important benefits,

1:34.0

but it can also lead to important harms. And so that's the big challenge. Convang the counterintuitive

1:39.6

idea that screening doesn't always help and can even be harmful. Yet, surveys have shown that

1:45.7

most people believe that cancer screening is almost always a good idea and few believe harm

1:50.4

is impossible. In patient education materials passing references to potential harms may

1:55.9

deceptively be buried under a euphoria of benefits. The cancer screening test that has been

2:02.8

most carefully studied is mammograms. In the past 50 years, more than 600,000 women have

2:09.3

participated in 10 randomized trials. Given this extraordinary research effort, it's ironic that

2:15.9

mammograms contain to be one of the most contentious issues within the medical community.

...

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