Prof. Jaak Ph. Janssens
With breast cancer incidence doubling during the last 40 years and stabilization of mortality, cure rates have increased from 50 up to 80 percent. Two main hypothesis need consideration: the effect of early detection and improved treatments. While there is considerable debate about the impact of both, recent publications have fueled the discussion on the effects of screening mammography. An upcoming paper of Bulliard and Levi (due as a Publish Ahead-of Print article in February 2012) provides evidence that the impact of screening is decreasing because of therapeutic advances. And if the impact is lower, more attention should be given to the psychological harms and cost-benefit issues.