Abstract
The balanced presentation afforded by convening a Citizens’ Jury when considering a major question such as the introduction of a breast screening programme is advocated. This method would enable account to be taken of all the costs, both human and financial, to all those affected, both participating and organizing, as well as the benefits.
Provision of such a democratic opportunity enables consideration to be given to a broad range of factors, by selection of an appropriate range of witnesses, with the advantage of involving the lay public in this decision-making process. Attendance by health correspondents, medical journalists and other media representatives enables publicization of a democracy in action whilst helping to inform the wider debate. Such an exercise could inform whether the NHS BSP should continue in its current form.
Article PDF
Change history
16 November 2011
This paper was modified 12 months after initial publication to switch to Creative Commons licence terms, as noted at publication
References
Bonn, D. (1997). Bringing numbers to bear in breast-cancer therapy. Lancet, 350, 104
Calman, K. & Hine, D. (1994). A Policy Framework for Commissioning Cancer Services, May 1994. Prepared by an Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales
Elmore, J. G., Barton, M. B., Moceri, V. M., Polk, S., Arena, P. J. & Fletcher, S. W. (1998). Ten-year risk of false positive screening mammograms and clinical breast examinations. N Engl J Med, 338, 1089–1096.
Editorial: The screening muddle. Lancet, (1998). 351, 459
Raffle, A. (1998). Letter: New test in cervical screening. Lancet, 351, 297
Sox, H. C. (1998). Benefit and harm associated with screening for breast cancer. N Engl J Med, 338, 1145–1146.
Stewart-Brown, S. & Farmer, A. (1997). Screening could seriously damage your health. Decisions to screen must take account of the social and psychological costs. Br Med J, 314, 533
Stewart, J., Kendall, E. & Coote, A. (1994). Citizens’ Juries, Institute for Public Policy Research (IPPR): London
Thornton, H. (1997). The voice of the breast cancer patient – a lonely cry in the wilderness. Eur J Cancer, 33, 825–828.
Thornton, H. (1998). Letter: The cervical screening muddle. Lancet, 351, 1129
Werneke, U. (1997). Ataxia telangiectasia and risk of breast cancer. Lancet, 350, 739–740.
Author information
Authors and Affiliations
Additional information
This editorial is based on a paper presented at the First Presidential Symposium of the British Oncological Association, 2 March 1998 at the Royal Society of Medicine
Rights and permissions
From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/
About this article
Cite this article
Thornton, H., Baum, M. ‘Should a mammographic screening programme carry the warning: Screening can damage your health!’?. Br J Cancer 79, 691–692 (1999). https://doi.org/10.1038/sj.bjc.6690111
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.bjc.6690111
Keywords
This article is cited by
-
Mammographic compression: a force to be reckoned with
British Journal of Cancer (1999)