Bei Frauen ab 70 Jahren steigen die Risiken für Überdiagnosen bei Brustkrebs mit zunehmendem Alter an. Doch was heißt das eigentlich genau und was ist dennoch eine gute Vorsorge-Untersuchung? In meinem Video spreche ich genau darüber und verrate dir, was ich für die beste Vorsorge halte.
Studie: Ilana B./Richman, MD, MHS, et al.: Estimating Breast Cancer Overdiagnosis After Screening Mammography Among Older Women in the United States. https://doi.org/10.7326/M23-0133
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Hello ladies, but please also men, because now it's going to be interesting.
There is an investigation that I really want to introduce to you.
Actually, you could call it Breaking News.
In breast cancer screening, in older women, it often leads to an overdiagnosis.
Welcome and nice to have you with us.
Let's take a closer look at that.
Because it's actually a study that has come to a very amazing result.
The core message is very simple.
In older women over 70 years of age, breast cancer screening can lead to quite frequent overdiagnoses.
My goodness, what are overdiagnoses?
According to the definition, an overdiagnosis is when the doctor detects a diseased condition,
but the supposed disease will not cause any health damage to the patient during his lifetime.
And I find that quite exciting.
The working group that analyzed this in a cohort study,
examined almost 55,000 women aged 70 and older.
And they found that the risk of an overdiagnosis with an increasing age increased significantly.
In women aged 70 to 74, about 31% of them were diagnosed with breast cancer.
What does that mean?
That 31% of women were treated.
They shouldn't have had to be treated.
And you already know that breast cancer treatment is not easy.
And in women aged 74 to 84, it was already 47%.
And in women who were even older, it was over 50%, more precisely 54%.
In addition, the screening did not result in a significant reduction in breast cancer-specific deaths.
You have to listen to everything.
Let's take a look at the disadvantages of overdiagnosis.
There is the risk of complications due to over-treatment.
Unnecessary fears arise.
Unnecessary suffering, of course.
Financial difficulties very often.
Unnecessary, in demand, limited resources also seem to be part of it.
But if I look at what that means for the woman who would have been a thousand times better
if she hadn't done anything,
then you have to make a big question mark about it.
Therefore, if you go to a breast cancer screening,
A. I am not a follower of mammography, but if at all of the MRT procedure.
That certainly makes a lot of sense and is also much more tolerable.
And then really examine exactly when a positive finding comes or discuss with your doctor,
with your gynecologist, whether it is at all necessary that a therapy must be initiated.
Maybe there are only individual steps that should be taken
and not the entire path of treatment for breast cancer.
So just be clear on this topic.
It is a study and there will definitely be more studies on this topic soon.
I found it so exciting that I definitely wanted to tell you about it.
Thanks for listening.
And if you find it just as exciting as I do,
then of course I am happy if you share this video.
And if you still want to see more of my videos,
in which I mostly talk about nutrition and lifestyle,
and that you feel good, then you are welcome to do so here.
Ciao, see you next time.