title: [Why reconsider the recommendation of breast cancer screening?].
abstract: The aim of this article was to discuss the recommendation of mammogram screening for breast cancer and its technical basis. The first part discusses criteria for the decision, which should be consistent with high-quality scientific evidence. The second part discusses over-diagnosis (the greatest harm of screening) and its meaning in questioning the natural history of disease model. The third part summarizes studies on the efficacy, effectiveness, and harms of screening, showing that the latter (especially over-diagnosis and false-positives) are significant, shedding doubt on the balance between harms and benefits. In conclusion, the recommendation of mammogram screening at any age should be reconsidered by Brazilian health authorities.
authors.affiliation: Universidade Federal de Santa Catarina, Florianópolis, Brasil., Universidade Federal de Santa Catarina, Universidade Federal de Santa Catarina, Florianópolis , Brazil.
authors.forename: Charles Dalcanale
authors.initials: CD
authors.lastname: Tesser
authors.affiliation: Universidade Federal de Santa Catarina, Florianópolis, Brasil., Universidade Federal de Santa Catarina, Universidade Federal de Santa Catarina, Florianópolis , Brazil.|Secretaria Municipal de Saúde de Florianópolis, Florianópolis, Brasil., Secretaria Municipal de Saúde de Florianópolis, Secretaria Municipal de Saúde de Florianópolis, Florianópolis , Brazil.
authors.forename: Thiago Luiz de Campos
authors.initials: TL
authors.lastname: d'Ávila
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000401:mortality / Q000517:prevention & control; D003657:Decision Making; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008327:Mammography; D008403:Mass Screening; D008875:Middle Aged; D055502:Secondary Prevention