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Today, these community-based health care workers help women access routine breast screenings, and work to ease delays in test results and follow-ups.
This past year alone, we funded 600,000 breast screenings and diagnostic tests for low-income or underinsured women and we've invested in promising research that, among other discoveries, could yield the first breast cancer vaccine.
A 2011 report (PDF) by the American Cancer Society found that the death rate from breast cancer is higher in poor counties and that low-income women are at a greater risk of dying from breast cancer due to lack of access to breast screenings and advanced treatments.
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The Cairo Breast Screening Trial (CBST) was designed to evaluate the role of clinical breast examination as a primary screening modality in the context of primary care, as in Egypt breast cancer is usually diagnosed at an advanced stage.
Disagreements in breast screening have persisted despite multiple meta-analyses of the breast-screening evidence, including the recent Independent Review led by Marmot.
Expert C (#9 oncologist) saw breast-screening harm in terms of overdiagnosis.
Recognition of this syndrome is therefore important, not least because it has implications for breast-screening methods.
This is the first application of empirical ethics to breast-screening policy and practice outside of consumer studies.
Expert A (#21 epidemiologist) saw breast-screening harm in terms of overdiagnosis and considered these harms to be substantial.
We conclude that discussions about values should be a regular part of breast-screening review in order to build understanding between those who hold different positions, and provide a mechanism for responding to these differences.
This study is original in that it measures the relationship between specialisation, as estimated by surgeon and hospital caseload, and outcomes in the breast-screening population of an entire NHS region.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com