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...results may finally give clinicians a bit of solid ground for counseling their patients. "We have not had real data to guide us," says Dr. Isabelle Bedrosian, the study's lead author and an assistant professor in the department of surgical oncology at MD Anderson. "We can't sit down with a woman and say, 'If you do this, this is your expected benefit.' And when we don't have those data, then biases become the big drivers of decisionmaking...
...experts are not convinced - yet - that the study results should be part of clinical decisionmaking, pointing out that many factors other than mastectomy may be driving the increase in survival. "Women who undergo a [preventive] mastectomy in the unaffected breast may be different from women who do not," says Dr. George Sledge, president-elect of the American Society of Clinical Oncology and a professor of medicine at Indiana University. "They may be overall healthier in that they see their physician more frequently, and their physicians may be more aggressive in treating their cancer in terms of what chemotherapy they...
...Dr. Larry Norton, a breast-cancer expert at Memorial Sloan-Kettering Cancer Center in New York City, agrees and cautions against applying these findings immediately to the clinic. "This is an observational study, and hence it is impossible to control for confounding variables," he says, "and should not be used for individual clinical decisionmaking." But Norton acknowledges that the ideal study - in which women would be randomly assigned to either have a double mastectomy or not - could never be done, since it would not be ethical to prevent women from having a procedure known to reduce the risk of cancer...
...exercise in narrow-minded dogmatic groupthink, offering little for thoughtful discussion and more than enough material for late-night lampooning. The speakers typically spoon-feed an eager audience exactly what they paid to hear. Romney for President 2.0. Revolutionary Storytelling with Michele Bachmann. An Excoriation of Woodrow Wilson by Dr. Ron Paul: Or, Why Warren Harding was a Great Man. (Maybe not so much that...
...felt that 22 vaccine studies were enough," she says. "Given that we don't have unlimited resources, it made sense to say we looked at vaccines and found no causal relationship." McCarthy, she goes on to say, "has been very successful at bringing the politics into the science." (See Dr. Mehmet Oz's prescription for living long and living well...