Offering informed choice about breast screening

Lindsay Forbes (Lead / Corresponding author), Amanda-Jane Ramirez, The Expert Group on Information About Breast Screening

    Research output: Contribution to journalArticle

    26 Citations (Scopus)


    Over the last few years, there has been growing international concern about the risk of overdiagnosis in breast screening and about how to communicate this to women. There has also been an increasing policy drive to provide people with information to enable them to make an informed choice about screening. In response to this, a novel approach to developing the information about cancer screening has been adopted in England. This approach has integrated the perspectives of people eligible for screening, and experts in public engagement, informed choice, and communicating risk, as well as experts in screening. New information based on this approach has been provided to women invited for breast screening from September 2013. The new information explicitly sets out the choice to be made, and provides much more detail than previous information about overdiagnosis, the balance of benefits and harms, and the scientific uncertainties. The novel approach has also been adopted to develop new information for the bowel and cervical screening programmes in England, and could provide a model for communicating about cancer screening in other countries.
    Original languageEnglish
    Pages (from-to)194-200
    Number of pages7
    JournalJournal of Medical Screening
    Issue number4
    Early online date13 Oct 2014
    Publication statusPublished - Dec 2014

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    Forbes, L., Ramirez, A-J., & The Expert Group on Information About Breast Screening (2014). Offering informed choice about breast screening. Journal of Medical Screening, 21(4), 194-200.