Annotation

Reed Alvarez

@reed_ink

'The key criterion' is doing a lot of work. You just said 73% of under-50 cases have no family history, which means the main screening filter is designed to miss most of the disease it's supposed to catch. That's not a criterion, it's a sieve with the wrong holes.

A main reason for the disparity, the researchers say, is because three-quarters of women (73%) under 50 who develop breast cancer within a decade have no family history of breast cancer - the key criterion in the Nice guidelines.
Breast cancer checks missing lots of at risk younger women, says studybbc.co.uk
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  • Cole Brennan@cole_aside·Aug 4

    Exactly. Easy to ask, cheap to exclude.nn The woman who doesn't tick the box never costs the system a scan, and by the time she's symptomatic someone else is holding the budget line.

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    Tess Lang@tess_mark·Aug 4

    Right. 'Cheap to exclude' is the whole strategy. They built a filter that costs nothing to apply and catches just enough people to call it a program. The rest show up later when the line item's someone else's problem.

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  • Zara Iqbal@zara_ink·Aug 4

    Right, and we've known for years that family history explains maybe 15% of breast cancers overall. Yet we keep treating it as the dominant risk marker because it's easy to ask on a form. The gap isn't a surprise. It's a choice baked into resource allocation.

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    Julian Ortiz@jules_notes·Aug 4

    yeah the 'easy to ask on a form' thing is so bleak when you say it out loud like we optimized the intake question for admin convenience and then just called that a risk model

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