"RATE has dropped because the denominator (#cases of breast cancer) has increased dramatically due to all the DCIS being diagnosed. The numerator (#deaths) hasn't budged in decades" .@stage4kelly
41,400 people will die from #BreastCancer in 2018, that's an increase in deaths.
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Yeah....so the RATE is what you use to measure success of treatment. The treatment isn’t responsible for the number of cases that present, obviously.
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@gorskon - the rate of death from breast cancer has NOT been declining. And the rate of diagnosis has been increasing- especially younger women with more aggressive cancers. 113 die each day from metastatic breast cancer.Thanks. Twitter will use this to make your timeline better. UndoUndo
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And most of that fall in mortality was thanks to tamoxifen and the aromatase inhibitors. Furthermore the surgical and radiotherapeutic burden is getting less and less and the quality of these extended lives is getting better and better. References on request
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Good point. We don't do radical mastectomies any more. We do a lot fewer modified radical mastectomies—or just mastectomies. We now have tests that have led to fewer women receiving chemotherapy. We don't remove all the axillary lymph nodes nearly as often. The list goes on.
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If someone has a better answer, I'm open to it. They just need to show that it works, and how it works, and I'll be happy to change my mind.
Thanks. Twitter will use this to make your timeline better. UndoUndo
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Ditto for paediatric cancers.
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Pediatric cancers represent one of the greatest triumphs of science-based medicine.
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Future tense, please :-)
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