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. 2018 May 5;8(5):e019852. doi: 10.1136/bmjopen-2017-019852

Table 3.

Indicative quotations: reasons to continue and to not continue offering screening mammographies

Jury member Indicative quotation
Health as a reason to continue offering screening mammography
Juana I’m in favour of its continuance, because as from the moment it reduces mortality, I believe it must be offered.
Rosario …The fact that it reduces mortality, even for two people, is enough to me, because if I’m one of those people, I will tell you whether it is worth it or not.
Rosa Of course I’m in favour because I think greater harm may be prevented.
María …in favour of mammographies. More significant harms can be prevented and there is no possibility of surgery or treatment.
Milagros …it’s OK because negative things are very few …Because, the negative, what is it? The radiation? Well, we already know it’s a normal X-ray…
The nature of the screening test as a reason to continue offering screening mammography
Juana …Mammography itself, in my opinion, is really good because it detects any possible problem, so you say ‘it may find out a problem’.
Manuela I’m in favour of every preventive measure, at the public health level, for the entire population. I’m in favour of mammographies.
I’m in favour of mammographies…, if we are not offered alternatives, we know it has some risks and side effects, but, between not having anything and having this test, well, I’d rather continue having it.
Milagros We must take into account that overdiagnosis is one out of seventy-seven, I mean, it’s really small, so death is one out of one thousand but overdiagnosis, which is one of the negative things, is one out of seventy-seven, it’s very small, the fact that one out of seventy-seven is overdiagnosed is really small, I think it’s a lottery.
…I wouldn’t remove it, because it’s a public good … in addition, it’s up to you, because it’s voluntary.
Individual freedom as a reason to continue offering screening mammography
Carmen Yes, yes, I think women are free to make decisions.
Lack of efficacy as a reason not to continue offering screening mammography
Ana …But the point is the programme. It doesn’t work … one out of seventy-seven in the population is a lot.
Mercedes The point is that with the figures and data we have, I see it so dependent on fate, because it’s such a small portion among so many that it gives the impression that…
High cost as a reason not to continue offering screening mammography
Ana So, let’s see, the cost derived from performing mammographies, treatments because something is detected is a quite high cost. So, we should see if there are other, more effective, ways of prevention and that money we are employing should be used for another thing, maybe research on…medicines.
Juana In favour of women being provided with enough information so that they can decide freely, considering the pros and cons, whether to have it made or not voluntarily.