Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2008; all rights reserved.
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Media hype: good or bad for patients and the health care system?
E-mail: shah.ebrahim@lshtm.ac.uk
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Kylie Minogue develops breast cancer and the associated publicity might well be expected to increase young women's demand for breast screening. Kelaher and colleagues1 demonstrate the expected increase in breast imaging (about 20%) in the months following publicity. Interestingly, the biopsy rate did not change in younger women and declined in older women. The odds of surgical procedures following biopsy also fell markedly. These findings led the investigators to propose that the media furore affected doctors as well as patients, leading to a retraction of usual evidence-based