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Doctors may be failing to order enough testing for women who have
discovered lumps in their breasts, according to a Massachusetts
Medical Society task force.
The group
looked at 96 claims settled between 1994 and 1998 of women who
had complained of delays in the treatment of their breast cancer.
It found
that many of the women with suspicious lumps were under age 45
and had initial negative mammograms, leading their doctors in
about one-quarter of the cases to conclude there was a "low
index of suspicion" and no need for additional testing.
The task
force also found that about half of the time, the primary care
doctor did not discuss the contradictions between discovery of
the lumps and woman's negative mammography results.
ProMutual
Group, Massachusett's largest medical malpractice insurer, paid
$12.5 million to patients to settle claims that doctors and nurses
failed to diagnose breast cancer in 2000, compared to $4.4 million
in 1995. Malpractice insurers across the country have reported
similar increases.
The Massachusetts
Medical Society task force was formed to figure out ways to improve
care and reduce patient complaints.
Other
sources: Boston Globe
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