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How Often Should One Screen for Breast Cancer?

By MedImaging International staff writers
Posted on 27 Apr 2009

Women are frequently told that mammography saves lives. But seldom the question is asked, "how often?" Researchers set out to examine how often this life-saving event occurs.

Unrealistic expectations may influence a woman's decision whether or not to participate in screening mammography. Over 90% of women think that "early detection saves lives.” Drs. John D. Keen and James E. Keen, from the John H. Stroger Jr. Hospital of Cook County (Chicago, IL, USA) and the University of Nebraska (Lincoln, USA), respectively, aimed to promote informed decision-making by calculating the age-dependent absolute benefit of screening in three traditional ways: the absolute risk reduction from repeated screening, the number of women needed to screen repeatedly to save one life, and the survival percentages with and without mammography. They also estimated the average benefit of a single mammogram. Their novel concept of life-saving proportion is also relevant to economic analyses of screening.

The investigators discovered that the life-saving benefit of mammography gradually increases with age along with the screen-free absolute death risk, which is about 1% over 15 years starting at age 55. The corresponding risk of developing breast cancer is approximately 6%. Repeated screening starting at age 50 saves about 1.8 lives over 15 years for every 1,000 women screened. The average benefit of a single screening mammogram is 0.034%; in other words, 2,970 women must be screened once to save one life. Alternatively, 23 cancers must be detected. Assuming a base case 20% relative risk reduction, the survival percentage in younger women at age 40 is 99.52% without and 99.62% with screening, meaning, that there is a 0.1% increased chance of survival with screening than without it.

According to the investigators, who published their findings in April 2009 the open access journal BMC Medical Informatics and Decision Making, "We have assumed that a 'life saved' means screening helps cure one woman with breast cancer who would otherwise have died from the disease without screening ... However, all women with breast cancer may theoretically benefit from screening mammography through slowing the disease and therefore slightly prolonging their lives. For a woman in the screening subset of mammography-detectable cancers, there is a less than 5% chance that a mammogram will save her life. By comparing mammography's life-saving absolute benefit with its expected harms, a well-informed woman along with her physician can make a reasonable decision to screen or not to screen for breast cancer."

As this research article is highly controversial, BMC Medical Informatics and Decision Making has provided two commentaries in the same issue from experts in the field. Dr. Stephen Duffy of Cancer Research UK (London) argued that direct results from empirical data might be more reliable than modeled estimates derived by combining data from disparate sources. On the other hand, Dr. Michael Retsky from the Harvard Medical School (Cambridge, MA, USA) praises this study, noting that it is a positive step in the right direction considering that too often women aged 40-49 are asked to sign informed consent for mammography without being properly informed of the potential risks.

Related Links:
John H. Stroger Jr. Hospital of Cook County
University of Nebraska

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63 (527.85873413086): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

64 (313.99726867676): select jos_twitters.link from jos_twitters where cat=10

65 (32.186508178711): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (159.97886657715): select jos_linkedin.link from jos_linkedin where cat=10

68 (174.99923706055): SELECT fid FROM jos_deeppockets WHERE id=294722949 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722949 AND published='1' LIMIT 1

69 (36.001205444336): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

70 (748.1575012207): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (369.07196044922): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1621.9615936279): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (271.08192443848): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (204.08630371094): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (199.0795135498): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (250.81634521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (241.99485778809): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (227.92816162109): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (591.99333190918): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (46.968460083008): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (234.12704467773): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (!!!!! 5700.8266448975): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (154.01840209961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (234.12704467773): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (847.10121154785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

105 (186.92016601562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

106 (85.115432739258): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294722949 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1013.9942169189): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294722949 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (705.00373840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

109 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

110 (!!!!! 1641.9887542725): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294722949 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (680.92346191406): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294722949 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (771.99935913086): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 2245.9030151367): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

115 (180.95970153809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

116 (163.07830810547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

117 (180.00602722168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

118 (180.00602722168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

119 (521.89826965332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

120 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

121 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

122 (387.90702819824): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 49911.975860596): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (!!!!! 1187.0861053467): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722949 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722949 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21195.17326355): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (288.00964355469): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (998.97384643555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (197.8874206543): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (!!!!! 1401.9012451172): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (152.1110534668): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (!!!!! 1096.9638824463): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (298.97689819336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (748.1575012207): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (43.869018554688): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (531.19659423828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (470.16143798828): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (172.13821411133): SELECT name FROM jos_deeppockets WHERE id=211

138 (80.108642578125): SELECT name FROM jos_deeppockets WHERE id=211

139 (571.01249694824): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (555.03845214844): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

142 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

143 (!!!!! 6385.0879669189): TRUNCATE TABLE jos_trademed_module

144 (452.99530029297): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294722949 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (319.00405883789): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294722949 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (427.9613494873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (203.13262939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

149 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

150 (!!!!! 1400.9475708008): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

152 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

153 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722949 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722949 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.007995605469): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

155 (37.193298339844): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

156 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

158 (864.98260498047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722949 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722949 AND published='1' LIMIT 1

159 (117.77877807617): select jos_twitters.link from jos_twitters where cat=10

160 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

161 (67.949295043945): select jos_google_plus.link from jos_google_plus where cat=10

162 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

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