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New Findings Support Claim That Breast Screening May Be More Harmful Than Beneficial

By MedImaging International staff writers
Posted on 10 Jan 2012

A new study backs the contention that the introduction of breast cancer screening in the United Kingdom may have caused more harm than good.

The disadvantages of mammography screening included false-positives and overtreatment, that is, the treatment of benign tumors that would never have caused symptoms or death during a patient’s lifetime. This may be because the tumor grows so gradually that the patient dies of other causes before it produces symptoms, or the cancer remains dormant or regresses.

This demonstrates that the health risks of screening essentially offset the benefits up to 10 years, after which the benefits accumulate, but by much less than predicted when screening was first initiated. The study’s findings were published online December 2011 in the British Medical Journal (BMJ).

The Forrest report in 1986, which led to the introduction of breast cancer screening in the United Kingdom, estimated the number of screened and unscreened women surviving each year over a 15-year period. Costs and benefits were measured in quality adjusted life years (QALYs).

It suggested that screening would reduce the death rate from breast cancer by nearly one third with few hazards and at low cost. Since the Forrest report, the health risks of breast cancer screening have been recognized. Therefore, researchers from the University of Southampton (UK) set out to update the report’s survival estimates by combining the benefits and harms of screening in one single measure.

The findings are based on 100,000 women aged 50 and over surviving by year up to 20 years after entry to the screening program. Inclusion of false-positives and unnecessary surgery reduced the benefits of screening by approximately half. The best estimates generated negative net QALYs for up to eight years after screening and minimal gains after 10 years. After 20 years, net QALYs accumulate, but by much less than predicted by the Forrest report.

The investigators noted that more research is needed on the extent of unnecessary treatment and its impact on quality of life. They also call for improved ways of identifying those most likely to benefit from surgery and for measuring the levels and duration of the harms from surgery. From a public standpoint, the meaning and implications of overdiagnosis and overtreatment need to be much better explained and communicated to any woman considering screening, they added.

However, the continuing uncertainty about the extent of overtreatment is apparent in a study of French women published on online in BMJ in November 2011, which put overdiagnosis of invasive breast cancer due to screening at approximately 1%.

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65 (190.97328186035): select jos_facebook.link from jos_facebook where cat=10

66 (95.129013061523): select jos_google_plus.link from jos_google_plus where cat=10

67 (643.96858215332): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 4733.0856323242): SELECT fid FROM jos_deeppockets WHERE id=294738796 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738796 AND published='1' LIMIT 1

69 (119.92454528809): 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 (516.17622375488): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (460.14785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (338.07754516602): 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 (!!!!! 3649.9500274658): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 7709.0263366699): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 3842.1154022217): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 3988.9812469482): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 4804.1343688965): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 7065.0577545166): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 7837.0571136475): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 7958.8890075684): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 7884.9792480469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 7956.0279846191): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 7834.9113464355): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 7978.2009124756): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 7870.1972961426): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 8059.9784851074): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 7479.9060821533): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 13335.943222046): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (!!!!! 5755.1860809326): 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 (!!!!! 1399.040222168): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (258.20732116699): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (857.83004760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (551.93901062012): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (510.21575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (273.9429473877): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (427.0076751709): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 3637.0754241943): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (635.14709472656): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 1036.8824005127): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (617.98095703125): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1540.8992767334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

105 (!!!!! 1699.9244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

106 (391.96014404297): 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=294738796 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (703.09638977051): 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=294738796 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1099.1096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

109 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

110 (214.0998840332): 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=294738796 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (893.11599731445): 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=294738796 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1167.0589447021): 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 (!!!!! 1031.8756103516): 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 (723.12355041504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

115 (509.02366638184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

116 (458.0020904541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

117 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

118 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

119 (617.98095703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

120 (824.92828369141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

122 (!!!!! 2630.9490203857): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 100503.20625305): 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 (!!!!! 1386.1656188965): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738796 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738796 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (323.05717468262): ( 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 (73.909759521484): ( 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 (669.00253295898): 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 (396.0132598877): 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 (184.05914306641): 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 (473.0224609375): 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 (42.915344238281): 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 (39.100646972656): 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 (743.15071105957): 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 (82.015991210938): 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 (!!!!! 4523.0388641357): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1608.13331604): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (76.055526733398): SELECT name FROM jos_deeppockets WHERE id=211

138 (370.02563476562): SELECT name FROM jos_deeppockets WHERE id=211

139 (884.05609130859): 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 (!!!!! 1628.8757324219): 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 (!!!!! 2874.1359710693): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

142 (993.01338195801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

143 (!!!!! 14832.973480225): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 9119.0338134766): 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=294738796 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1103.8780212402): 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=294738796 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1480.1025390625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (288.96331787109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 3122.091293335): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

149 (334.02442932129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

150 (!!!!! 1893.0435180664): 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 (617.02728271484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

152 (355.95893859863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

153 (!!!!! 1017.0936584473): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738796 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738796 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 5507.9460144043): 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 (!!!!! 2997.875213623): 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 (!!!!! 4914.9990081787): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1153.9459228516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

158 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738796 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738796 AND published='1' LIMIT 1

159 (591.99333190918): select jos_twitters.link from jos_twitters where cat=10

160 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

161 (310.89782714844): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 1832.0083618164): select jos_linkedin.link from jos_linkedin where cat=10

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