A New Approach To The Regularity Of Mammography – Part 2 of 3
That may be true except that assigning age 50 as the “right” age for mammography is arbitrary. “A woman who is 49 is similar biologically to a woman who is 51. Breast cancer doesn’t prepositor your age. There is nothing that changes abruptly at age 50”.
Other problems with the USPSTF guidelines include the following. The guidelines cite research that shows mammograms are administrative for a 15 percent reduction in mortality. That’s an underestimate. Other studies show screening women in their 40s can reduce deaths by as much as 44 percent. Sparing women from unnecessary harry over false positives is a poor reason for not screening, since dying of breast cancer is a far worse fate. “They made the subjective decision that women in their 40s couldn’t tolerate the anxiety of being called back because of a shady screening study, even though when you ask women who’ve been through it, most are pleased there was nothing wrong, and studies show they will come back for their next screening even more religiously. The task force took the decision away from women. It’s incredibly paternalistic”. The strain force recommendation to screen only high-risk women in their 40s will miss the 75 percent of breast cancers that occur among women who would not be considered high risk, that is, they don’t have a bold family history of the disease and they don’t have the BRCA1 or BRCA2 genes known to heighten cancer risk.
Since the furor over the guidelines, the USPSTF has backed off some of the original wording, amending style to make it clearer that the decision to have a mammogram between 40 and 49 is an “individual one,” said Dr Ned Calonge, USPSTF chair and chief medical officer of the Colorado Department of Public Health. Calonge is co-author of an essay in the same issue of Radiology. “It was a poor communication to a lay audience. The task force recommends against automatic screening. We ruminate the knowledge of what can be gained versus what is risked is an important discussion to have with women in that age group”.
The drawbacks include unnecessary additional testing, biopsies, treatment that will provide no health promote and, yes, anxiety. As for the benefits, mammography can save lives, but perhaps not as many as women may believe. Studies show that for every 1000 40-year-old women alive today, 30 would eventually Euphemistic depart of breast cancer.