Assembly version: 1. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U. Department of Health and Human Services. The decision to start screening mammography in women prior to age 50 years should be an individual one.
National Comprehensive Cancer Network
Breast Cancer Screening Guidelines USPSTF - CancerOz
The Guideline divides women into three categories based on age and offers breast cancer screening methodology guidance for each category. The Guideline offers the following guidance for women of average-risk:. The ACP developed the Guideline to provide clinicians with a rigorous review of available guidelines and to develop its own guidance for clinicians based on an assessment of those guidelines. The ACP found that the lower scoring guidelines often inadequately described how they considered applicable factors e. Further, the ACP asserted that the lower scoring guidelines rarely addressed the small absolute effect screening has on breast cancer mortality. The Guideline discusses benefits and harms arising from mammography and clinical breast examinations CBEs , as well as shortfalls of the assessed guidelines.
New Breast Cancer Screening Guidelines: USPSTF Says Mammograms Before Age 50 Aren't Essential
In the initial analysis done for the recommendations, all six models concluded that biennial screening from ages was more efficient than earlier starting ages or annual intervals Mandelblatt et al. In the most recent analysis to inform the USPSTF breast cancer screening recommendations, we used the six models to synthesize current data and examine the outcomes of digital mammography screening at various starting ages and intervals among average-risk women. We also examined how breast density, risk, or comorbidity levels affect results and whether preferences for health states related to screening and its downstream consequences affected conclusions. This modeling study estimated outcomes of eight strategies that differed by starting age and interval Mandelblatt et al. Results of these studies were published in the following articles in the Annals of Internal Medicine in and
Clinicians should refer patients to mammography screening centers with proper accreditation and quality assurance standards to ensure accurate imaging and radiographic interpretation. Clinicians should adopt office systems to ensure timely and adequate follow-up of abnormal results. Clinicians who advise women to perform breast self-examination or who perform routine clinical breast examination to screen for breast cancer should understand that there is currently insufficient evidence to determine whether these practices affect breast cancer mortality, and that they are likely to increase the incidence of clinical assessments and biopsies. Department of Health and Human Services, in implementing the Affordable Care Act, under the standard it sets out in revised Section a 5 of the Public Health Service Act, utilizes the recommendation on breast cancer screening of the U.