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Mammogram Guidelines Have Changed

The Mammogram Guidelines Have Changed!Mammogram guidelines have changed and are simply described here.

Mammogram guidelines have changed. On November 16, 2009 the U. S. Preventive Service Task Force:

  • Recommends against annual mammograms for women between the ages 40 - 49.
  • They say the benefits of testing with mammograms do not outweigh the potential harms and risks.
  • they also recommend against breast self exam for all women.
  • They do not recommend mammograms for women over 74.


These mammogram guidelines are startling! For almost twenty years the American Cancer Society has said otherwise. They advise that women get an annual mammogram starting at age 40. This situation can produce great anxiety if you are in your 40s.

How many stories have you read, and how many stories have you heard about women in their 40s with breast cancer? How can they make such an arbitrary decision?

Who Is This Task Force?

The U.S. Public Health Service started the U.S. Preventive Services Task Force (USPSTF) in 1984. Later, in 1998, the Agency for Healthcare Research and Quality became their sponsor. This Task Force:

The mission of the USPSTF is to:

  • Evaluate the benefits of individual services based on:

    Age
    Gender
    Risk Factors
  • Make recommendations services should be part of primary medical care
  • Identify a research agenda for clinical preventive care
Breast Cancer Banner

The 16 members of the USPSTF include:
  • 8 M.D.,M.P.H.
  • 5 M.D.
  • 2 PhD., R.N.
  • 1 PhD
Three of them are Medical Directors of large facilities; 10 of them are Professors at their Medical Schools, and 2 of them are Academic Deans. They work in places such as:
  • Mount Sinai School of Medicine in New York
  • Cedars-Sinai Medicine Center in L.A
  • Dartmouth Medical School in Hanover, NH
  • John Hopkins School of Medicine
Looking at all these credentials surely adds some credibility to this group and their recommendations.

"These are confusing days. You might even feel angry knowing the lives that have been saved recently."

What Should I Do?

These are confusing days. You might even feel angry knowing the lives that have been saved recently.

  • Call your primary care doctor or your gynecologist and make an appointment to see her/him. If you want to talk on the phone, do that. If you can e-mail your doctor, like I can, that’s an easy way to get in touch and have a dialog.
  • Acknowledge your confusion and anxiety about the new mammogram guidelines.
  • Talk to him about a plan of action for you.
  • If you trust him, follow his advice and watch this column for more news as it occurs.
Breast cancer research and treatment will change with time. It is important to stay current on issues like this.

Conclusion

So, the Task Force is telling you:

  • Don't get an annual mammogram between the ages of 40 - 49.
  • Get your mammogram in your 50's, but every other year.
  • Don't bother with breast self exam; it doesn't save lives.
  • Don't get a mammogram over age 74.

Yes, this flies in face of logic. It contradicts everything we have been taught. But, primary care doctors may adopt these new rules. And, of course, the insurance companies may also adopt them. There are several prominent doctors, such as, Dr. Susan Love who agrees with the new directive. She said the research trials were large and randomized.

Of course, none of this applies to you if you are a carrier of BRCA 1 or the BRCA 2 gene passed on from your mother. You need screening every year no matter your age.

You and I must remember that there are research studies that led to these pronouncements. It may be hard to believe, but you are not alone. Keep in touch with us and listen to the news online.

Written by Margaret Stenerson
11/18/09
Breast Cancer Banner

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Dr.Jerry Lang

dr Jerry Lang

"This website is for all breast cancer patients, their families and friends. I want people to know that they can overcome this disease by learning what to do, where to go for great medical help, how to deal with insurance and all the other problems facing them.

I have worked with some great people to make this web site easy to understand and devoted to helping you. Please let me know if anything doesn't help you or if we can do something more that would be useful to you.

The most important factor in a person getting healthy is their personal determination and their will to be better. You have to summon that determination and then take the steps described here - we are here to help and support you."

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