Shock and Awe! What to make of the new mammography guidelines?
Tuesday, November 17th, 2009Today’s news is incredible. Not only are women shocked and concerned but so are their physicians! As most women have probably heard, the USPSTF (US Preventative Services Task Force) has changed the guidelines for routine screening mammography. The 2009 USPSTF judged that although women in their 40s and women in their 50s benefit equally from routine screening mammography, women in their 40s experience greater harms from screening than do women in their 50s. Therefore, the USPSTF recommended routine screening for women aged 50-74 years but recommended against routine screening for women in their 40s.
It’s important to know that the current USPSTF panel is not made up of women haters, nor did they make their recommendations based totally on the bottom line: $$$. While it is true that there are many false positives with routine screening for women in their 4os, it is also true is that more lives are saved by early intervention. The bottom line is that many questions have yet to be answered.
For now, ACOG (American College of Obstetrics and Gynecology) has not changed their screening recommendations. For women 40-49, a screening mammography is recommended every 1-2 years. Women 50 and older should have yearly screening. There is no change to the recommendation that women continue self breast examination.
What effect this all will have on insurance coverage remains to be seen. At Atlanta Women’s Specialists, the American College of Obstetrics and Gynecology recommendations will continue to be followed.
Maria Arias MD

