Volume 11 Issue 316
Published - 14:00 UTC 08:00 EST 29-Nov-2009 
Next Update - 14:00 UC 08:00 EST 30-Nov-2009

Editor: Susan K. Boyer, RN
Vidyya.
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Recommendations from the USPSTF: Screening for breast cancer

(29 November 2009: VIDYYA MEDICAL NEWS SERVICE) -- The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.


Summary of Recommendations

  • The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.
    Grade: C recommendation.

    "So, what does this mean if you are a woman in your 40s? You should talk to your doctor and make an informed decision about whether a mammography is right for you based on your family history, general health, and personal values."

    Diana Petitti, MD, MPH
    Vice Chair, U.S. Preventive Services Task Force
    November 19, 2009


  • The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
    Grade: B recommendation.

  • The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older.
    Grade: I Statement.

  • The USPSTF recommends against teaching breast self-examination (BSE).
    Grade: D recommendation.

  • The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older.
    Grade: I Statement.

  • The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer.
    Grade: I Statement.

Supporting Documents

Screening for Breast Cancer, November 2009
Recommendation Statement (PDF File, 300 KB; Supporting Article (PDF File, 200 KB; Evidence Update Article (PDF File, 350 KB; Evidence Synthesis (PDF File, 1 MB; Clinical Summary (PDF File, 118 KB; PDF Help)

Previous (2002) Recommendation Statement

Persons with disabilities experiencing problems accessing portions of the PDF file for the evidence synthesis should contact Lisa Nicolella at (301) 427-1906. The accessible version of this report will be available by December 30, 2009.


Return to Vidyya Medical News Service for 29 November 2009

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