Current Guidelines and Gaps in Breast Cancer Screening

Breast cancer is the most common nonskin cancer in women and the second leading cause of breast cancer death for women in the United States. Mammography screening is proven to significantly decrease breast cancer mortality, with a 40% or more reduction expected with annual use starting at age 40 for women of average risk. However, less than half of all eligible women have a mammogram annually. The elimination of cost sharing for screening made possible by the Affordable Care Act (2010) encouraged screening but mainly for those already insured.
Source: Journal of the American College of Radiology : JACR - Category: Radiology Authors: Tags: Original article Source Type: research

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CONCLUSIONS: Financial and cultural issues were important hindrances to breast cancer screening in African American women. These findings highlight the importance of affordable health care for preventive health services as well as the relevance of culturally embedded issues to health, while the MQS accentuates the need for more rigorous research articles. Breast cancer screening interventions in this population should attend to barriers identified in this review. PMID: 32641257 [PubMed - as supplied by publisher]
Source: Journal of the National Medical Association - Category: General Medicine Tags: J Natl Med Assoc Source Type: research
A U.S. House of Representatives subcommittee voted on July 7 to continue delaying...Read more on AuntMinnie.comRelated Reading: ACR: New USPSTF lung cancer guidelines will save lives USPSTF calls for more BRCA1/2 genetic screening, testing ACP pushes breast cancer screening start from 40 to 50 ACR, SBI rebuff new breast cancer screening guidelines Fewer high-risk women get mammography after USPSTF change
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
How does digital breast tomosynthesis compare with traditional mammography in terms of performance and cost-effectiveness?Journal of the National Cancer Institute
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Hematology-Oncology Journal Article Source Type: news
ia Chiu Hsiu-Hsi Chen The aim was to evaluate how the inter-screening interval affected the performance of screening by mammographic appearances. This was a Swedish retrospective screening cohort study with information on screening history and mammography features in two periods (1977–1985 and 1996–2010). The pre-clinical incidence and the mean sojourn time (MST) for small breast cancer allowing for sensitivity by mammographic appearances were estimated. The percentage of interval cancer against background incidence (I/E ratio) was used to assess the performance of mammography screening by differe...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Article Source Type: research
AbstractThis paper examines the effectiveness of using personal health records (PHRs), which contains detailed health information to improve the use of recommended screening mammography among women at potential risk for breast cancer. It also explores the potential of PHR in reducing disparities in recommended mammography use experienced by minority and underserved women. The primary data used for this study were obtained from the 2015 Health Information National Trends Survey, and they were supplemented by the 2016 Area Health Resource Files. The study sample included women aged 40 –75 years with no prior diagn...
Source: Journal of Cancer Education - Category: Cancer & Oncology Source Type: research
Condition:   Breast Cancer Interventions:   Diagnostic Test: tomosynthesis + synthetic 2D;   Diagnostic Test: digital mammography Sponsors:   Azienda Unità Sanitaria Locale Reggio Emilia;   AULSS 9 Scaligera di Verona;   IRCCS Policlinico S. Donato, Milano;   Azienda Ospedaliera Universitaria Integrata Verona Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Abstract Mammographic density, which is determined by the relative amounts of fibroglandular tissue and fat in the breast, varies between women. Mammographic density is associated with a range of factors, including age and body mass index. The description of mammographic density has been transformed by the digitalization of mammography, which has allowed automation of the assessment of mammographic density, rather than using visual inspection by a radiologist. High mammographic density is important because it is associated with reduced sensitivity for the detection of breast cancer at the time of mammographic scre...
Source: Climacteric - Category: Geriatrics Authors: Tags: Climacteric Source Type: research
In this study, we assessed multiplicative interactions between MD measures and established risk factors on the risk of invasive breast cancer overall and by menopausal and estrogen receptor (ER) status. We used data on 2,137 cases and 4,346 controls from a nested case-control study within the Nurses' Health Studies I (1976-2004) and II (1989-2007), for whose data on percent mammographic density (PMD), absolute area of dense tissue (DA) and non-dense tissue (NDA) were available. No interaction remained statistically significant after adjusting for number of comparisons. For breast cancer overall, we observed nominally signi...
Source: Am J Epidemiol - Category: Epidemiology Authors: Tags: Am J Epidemiol Source Type: research
CONCLUSION: Breast ultrasound shows a high sensitivity to detect breast cancer during pregnancy. BCP is diagnosed at a higher stage than in nonpregnant women. In our series, patients with BCP had poorer outcomes than the not pregnant group. These results were not observed when adjusting for stage. PMID: 32623975 [PubMed - as supplied by publisher]
Source: Tumori - Category: Cancer & Oncology Tags: Tumori Source Type: research
CONCLUSIONS: Early initiation (at ages 25 to 30 years) of annual breast cancer screening with MRI, with or without mammography, might reduce breast cancer mortality by half or more in survivors of childhood cancer. PRIMARY FUNDING SOURCE: American Cancer Society and National Institutes of Health. PMID: 32628531 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - Category: Internal Medicine Authors: Tags: Ann Intern Med Source Type: research
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