Screening Mammography: Revisiting Assumptions About Early Detection |
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Institution: | 1. Division of Urology, Department of Oncology, University of Turin, San Luigi Hospital, Orbassano, Italy;2. Division of Pathology, University of Turin, San Luigi Hospital, Orbassano, Italy;3. Radiology Unit, Institute for Cancer Research and Treatment, Candiolo, Italy;4. Molecular Biotechnology Center, Department of Molecular Biotechnology and Health Sciences, University of Turin, Turin, Italy;5. Division of Nuclear Medicine, San Giovanni Battista Hospital, University of Turin, Turin, Italy |
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Abstract: | Recommendations for the frequency of mammography screening vary across several professional advisory groups. In 2009, the United States Preventive Services Task Force Guidelines reduced screening to biennially for women 50-74 years old. Drivers of this change were false-positive results and unnecessary biopsies, exposure to radiation, and treatment of cancers that would never develop. Despite the recommendation, surveys show that screening has actually increased since the change. A review of the individual woman's risk and a more balanced approach addressing both the benefits and harms of screening is required so that patients can make an informed choice. |
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Keywords: | mammography overdiagnosis screening US Preventive Services Task Force |
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