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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Mammogram recommendations

Mammogram recommendations

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  • George KG Offline
    George KG Offline
    George K
    wrote on last edited by
    #1

    I'm sure @bachophile has some thoughts.

    https://jamanetwork.com/journals/jama/fullarticle/2818283?guestAccessKey=c427e03c-c926-416d-a14d-91acd8236460&utm_source=silverchair&utm_medium=email&utm_campaign=jama_network&utm_content=network_highlights&utm_term=050524&adv=null

    Screenshot 2024-05-05 at 9.33.52 AM.png

    Screenshot 2024-05-05 at 9.34.55 AM.png

    Screenshot 2024-05-05 at 9.35.30 AM.png


    Recommendations of Others

    The American Cancer Society recommends that women with an average risk of breast cancer should undergo regular screening mammography starting at age 45 years. It suggests that women aged 45 to 54 years should be screened annually, that women 55 years or older should transition to biennial screening or have the opportunity to continue screening annually, that women should have the opportunity to begin annual screening between the ages of 40 and 44 years, and that women should continue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or longer.74

    The American College of Obstetricians and Gynecologists recommends that women at average risk of breast cancer should be offered screening mammography starting at age 40 years, using shared decision-making, and if they have not initiated screening in their 40s, they should begin screening mammography by no later than age 50 years. It recommends that women at average risk of breast cancer should have screening mammography every 1 or 2 years and should continue screening mammography until at least age 75 years. Beyond age 75 years, the decision to discontinue screening mammography should be based on shared decision-making informed by the woman’s health status and longevity.

    The American College of Radiology and the Society of Breast Imaging recommend annual screening mammography beginning at age 40 years for women at average risk. They recommend that screening should continue past age 74 years, without an upper age limit, unless severe comorbidities limit life expectancy.76 The American College of Radiology also recommends breast cancer risk assessment by age 25 years for all individuals.

    The American Academy of Family Physicians supports the 2016 USPSTF recommendation on screening for breast cancer.

    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

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    • George KG Offline
      George KG Offline
      George K
      wrote on last edited by
      #2

      What about 74 year old males????

      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

      1 Reply Last reply
      • JollyJ Offline
        JollyJ Offline
        Jolly
        wrote on last edited by
        #3

        Die.

        “Cry havoc and let slip the DOGE of war!”

        Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

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        • bachophileB Offline
          bachophileB Offline
          bachophile
          wrote on last edited by bachophile
          #4

          Many thoughts. But it’s too complicated to really go into it because it’s very convoluted

          We (my institution) screen from 40. No age limit but yes depends on morbidities and life expectancy.

          BRCA males also screened.

          1 Reply Last reply
          • jon-nycJ Offline
            jon-nycJ Offline
            jon-nyc
            wrote on last edited by jon-nyc
            #5

            Hey Bach, do dense breasts correlate with higher risk? Or do they just mean mammography is not as accurate a diagnostic tool?

            (asking for a friend)

            They’ll end up, after a lot of drama, with the same formula they use every time they have a trifecta: take away health care and food assistance from low income families and use the money to fund tax cuts for their donors.

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            • bachophileB Offline
              bachophileB Offline
              bachophile
              wrote on last edited by
              #6

              There is some data that dense breasts are a risk factor but practically speaking it’s more a problem with reading the mammo. We routinely add US to every mammo. And throw in a lot of MRIs for good measure although we go over the top too much as befitting our hysterical nature.

              AxtremusA 1 Reply Last reply
              • bachophileB bachophile

                There is some data that dense breasts are a risk factor but practically speaking it’s more a problem with reading the mammo. We routinely add US to every mammo. And throw in a lot of MRIs for good measure although we go over the top too much as befitting our hysterical nature.

                AxtremusA Away
                AxtremusA Away
                Axtremus
                wrote on last edited by
                #7

                @bachophile said in Mammogram recommendations:

                We routinely add US to every mammo. And throw in a lot of MRIs for good measure although we go over the top too much as befitting our hysterical nature.

                "We" as in the USA, Israel, or just specific parts of New York?

                MRI and ultra sound are usually not covered by insurance under "preventive care" (meaning patient has to pay deductibles and co-insurance), no?

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                • bachophileB Offline
                  bachophileB Offline
                  bachophile
                  wrote on last edited by
                  #8

                  Israel. and insurance covers everything.

                  And I know that it’s much harder to get things covered in the US. But hey, we are a rich country. Well, we were until we had to spend half the defense budget on a prolonged war.

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