Network News - Winter 2009/2010 (PDF 3.7Mb - Canadian Breast ...

Network News - Winter 2009/2010 (PDF 3.7Mb - Canadian Breast ... Network News - Winter 2009/2010 (PDF 3.7Mb - Canadian Breast ...

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One of the early media reports Material reprinted with the express permission of: “Ottawa Citizen Group Inc.”, a CanWest Partnership. about the CBCN 22 Network News Winter 2009-10

Controversy about Mammography Screening… Again By Jackie Manthorne, Executive Director Those of you who have been involved in the breast cancer community will know that every so often, the value of mammography and breast self-examination (BSE) is questioned, much to the consternation and often anger of women who found their lumps by faithfully doing BSE or through a regular screening mammogram. This time, it was the United States Preventive Services Task Force (USPSTF), which in November 2009 issued new 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. “In addition: • The USPSTF recommends biennial screening mammography for women aged 50 to 74 years • 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 • The USPSTF recommends against teaching breast self-examination (BSE) • 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 • 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 1 “ Some of this we have heard before; meta-analyses and studies have been published and publicized in the last few decades. Indeed, CBCN has responded many times through its own media releases and CBCN Board presidents and other Directors have been interviewed dozens of times about these two issues. On November 19, 2009, CBCN issued the following media release in response to the USPSTF recommendations: ”Canadian Breast Cancer Network speaks out against the finding of the U.S. Preventive Services Task Force (USPSTF) Recommendations on Breast Screening “Women from 40-49 should not receive routine mammograms for early detection of breast cancer according to the U.S. Preventive Services Task Force (USPSTF). The panel of doctors and researchers, which does not include oncologists, advises women to begin regular screening every two years at 1 Screening for Breast Cancer Recommendation Statement, US Preventive Services Task Force, http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.htm Network News Winter 2009-10 23

One of the early<br />

media reports<br />

Material reprinted with the express permission of: “Ottawa Citizen<br />

Group Inc.”, a CanWest Partnership.<br />

about the CBCN<br />

22 <strong>Network</strong> <strong>News</strong> <strong>Winter</strong> <strong>2009</strong>-10

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