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For Women, a More Complicated Choice on Mammograms. Really?

Majid Ali, M.D.

The title of this article was the headline of a report in The New York Times of February 12, 2014. This article was an add-on to the main front page story in Times with the following three headlines and sub-lines:

Vast Study Casts Doubts on Value of Mammograms

Death rate No Lower

Breast Cancer Tests Can Be Harmful

 

The New York Times Feb. 12, 2014

Here is my question: With the above three headings and sub-headings of the main article, how could the author of the second add-on article choose the entitled "For Women, a More Complicated Choice on Mammograms." This becomes all the more puzzling when you consider the following quotes from the authorís own article:

"In 2009, the United States Preventive Services Task Force, an influential group that makes recommendations to the federal government, concluded that women over age 50 should have mammograms every two years instead of annually and that the evidence of benefit was only moderate. The group did not recommend the screening test for younger women.

"The report was met with a barrage of criticism. Some charged that the task force was trying to save health care dollars at the cost of human lives.

"The American Cancer Society refrained from following the task forceís lead and continues to recommend annual mammograms beginning at age 40, as do the National Cancer Institute and the American College of Radiology.

"In 2011, the American Congress of Obstetricians and Gynecologists urged more screening, recommending that women 40 and over receive a mammogram annually; previously, the group had recommended that women start yearly mammograms at age 50.

"But the days of one-size-fits-all screening may be ending. Now patients and their doctors will face much more nuanced choices, based on each womanís risk for breast cancer and her feelings about the prospect of unnecessary treatment.

So much for the "complicated choice."

Mammography Series

k Breast Health and Cancer

k Ignore-the-Breast-Examine-the-Ribs (IBER) Self-Exam

k Mammography Truths

k Mammogram - A Complicated Choice. Really!

k Mammogram Shame

 

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