Tuesday, December 1, 2009

With cancer screenings, 'more is not always better' - USATODAY.com

Routine only after age 50: Jackie Riley of the Michigan State University radiology department prepares a patient for a digital mammogram. With cancer screenings, 'more is not always better' - USATODAY.com

Women across the USA have been shocked and angered by new advice to get fewer mammograms. Yet experts have been debating the risks of mammograms and other cancer screenings for more than a decade.

There's growing evidence that cancer screenings aren't always helpful — and can sometimes be harmful, say Lisa Schwartz and Steve Woloshin of the Veterans Affairs Outcomes Group in White River Junction, Vt. A number of medical groups also have scaled back their cancer screening guidelines:

•The U.S. Preventive Services Task Force, an independent panel of government-appointed experts, two weeks ago advised most women ages 40 to 49 not to get "routine" mammograms because of concerns that the tests cause too many false alarms and even unnecessary treatment. While the panel advised that women 50 to 74 should get mammograms every other year, it said younger women should make up their own minds. In 2007, the American College of Physicians made similar recommendations for women in their 40s.

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