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Dr. Daniel Kopans: Will the USPSTF heed science on breast screening?

Dr. Daniel Kopans.
The history of the U.S. Preventive Services Task Force (USPSTF) on breast screening is another case in point, in which decisions on mammography guidelines have been based on flawed analyses of scientific data.
When the USPSTF last week opened a new review of breast screening guidelines, it created the opportunity to revisit the group s flawed decision in 2009 to not recommend breast screening for women in their 40s. However, a number of factors need to be addressed for the 2021 review to present a fair and impartial review of the science and evidence in favor of breast screening. ....

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Early Cancer Screening Not Beneficial for Women in Their 40s

Early Cancer Screening Not Beneficial for Women in Their 40s
A recent study has reignited the controversy stemming from the consequences of over-screening
In a study published in The Lancet Oncology, scientists analyzed the effectiveness of breast cancer screening in Great Britain. The researchers concluded that mammograms beginning at age 40 or 41, as opposed to the recommended age 50 by the NHS, were associated with a relative reduction in breast cancer mortality.
They noted that a 2010 study found that early screening in ages 40 or 41 to 48 resulted in an 18.1 percent false positive rate which resulted in cytology and surgical and nonsurgical biopsies in women who ended up not actually having cancer. Even so, they still reported that their own study showed a statistical reduction of mortality in the first 10 years. ....

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