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The Mayhem Surrounding Mammograms

November 25, 2009

Ashley Glowinski
Ashley Glowinski
e-Editor

Last week’s national news regarding the U.S. Preventive Services Task Force mammogram recommendations received quite a backlash—and for good reason. The USPSTF stated that there is scientific evidence mammograms hold little benefit for women in their 40s and those over 50 should reduce mammograms to every other year. In a single swoop, the statement contradicted every cancer-prevention advice most women have ever heard or read. In fact, a new Gallup poll found 75% of U.S. women aged 35 to 75 disagree with the new recommendations out of 1136 surveyed. To add to the cancer mayhem, the American College of Obstetricians and Gynecologists released another relaxed recommendation that women should not start screening for cervical cancer until they are 21, and only every other year.

The Washington Post reported that the USPSTF recommendation was based on two studies: a synthesis of research data on the effectiveness of screening and a set of 6 different statistical models to examine how often women should be screened.

Despite scientific studies, these anti-preventative recommendations feel like women are being told to stay put in a burning building. According to the American Cancer Society, a total of 192,370 new female breast cancer cases are expected in the U.S. for 2009 and more than 11,000 new cases for cervical cancer—numbers that can only grow if the government continues to deemphasize the importance of preventative health care.

While I do not believe anyone should test to the point of paranoia, I do know that every cancer survivor I have ever met survived because of early detection. How is waiting 2 years between tests validated as “good medicine”?

As President Obama pushes for universal health care, perhaps preventative health care should be a stronger U.S. priority. The obesity uprise, for example, has been an ongoing struggle within the last 20 years and has helped make heart disease the #1 killer in the nation. Yet only recently have healthy initiatives like required gym classes in schools and nutritional guides on restaurant menus been in place. If America’s obesity problem was addressed sooner, the challenge might not have become so unmanageable.

Some believe the mammogram recommendation is an effort to reduce the U.S. health care budget, which, according to the National Institutes of Health, estimated $228.1 billion for cancer costs alone in 2008. While the recommendations might not be biased, it still seems that preventative measures would save the U.S. more money—and lives—than treating full-blown cases.

Medicine, science and technology will continually evolve, as should individual common sense. In the end, no one is going to tell you to eat healthy, push you to exercise, or schedule your cancer-screening test. Regardless of the recent recommendations, we must use our own judgment when it comes to our bodies—after all, they are the only ones we’ve got.


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Comments
Chuck Miller 12/1/2009 4:42:37 PM
It seems that people interpreting the conclusions of these studies do not understand the meaning of the word "recommendation." The two medical groups cited above have made medical recommendations based on scientific (statistical) studies. Their recommendations fit the general population. The recommendations are based on costs (which include not only the test, but also money wasted chasing down false positives, follow up, etc.) and benefits (picking up small numbers of early cancers). Of course, one size does not fit all. Recommendations are not meant to replace the careful decisions reached through individual patient-doctor relationships. Hopefully the new health reforms will remove such constraints that are currently put in place by for-profit insurance companies. Ultimately the doctor-patient relationship should determine who gets what test when.

John 11/30/2009 12:42:12 PM
When my wife and I heard this story on the news, our reaction was that this was pretty fishy. With the debate over health care reform at full throttle, this seemed like a great windfall for opponents of the current reform bills. It just screams 'death panel'. My reaction was that we needed to find out who is on this panel. I still don't have the whole list, but what I do know is that none of the members were practicing physicians involved in treating breast cancer, and that three of the members are from major health insurance companies. It really starts to sound like a setup. Does anyone know who appointed these people to this panel, and when?

AES 11/30/2009 11:57:38 AM
Have American women been advised about the proper procedures for mamograms, or have they been brainwashed? You have suspicious about the new recommendations. You suggest that scientfic agencies(like the USPSTF, or the American College of Obstetricians and Gynecologists) would lie to the general public & risk the deaths of a large number of woman, to save money on the Health Care budget. Suspicion is GOOD, conerning one's health. MY knee-jerk reaction to this news is that high-money corporate Medicine has been have stringing along American women for years to increase profit. Whatever punches your paranoia. A report on the statistical analysis that led to these new suggestions would be the only way to seperate fact from fraud.

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