Conversely, USPSTF draft recommendations call for breast cancer screening at age 40

The U.S. Preventive Services Task Force announced today that draft recommendationn Require breast cancer screening to start at age 40 for all women. This overturns current recommendations for an average-risk woman to begin screening at age 50.

driven by increase in breast cancer young women, especially Considerable Gap in Fatal Breast Cancer Among black and white women, the USPSTF has changed course and lowered the recommended age to begin mammograms for all women to 40.

After lung cancer, breast cancer is the second most common cancer and the second leading cause of cancer death among women in the United States.

The statement calls for women to be screened every other year from age 40 and assigns a B grade to that recommendation. Moderate to significant. “

The USPSTF statement said the task force has consistently recognized the life-saving value of mammography and previously encouraged women in their 40s to individually decide when to begin screening based on their health history and preferences. In this new recommendation, the Task Force now recommends that all women be screened starting at age 40. This change could increase her lives saved by 19%. “

“New comprehensive science for breast cancer under 50 allows us to extend previous recommendations and encourage all women to get screened every other year from age 40,” said UCLA Health’s Department of Internal Medicine and Health Services Research Director said in a statement. “This new recommendation will help save lives and prevent more women from dying of breast cancer.”

The USPSTF says black women are 40% more likely than white women to die from breast cancer and are more likely to develop deadly breast cancer at a young age. Further research is needed to understand the reasons for this disparity, the statement said. “Allowing a black woman to start screening as early as her 40s is an important first step, but not enough to improve the health inequalities we face related to breast cancer.” Equity and inclusion of the Milken Institute of Public Health at George Washington University said in a draft statement.

“Our draft recommendations emphasize the importance of equitable follow-up after screening and timely and effective breast cancer treatment, and urgently call for more research on how to improve the health of black women.”

Under the Affordable Care Act (ACA), preventive health checks that receive an A or B recommendation from the USPSTF are covered by most health plans at no cost sharing. Breast cancer screening recommendations have gone back and forth, weighing the desire to detect cancer early against the potential harm of aggressive screening. Current recommendations already call for women at increased risk of breast cancer due to family history and other factors to be screened at a younger age.

The draft recommendation calls for further research on whether women with dense breasts should undergo additional screening with breast ultrasound or MRI, and on the benefits or harms of screening women over the age of 75.

According to the USPSTF, today’s draft recommendation applies to cisgender women and others who were assigned female at birth.

The Task Force will accept comments on the proposed recommendations until June 5, 2023. The final recommendation is jam.

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