Health
Screening strategies based on baseline breast cancer at age 40 may be effective in reducing breast cancer mortality
Mammography screening strategies based on baseline breast cancer densit at age 40 may be the most effective and cost-effective way to reduce breast cancer mortality. Current breast cancer screening guidelines recommend starting mammography for women at average risk at age 50. The results of micro-simulation modeling research Annual report of internal medicine..
high milk Density not only has a masking effect on mammogram reading, but also increases the risk of breast cancer.The Breast Cancer Notification Act requires providers to notify women who have mammograms whether they have mammograms. Rich breasts.. However, most women do not know the breast cancer classification until the end of the first mammogram at age 50.
Researchers at the University of Texas MD Anderson Cancer Center and Fred Hatch Cancer Center use micro-simulation models Health outcomes And Cost-effectiveness Of the seven breast cancer screening strategies: no screening, biennial screening for ages 50-75, screening every three years for ages 50-75, and four density stratification strategies (two baseline mammograms at age 40, the other Two are 50 years old). In all density stratification strategies, women with dense breasts were assigned annual screening, and women without dense breasts were assigned biennial or triennial screening from age 50. ..
The model is a strategy with a baseline breast cancer assessment at age 40, followed by annual screening of women with dense breasts aged 40-75, and biennial screening of women without breast density 50-75. Suggested that showed the largest decrease. Breast cancer mortalityHowever, it was also associated with a high number of mammogram lifespans and a high rate of false positives and overdiagnosis. A cost-effectiveness analysis that considers benefits and harms shows a cost-effectiveness ratio of approximately $ 36,000 per quality-adjusted life year when compared to non-density stratified biennial screening for ages 50-75. I did. (QALY), this is considered cost effective.
A companion editor at the University of California, San Francisco argues that breast cancer is an important risk factor to include in risk-based screening strategies because it is a powerful and common risk factor for the majority of breast cancers. However, developing risk-based screening strategies that optimize profits and minimize harm should be combined with age and other risk factors.Editors believe that data will be supported until a more robust risk-based strategy is identified. Sieving Every other year from 50 to 74 years old.
Annual report of internal medicine (2021). https://www.acpjournals.org/doi/10.7326/M20-2912
Annual report of internal medicine (2021). https://www.acpjournals.org/doi/10.7326/M21-0398
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American Society of Internal Medicine
Quote: A screening strategy based on baseline breast cancer at age 40: Breast cancer mortality obtained on February 9, 2021 from https: //medicalxpress.com/news/2021-02-screening-strategy-based- It may be effective in reducing (February 9, 2021). Baseline-breast.html
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