Breast Cancer Screening: What MDs Recommend

Breast Cancer Screening: What MDs Recommend
share Share

In a U.S.-wide study examining breast cancer screening recommendations physicians give their patients, results show that annual examinations are often recommended by clinicians. The study, published in JAMA Internal Medicine, was conducted amid recent guideline changes.

See Also: Study: MRI as Supplemental Breast Cancer Screening Tool

Guidelines issued by various professional societies and organisations differ about the best time to start and to discontinue mammography for breast cancer screening, as well as the optimal amount of time between screenings. For example, the American Cancer Society (ACS) revised its guidelines in 2015 to encourage personalised screening decisions for women 40 to 44 followed by annual screening starting at age 45 and biennial screening for women 55 or older.

In 2016, the U.S. Preventive Services Task Force (USPSTF) reissued its recommendations on personalised screening decisions for women 40 to 49 followed by biennial mammograms for women 50 to 74. Meanwhile, the American Congress of Obstetricians and Gynecologists (ACOG) recommends yearly mammograms for women 40 and older.

Archana Radhakrishnan, MD, MHS, of Johns Hopkins University, Baltimore, Md., and colleagues examined physician screening recommendations in a national sample of physicians – 52 percent response rate (871 of 1,665 physicians). Most of the physicians were family medicine/general practice physicians (44.2 percent), almost 30 percent were internal medicine physicians and 26.1 percent were gynaecologists.

Among the physicians who participated in the study, 26 percent reported trusting ACOG guidelines the most; 23.8 percent the ACS guidelines and 22.9 percent the USPSTF guidelines. Other key findings of the study include:

  • 81 percent of physicians recommended screening to women 40 to 44; 88 percent to women 45 to 49; and 67 percent for women 75 or older.
  • Gynaecologists were more likely to recommend screening for women of all ages compared with internal medicine and family medicine/general practice physicians.
  • Among clinicians who recommend screening, most recommend annual examinations.

“The results provide an important benchmark as guidelines continue evolving and underscore the need to delineate barriers and facilitators to implementing guidelines in clinical practice,” the authors conclude.

Source: JAMA Internal Medicine
Image Credit: Wikimedia Commons

«« Benefit-Risk Assessment in Diagnostic Imaging

The Imaging of Small Pulmonary Nodules »»


Radhakrishnan, Archana. Nowak, Sarah A. Parker, Andrew M. (2017) Physician Breast Cancer Screening Recommendations Following Guideline Changes. Results of a National Survey. JAMA Internal Medicine; doi:10.1001/jamainternmed.2017.0453

Published on : Mon, 10 Apr 2017

Related Articles
Study: No Evidence for Age-based Screening Cessation

  Mammography is the standard imaging examination for breast cancer screening. Interestingly, a new study published in JAMA... Read more

Screen-detected Breast Cancers Don't Regress If Left Untreated

A prospective cohort study shows that breast cancers detected by mammography screening do not spontaneously disappear or regress... Read more

Survival of childhood, adolescent and young adult (CAYA) cancers has increased with progress in the management of the treatments... Read more

Mammography, breast cancer, breast cancer screening, annual examinations In a U.S.-wide study examining breast cancer screening recommendations physicians give their patients, results show that annual examinations are often recommended by clinicians.


Judy Benson

Judy Benson

(2017-05-04 13:49)
Thanks for sharing helpful article. As breast cancer is a single disease, but collection of diseases that originates in the ducts and lobules of the female breast. My sister was suffering from breast cancer of the last stage, when she was being diagnosed with breast cancer, she had also undergone with the post traumatic stress disorder. But after she had taken treatment from the best radiation therapy New York(, their oncologist gave the treatment using Balloon Brachytherapy, as this treatment does not give any radiation treatment and she got here life back.

Judy Benson

Judy Benson

(2017-05-04 13:49)
[url=]radiation therapy Suffolk[/url]
breast cancer radiation Bronx

Please login to leave a comment...

Highlighted Products