Skip to content

Breast Cancer Health Center

Researchers Question Mammogram Guidelines

Study Suggests Negative Impact From Guidelines That Dropped Routine Mammograms for Women in 40s
Font Size
A
A
A
By
WebMD Health News
Reviewed by Laura J. Martin, MD

May 2, 2011 -- The recent guidelines issued by a government task force that do not recommend routine annual mammograms in women 40-49 may be having a negative impact, according to new research.

If screening mammograms are not done routinely in women in this age group, says researcher Lara Hardesty, MD, chief of breast imaging at the University of Colorado Hospital, Denver, "I am concerned the only way the breast cancer in these women will be detected will be when they are large enough to be felt by either the women or their health care provider."

Hardesty presented her research at the American Roentgen Ray Society annual meeting in Chicago.

She found a drop in the number of women ages 40 to 49 getting mammograms routinely at her hospital after the November 2009 guideline on mammography was issued by the U.S. Preventive Services Task Force (USPSTF). The mammography guidelines suggest women 40-49 discuss the risks and benefits of having a mammogram with their doctor and decide what to do on an individual basis.

The American Cancer Society and the American College of Radiology advise women to begin routine screening annually at age 40.

In another study presented at the same meeting, Donna Plecha, MD, director of breast imaging at University Hospitals at Case Medical Center in Cleveland, reported that cancers found in women 40 to 49  who had screening mammograms were smaller and found earlier than those found in women who did not  have the test.

However, the current chair of the task force says the data from the study doesn't change what is known about the value of the test in women 40 to 49. "The recommendation of the task force is that the decision to screen should be individualized for women in this age group, taking into account each woman's values and her specific situation," says Virginia Moyer, MD, who is also professor of pediatrics at Baylor college of Medicine and Texas Children's Hospital in Houston. She reviewed the studies for WebMD.

Survey of Health Care Providers

Hardesty surveyed 303 health care providers at her hospital. She asked about their practices in recommending mammograms, by age group. In all, 16.5% of the health care providers responded.

1 | 2 | 3

Today on WebMD

Breast Cancer Overview
From self-exams and biopsies to reconstruction, we’ve got you covered.
Dealing with breast cancer
Get answers to your questions.
 
woman having mammogram
Experts don’t agree on all fronts, but you can be your own advocate.
woman undergoing breast cancer test
Many women worry. But the truth? Most abnormalities aren’t breast cancer.
 
Breast Cancer Treatments Improving
VIDEO
Resolved To Quit Smoking
SLIDESHOW
 
Woman getting mammogram
Article
Screening Tests for Women
SLIDESHOW
 
ovarian cancer overview slideshow
SLIDESHOW
serious woman
Article
 
what is your cancer risk
HEALTH CHECK
10 Ways to Revitalize Slideshow
SLIDESHOW