The U.S. Preventive Services Task Force (USPSTF) recently updated its breast cancer screening guidelines, recommending that women between the ages of 40 and 74 receive mammograms every other year. However, some experts have raised concerns about the lack of official screening recommendations for women over the age of 74.
One of the primary reasons for excluding older women from the guidelines is the limited research available for this age group, as clinical trials did not typically include enough women over the age of 74. The main risk associated with screening older women is the potential for false positives, which can lead to pain, anxiety, and distress.
Despite these concerns, some experts argue that the benefits of screening older women outweigh the risks. Early detection of breast cancer can lead to better treatment outcomes and improved survival rates. Women over the age of 74 are encouraged to continue screening if they choose, and this should be covered by insurance.
The American College of Obstetricians and Gynecologists (ACOG), the American Cancer Society (ACS), and the National Comprehensive Cancer Network (NCCN) all recommend mammograms starting at age 40. A shared decision-making process, based on the woman’s health status and longevity, should guide the decision to discontinue screening after age 75.
Dr. Wanda Nicholson, chair of the USPSTF, emphasized the importance of discussing preventive care with healthcare professionals. She acknowledged the limited research available for women over 74 and encouraged women to have open conversations with their doctors about the best course of action for their individual health needs.
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