Well, this thread's pretty reactionary, and like most places fuming with outrage that completely ignores the actual language of the Task Force or the medicial and scientific history on the subject. Here's from my friend, a GP (who, to place him politically, is a self-described socialist who's been crowing for a single-payer system long before it was hip):
Quote:
The Task Force does not say that women should not have a mammogram before age 50, nor does it take away a women’s right to have a mammogram. Rather, the recommendation recognizes that women have the right to decide for themselves whether they believe the benefits of a mammogram outweigh the risks.
In 2002, the Task Force stated that the incremental benefits of a mammogram were less for patients age 40 to 49. In 2006, the American College of Physicians recommended that doctors and patients share the decision about whether to start mammograms at age 40 versus 50. In fact, no other country endorses routine mammograms for all women until the age of 50, and worldwide breast cancer survival outcomes are the same as the United States’. These recommendations and policies were not made to ration care, but in recognition that there are both real benefits and real harms to mammograms for younger women.
Different women have different health risks, different concerns and fears, and different values. The U.S. Preventive Services Task Force is recognizing that women are different and have the right to know about the benefits and risks of medical tests. |
And there ARE risks to screenings at younger ages. The last two paragraphs in Kate's link spell them out well. People who have had breast cancer in their lives or loved ones' will have very strong emotions on the matter, but the plural of "anecdote" isn't "data," which is all that these recommendations --
to make an informed decision with one's physicians whether to begin screening before 50 instead of automatically screening at 40 -- are based on. On a similar subject, google up PSA test/prostate cancer for an almost exact parallel discussion, but for men.
ETA: He got back to me when I was asking about some other stats he'd included that didn't sound right:
Quote:
45% of women who get 10 mammograms will have an abnormal
mammogram.
I know, it sounds high... this is why the Task Force is making the
recommendation it does. Mammograms save lives (1904 women who get a
mammogram will prevent 1 from dying from breast cancer). The cost is 45%
of women will have a false positive if they get 10 mammograms.
This is why the media is sooooooo f'ed up with their interpretation of
things. This recommendation from the Taks Force is good and valid. |