Current Guidelines and Gaps in Breast Cancer Screening.
Breast cancer is the most common nonskin cancer in women and the second leading cause of cancer death for women in the United States. Mammography screening is proven to significantly decrease breast cancer mortality, with a 40% or more reduction expected with annual use starting at age 40 for women of average risk. However, less than half of all eligible women have a mammogram annually. The elimination of cost sharing for screening made possible by the Affordable Care Act (2010) encouraged screening but mainly for those already insured. The United States Preventive Services Task Force 2009 guidelines recommended against screening those 40 to 49 years old and have left women over 74 years of age vulnerable to coverage loss. Other populations for whom significant gaps in risk information or screening use exist, including women of lower socioeconomic status, black women, men at higher than average risk of breast cancer, and sexual and gender minorities. Further work is needed to achieve higher rates of screening acceptance for all appropriate individuals so that the full mortality and treatment benefits of mammography screening can be realized.
['Monticciolo|Debra L|DL|']
D000328:Adult D001943:Breast Neoplasms D055088:Early Detection of Cancer D005260:Female D006801:Humans D008327:Mammography D008403:Mass Screening D008875:Middle Aged D058991:Patient Protection and Affordable Care Act D014481:United States
Breast cancer screening breast imaging male breast cancer mammography use screening recommendations