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Breast Cancer Screening: Are women just too emotional for mammograms before 50?

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Unless you've been under a rock all week, you have probably heard about the government task force that has recommended new guidelines for breast cancer screening.  It goes something like this...

If you're younger than 50 or older than 75, you no longer have to worry your pretty little head about breast cancer, or getting those pesky boob squishing mammograms.

Hallelujah!  I wonder how long it will be before we go back to giving women Valium for chest pain?  Who needs preventative care when it's not 100% effective anyway?  Hell, just go ahead and give us anti-anxiety meds for all of our ills...I'll betcha we save a bundle on healthcare costs. Women already outlive men by a bunch of years, maybe this will even things out a bit...Isn't equality what we've been cryin about all these years?

OK, I know, I went a little too far with my analogy.  But seriously, this is what's going on...

From Kaiser Health News - Guidelines on Cancer Screening Spark Debate...

On Monday, the United States Preventive Services Task Force recommended that routine mammograms start at age 50 instead of 40, that women receive the test every two years as opposed to annually, and that physicians no longer train women to perform breast self-examination.

Imaging centers saw cancellations for mammograms more than double since the news of these "recommendations" were announced.  I wonder how many of those women may actually have breast cancer right now and will miss the opportunity for early detection and treatment?

I have to admit, I've been having a lot of cynical thoughts running through my head since I heard this disturbing news.  Like...

I can't help but think that if the pharmaceutical companies were profiting from mammograms these recommendations would be suggesting that they begin ten years earlier rather than later.

And then there's this one...

If a healthcare reform bill is going to benefit the insurance industry (and it must - considering all their lobbying dollars), then insurance companies need guidelines that will allow them to reduce the amount of money they shell out for quality health care.

I know these are just thoughts, but when government panels are established to become corporate bean counters of women's health policy, it makes me a little angry.

The thing is, when it comes to healthcare for women - I want to see more choices for women, not less.

Check out this video, it really does a nice job of addressing the problems associated with these new guidelines...

Is healthcare for women under attack?

Was I the only one who was completely shocked to find out that this so called panel of experts had three representatives from insurance companies, but no experts in oncology or breast cancer?

From Feminist Legal Theory - How Many Women Does Breast Cancer Cost?

I am not naive to the fact that cost-benefit analysis plays a role in major agency decisions, particularly in allocation of resources, but this is disturbing. Dr. Otis Brawley, Chief Medical Office for the American Cancer Society, shares my concern. "With its new recommendations, the [task force] is essentially telling women that mammography at age 40 to 49 saves lives; just not enough of them.”

. . .

Dr. Cheryl B. Iglesia, the chairwoman of a panel that developed the guidelines, assured the New York Times the releases are not political. However, that certainly does not mean the application will not be. While a universal health care package can mean valuable screenings for the uninsured, continued release of materials like this could mean a reduction in coverage for preventative care.

Not everyone disagrees with these new guidelines...

From Our Bodies, Our Blog - New Mammogram Guidelines Make Sense...

The guidelines are in sync with international recommendations; the World Health Organization recommends starting screening at age 50, and in Europe, mammograms are given to post-menopausal women every other year and detection rates are similar to the United States. During an interview on MSNBC on Tuesday, breast cancer expert Dr. Susan Love said the government’s guidelines bring us into line with the rest of the world and with current research. (Read more at her blog.)

You might be thinking: Wait a moment, isn’t earlier better? Why would delaying detection be in my best interest? I’m going to explain why, but let’s first take a closer look at the guidelines, which were released by

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Bgirl 5 pts

I am Canadian. We live with the over 50 guidelines here. However, under 50 you can still get a mamo with a dr's requistion. Paid for. No questions asked. Women should not be put in a position of choosing between their health and finances anywhere. Whatever your insurance plan, public or private, this should be the doctors/patients decision only. This should be a personal decision based on you own health. Everyone should have the information and with a dr's guidance choose what is right for them.

I am 46 and have had 3 mamos in the last few years. My doctor and I decided instead of freaking over every lump (have had cysts in past) that this was the best thing for me. Last year when I went the tech basically implied that I was wasting my time. I almost didn't go back this year (had requistion sitting on fridge for 2 months). However, I listened to the voice in my head that said "call now". Got a cancellation for 2 days later. I am now awaiting biopsy/results. Whatever the outcome, knowledge is power for me and my three daughters.

As for my delicate emotional state, It is my husband who is NOT handling this well. Who is the stronger sex!?

As for the guidelines, If it is positive as they think it may be, found in another 4 years at 50, I might be one of those people whose lives are deemed not worth it. I DON'T THINK I AGREE!

Girlphyte 5 pts

If you have a choice about screening for breast cancer - for yourself, your mom, your daughter - what screening recommendation would you make? If you had to ask just one person or organization for advice whom would you choose? When you consider screening methods which would you pick?

For me and anyone I care about my choice is screen early with the best screening method available based on guidance from the country's leading, most progressive, most innovative physicians and researchers. I may not be able to afford the Mao Clinic or John's Hopkins but I can still subscribe to their newsletters when making health decisions.

Today John's Hopkins issued a statement through the Kimmel Wire [from the Hopkins Kimmel Cancer Center] in regard to these recommendations: 

     "National statistics show that about 18 percent of all breast cancers occur in women aged 40-49, and, at Johns Hopkins, more than one in four breast cancer patients are among this age group.   We also know that breast cancers occurring in women under 50 tend to grow faster and more aggressively than in older women and arise in denser tissues, making their early detection more difficult."

     "Rather than doing no screening for women in their 40s, we maintain our recommendations for annual screening and advise younger women, who typically have denser breast tissue, to get digital mammography which improves the accuracy of detecting breast cancer in these women.  We also recommend these women seek evaluations with dedicated breast imaging radiologists and encourage them to have clinical exams of their breasts."

"For women 50 and older, the Task Force’s suggestion to decrease screening from annually to every two years will lead to more tumors found at a larger size and later stage, a likely precursor to higher death rates."

Amen.

Catherine Morgan 5 pts

Thanks for your comment.  I agree, you shouldn't wait.

Contributing Editor Catherine Morgan
at Catherine-Morgan.com ( http://catherine-morgan.com/ ) and Women4Hope ( http://women4hope.wordpress.com/ )

Catherine Morgan 5 pts

:-)

Contributing Editor Catherine Morgan
at Catherine-Morgan.com ( http://catherine-morgan.com/ ) and Women4Hope ( http://women4hope.wordpress.com/ )

JennaHatfield 54 pts

My Mom is not even 50 yet and has had (and beat!) breast cancer... which was found due to a mammogram that just so happened to be at the very early stage of her cancer. (If it had been missed and she waited until the next year, she would have been far worse off.)

So now I'm supposed to wait to get a mammogram until I'm 50?

Not happening.

@FireMom ( http://twitter.com ) from Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com )

Catherine Morgan 5 pts

Hi Susan.  Thanks for adding the link to your post on the importance of mammograms.

Contributing Editor Catherine Morgan
at Catherine-Morgan.com ( http://catherine-morgan.com/ ) and Women4Hope ( http://women4hope.wordpress.com/ )

Whymommy 5 pts

... a lot of it, actually.  Just ask the Young Survival Coalition, and the Mothers With Cancer.  I am very concerned that the new recommendations will allow us to feel that it's ok to slack off and take "get mammogram" or "check breasts" off our ever-expanding to-do lists.... and that's dangerous.

Trust me, friends, it takes a lot less time to do a breast self-exam and get a screening mammogram than it does to wipe off your schedule for 6 months for chemo, mastectomy and recovery, and another 2 months of radiation.  Please take care of yourselves.

I wrote about my read of the original science articles and the recommendations here:

http://toddlerplanet.wordpress.com/2009/11/17/in-d...

Am off to read everyone else's links now!

Susan

http://toddlerplanet.wordpress.com & http://motherswithcancer.com