Albert Siu, MD
The US Preventive Services Task Force (USPSTF) is standing by its controversial recommendations on breast cancer screening in a final set of guidelines that call for an individualized approach to routine mammograms for asymptomatic women under age 50 years and biennial testing for women age 50 to 74 years.
The key recommendations, tailored to age levels, are these:
40-49 years: Recommends informed, individualized decision-making based on a woman’s values, preferences, and health history. (C recommendation)
50-74 years: Recommends mammography every 2 years. (B recommendation)
75 years and older: More research needed. Current science inadequate to recommend for or against. (I statement for insufficient evidence)
The US Department of Health and Human Services said the recommendations will not affect insurance coverage for mammography because of federal legislation signed in December 2015 that keeps benefits the same through 2017.
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