Breast Cancer: Screening

Screening for Breast Cancer
Release Date: November 2009

Summary of Recommendations / Supporting Documents


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Summary of Recommendations
* The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.
Grade: C recommendation.
http://www.ahrq.gov/clinic/uspstf/gradespost.htm#crec

** The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
Grade: B recommendation.
http://www.ahrq.gov/clinic/uspstf/gradespost.htm#brec

*** The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older.
Grade: I Statement.
http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec

**** The USPSTF recommends against teaching breast self-examination (BSE).
Grade: D recommendation.
http://www.ahrq.gov/clinic/uspstf/gradespost.htm#drec

***** The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older.
Grade: I Statement.
http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec

The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer.
Grade: I Statement.
http://www.ahrq.gov/clinic/uspstf/gradespost.htm#irec
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Supporting Documents
Screening for Breast Cancer, November 2009
Recommendation Statement (PDF File, 300 KB; PDF Help) 12 páginas
http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanrs.pdf

Supporting Article (PDF File, 200 KB; PDF Help)15 páginas
http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanart.pdf

Evidence Update Article (PDF File, 350 KB; PDF Help)17 páginas
http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanup.pdf

Evidence Synthesis (PDF File, 1 MB; PDF Help)95 páginas
http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcanes.pdf

Clinical Summary (PDF File, 118 KB; PDF Help) 2 páginas
http://www.ahrq.gov/clinic/uspstf09/breastcancer/brcansum.pdf

Previous (2002) Recommendation Statement
http://www.ahrq.gov/clinic/pocketgd09/gcp09s2.htm#BreastScreening

Persons with disabilities experiencing problems accessing portions of the PDF file for the evidence synthesis should contact Lisa Nicolella at (301) 427-1906. The accessible version of this report will be available by December 30, 2009.

Current as of November 2009

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Internet Citation:

Screening for Breast Cancer, Topic Page. November 2009. U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm


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Breast Cancer: Screening