Aggregate Cost of Mammography Screening in the United States
Authors: Martin Eklund, Cristina O'Donoghue, Laura J. Esserman
Journal: Annals of Internal Medicine (2014)

Letters19 August 2014Aggregate Cost of Mammography Screening in the United StatesMartin Eklund, PhD, Cristina O'Donoghue, MD, MPH, and Laura J. Esserman, MD, MBAMartin Eklund, PhDFrom University of California, San Francisco, San Francisco, California; University of Illinois at Chicago, Chicago, Illinois; and University of California, San Francisco, San Francisco California.Search for more papers by this author, Cristina O'Donoghue, MD, MPHFrom University of California, San Francisco, San Francisco, California; University of Illinois at Chicago, Chicago, Illinois; and University of California, San Francisco, San Francisco California.Search for more papers by this author, and Laura J. Esserman, MD, MBAFrom University of California, San Francisco, San Francisco, California; University of Illinois at Chicago, Chicago, Illinois; and University of California, San Francisco, San Francisco California.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5016-3 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Keen that the estimates we present are conservative. This approach is by design, in order to provide a lower bound of the probable cost implications of different screening strategies.Dr. Helvie expressed concern that the USPSTF strategy would lead to loss of life on the basis of the CISNET models, the very analyses on which the USPSTF based its guidelines for biennial screening (1). In fact, the CISNET models show that, over the same age range, the mortality reduction and life-years gained from annual screening are virtually nonexistent.The evidence of benefit of annual ...References1. Mandelblatt JS, Cronin KA, Bailey S, Berry DA, de Koning HJ, Draisma G, et al; Breast Cancer Working Group of the Cancer Intervention and Surveillance Modeling Network.. Effects of mammography screening under different screening schedules: model estimates of potential benefits and harms. Ann Intern Med. 2009;151:738-47. [PMID: 19920274] doi:10.7326/0003-4819-151-10-200911170-00010 LinkGoogle Scholar2. Kerlikowske K, Zhu W, Hubbard RA, Geller B, Dittus K, Braithwaite D, et al; Breast Cancer Surveillance Consortium.. Outcomes of screening mammography by frequency, breast density, and postmenopausal hormone therapy. JAMA Intern Med. 2013;173:807-16. [PMID: 23552817] doi:10.1001/jamainternmed.2013.307 CrossrefMedlineGoogle Scholar3. Miller AB, Wall C, Baines CJ, Sun P, To T, Narod SA. Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial. BMJ. 2014;348:g366. [PMID: 24519768] doi:10.1136/bmj.g366 CrossrefMedlineGoogle Scholar4. Bleyer A. US breast cancer mortality is consistent with European data [Letter]. BMJ. 2011;343:d5630. [PMID: 21896600] doi:10.1136/bmj.d5630 CrossrefMedlineGoogle Scholar5. Esserman L, Shieh Y, Thompson I. Rethinking screening for breast cancer and prostate cancer. JAMA. 2009;302:1685-92. [PMID: 19843904] doi:10.1001/jama.2009.1498 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Martin Eklund, PhD; Cristina O'Donoghue, MD, MPH; Laura J. Esserman, MD, MBAAffiliations: From University of California, San Francisco, San Francisco, California; University of Illinois at Chicago, Chicago, Illinois; and University of California, San Francisco, San Francisco California.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-1217. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAggregate Cost of Mammography Screening in the United States: Comparison of Current Practice and Advocated Guidelines Cristina O'Donoghue , Martin Eklund , Elissa M. Ozanne , and Laura J. Esserman Aggregate Cost of Mammography Screening in the United States John D. Keen Aggregate Cost of Mammography Screening in the United States Mark A. Helvie Aggregate Cost of Mammography Screening in the United States Mark A. Helvie Aggregate Cost of Mammography Screening in the United States John D. Keen Metrics 19 August 2014Volume 161, Issue 4Page: 305KeywordsBreast cancerCancer screeningConflicts of interestDisclosureImaging techniquesMammographyMortalityScreening guidelines ePublished: 19 August 2014 Issue Published: 19 August 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...