On Mammography Screening for Women Older Than 70 Years
Authors: Otis W. Brawley
Journal: Annals of Internal Medicine (2020)

Editorials17 March 2020On Mammography Screening for Women Older Than 70 YearsOtis W. Brawley, MDOtis W. Brawley, MDJohns Hopkins University, Baltimore, Maryland (O.W.B.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-0429 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail An important question in cancer screening is the age at which it should stop. This is a very pertinent question in breast cancer screening given the fact that one third of breast cancer deaths occur in women diagnosed after age 70 years. García-Albéniz and colleagues used observational data to emulate or model screening and estimate the value of breast cancer screening in women aged 70 to 84 years (1). They found a benefit to screening women aged 70 to 74 years, but not for screening women aged 75 to 84 years.This study reflects a trend toward the use of ...References1. García-Albéniz X, Hernán MA, Logan RW, et al. Continuation of annual screening mammography and breast cancer mortality in women older than 70 years. Ann Intern Med. 2020;172:381-89. doi:10.7326/M18-1199 LinkGoogle Scholar2. Hall IJ, Tangka FKL, Sabatino SA, et al. Patterns and trends in cancer screening in the United States. Prev Chronic Dis. 2018;15:E97. [PMID: 30048233] doi:10.5888/pcd15.170465 CrossrefMedlineGoogle Scholar3. Siu AL; U.S. Preventive Services Task Force. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2016;164:279-96. [PMID: 26757170]. doi:10.7326/M15-2886 LinkGoogle Scholar4. National Cancer Institute. TMIST (Tomosynthesis Mammographic Imaging Screening Trial). Accessed at www.cancer.gov/about-cancer/treatment/clinical-trials/nci-supported/tmist on 2 February 2020. Google Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins University, Baltimore, Maryland (O.W.B.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-0429.Corresponding Author: Otis W. Brawley, MD, Johns Hopkins University, 1550 Orleans Street, Suite 1M16, Baltimore, MD 21231-2410; e-mail, Otis.[email protected]edu.This article was published at Annals.org on 25 February 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoContinuation of Annual Screening Mammography and Breast Cancer Mortality in Women Older Than 70 Years Xabier García-Albéniz , Miguel A. Hernán , Roger W. Logan , Mary Price , Katrina Armstrong , and John Hsu Metrics Cited byMammography use and breast cancer incidence among older U.S. womenComprehensive Geriatric AssessmentComprehensive Geriatric AssessmentComprehensive Geriatric AssessmentContinuation of Annual Screening Mammography and Breast Cancer Mortality in Women Older Than 70 YearsDebbie L. Bennett, MD, Catherine M. Appleton, MD, and Michelle V. Lee, MD 17 March 2020Volume 172, Issue 6Page: 427-428KeywordsBreast cancerBreast cancer screeningCancer treatmentClinical trialsForecastingMammographyObservational studiesRandomized trialsRelative riskTomosynthesis ePublished: 25 February 2020 Issue Published: 17 March 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...