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Breast cancer screening guidelines

Discussion in 'Medical Students - MD' started by blkprl, Aug 4, 2011.

  1. blkprl

    10+ Year Member

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    USPTF or all the others.....???

    The updated ACOG guidelines agree with recommendations issued by the American College of Radiology (ACR), the Society of Breast Imaging, the American Cancer Society, and the American Society of Breast Disease. However, all of these differ from those of the United States Preventive Services Task Force (USPSTF).
    Mammography screening should be offered annually to women beginning at age 40 years, according to new breast cancer screening guidelines issued by ACOG. The new Practice Bulletin, entitled "Breast Cancer Screening," is published in the August 2011 issue of Obstetrics & Gynecology. These guidelines replace the 2003 ACOG recommendations, which were that women should have mammograms every 1 to 2 years beginning at age 40 years, and every year beginning at age 50 years.
    "Although women in their 40s have a lower overall incidence of breast cancer compared with older women, the window to detect tumors before they become symptomatic is shorter, on average," said guidelines coauthor Jennifer Griffin, MD, MPH, in a news release. "If women in their 40s have annual mammograms, there is a better chance of detecting and treating the cancer before it has time to spread than if they wait two years between mammograms."


    Obstet Gynecol. 2011;118:372-382

    what is the correct answer on boards, USMLE?
     
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  3. turkeyjerky

    Physician 10+ Year Member

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    Conrad Fischer, author of the Master the Boards series for kaplan, says the USPTF guidelines are the ones followed by the NBME. Keep in mind that whenever your residents start pimping you on this stuff, most'll be referring to their specialty guidelines
     
  4. Siverhideo1985

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    +1
     
  5. airmax

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    USPSTF has a different mammography screening recommendation based on the number needed to invite for screening to prevent one death.

    for women aged 39-49 that number was 1,904 compared with 1,339 in women aged 50-59

    but for rotations, and for shelf/board exams, id go with ACOG, ACS, NCI, and all the others' recommendations: annual mammography and clinical breast exams for women 40 and up
     
  6. DrBowtie

    DrBowtie Final Countdown
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    They won't give you controversial board questions. They try to test bread and butter stuff since it prolongs the half-life of a question in the test bank.
     
  7. turkeyjerky

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    why would you favor guidelines put forth by private disease and specialty-oriented organizations, rather than those proposed by an independent panel of preventative care experts commissioned by the federal government?
     

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