Physician breast cancer screening recommendations following guideline changes : Results of a national survey
Menée aux Etats-Unis à partir d'une enquête nationale réalisée entre mai et septembre 2016 auprès d'un échantillon de 2 000 médecins généralistes, cette étude analyse leurs recommandations concernant le dépistage du cancer du sein par mammographie après l'évolution des directives de plusieurs sociétés savantes
Different professional societies and organizations continue to disagree over the optimal time to initiate and discontinue breast cancer screening mammography and the optimal screening interval. In October 2015, the American Cancer Society (ACS) revised its guidelines, encouraging personalized screening decisions for women ages 40 to 44 years followed by annual screening starting at age 45 years and biennial screening for women 55 years or older. The US Preventive Services Task Force (USPSTF) reissued its recommendations in January 2016 recommending personalized screening decisions for women ages 40 to 49 years followed by biennial mammograms for women ages 50 to 74 years. The American Congress of Obstetricians and Gynecologists (ACOG) recommends yearly mammograms for women 40 years or older. With physician recommendations the most important determinant for patients obtaining screening, we investigated physician recommendations in light of recent guideline changes in a national sample.
JAMA Internal Medicine , résumé, 2016