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Most Women With Early Breast Cancer Undergo Imaging Tests To See Whether The Disease Has Spread, Despite Recommendations Against Such Tests

Tuesday, June 23, 2015
Reuters (6/22, Doyle) reports that research (6/22) published in CMAJ suggests that approximately 90% of women who have early breast cancer undergo imaging tests to see whether the disease has spread, even though groups such as the American Society of Clinical Oncology recommend against such tests. 

Study: “Teaching Session” Dissuaded Primary Care Physicians From Recommending Screening Mammography To Women In Their 40s

Friday, June 19, 2015
Aunt Minnie (6/19, Yee) reports, “The number of primary care physicians who would recommend screening mammography to women in their 40s plummeted after they received information in a ‘teaching session’ about the ‘harms’ of screening, according to” research published in the May issue of the Journal of Multidisciplinary Healthcare. At first, “more than 82% of primary care physicians and nurses said they would recommend screening mammography to women in their 40s,” the study found. However, “that number fell to less than 9% after doctors and nurses received what the researchers called a teaching session, using content based on the breast screening criteria issued in 2009 by the US Preventive Services Task Force.” 

ACR’s Dr. Monticciolo Explains Why Women Should Seek Annual Mammograms Beginning At Age 40

Thursday, June 18, 2015
In a US News & World Report (6/18) article titled “How Often Do You Really Need A Mammogram?,” ACR Breast Imaging Commission Chair Debra Monticciolo, MD, explains why women should still seek annual mammograms beginning at age 40. According to the article, the ACR “stand[s] firm on yearly mammography starting at 40.” Dr. Monticciolo said, “Every major group with expertise in breast cancer care and the USPSTF agree that annual mammography saves the most lives.” She added, “From a woman’s perspective, this is the most important reason to have a mammogram – to decrease the chance that she will die of breast cancer.” 

Few US Surgeons Inappropriately Order Body Imaging Tests For Early Breast Cancer Patients Between Diagnosis And Date Of Surgery

Wednesday, June 10, 2015
Medscape (6/10, Mulcahy) reports that research indicates that “only a minority (14%) of surgeons in the” US “inappropriately order body imaging tests for early breast cancer patients between their diagnosis and date of surgery.” The exams, “(PET scans, CT scans, and bone scans) — targeted by the 2012 ASCO Choosing Wisely campaign — are not recommended for staging because the chance of disease spread in this setting is very low, said lead study author Allison Lipitz-Snyderman, PhD.” However, investigators “found that a woman was three times more likely to undergo unneeded imaging if her physician’s previous patient underwent imaging than if the previous patient had not.” The findings were presented at the American Society of Clinical Oncology 2015 Annual Meeting. 
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