Research suggesting that annual mammograms may not be best for most women
received a fair amount of coverage online, and was featured on two of last
night's national news broadcasts. Most sources point to the fact that advice on
mammogram frequency varies among medical groups, and that these findings back
up recommendations from the US Preventive Services Task Force. Meanwhile, some
sources mention that certain groups were critical of the study.
        The CBS Evening News (3/18,
story 8, 2:30, Schieffer, 5.58M) reported that a new study has "found that
doing mammography every two years rather than every year did not increase the
risk of advanced breast cancer."
        ABC World News (3/18, story 5,
2:05, Sawyer, 7.43M) reported that the study "revealed 60% of abnormal
mammograms turn out to be false positives, not cancer at all, even though they
can lead to biopsies, even surgery." During a second segment on the topic
on ABC World News (3/18, story 6, 0:50, Sawyer, 7.43M), ABC's Dr. Richard
Besser said, "I think this is one of the most important things you can do,
with whatever serious illness you have. It's to ask this question. Say to your
doctor, 'Before we go forward with any treatment, let's get a second opinion.
And is there someone you can refer me to?' The best doctors are going to
welcome another set of eyes, another way of looking at it."
        CBS News (3/19) reports on
its website, "The results, which were published on March 18 in JAMA
Internal Medicine, follow the 2009 recommendation by the US Preventive Services
Task Force that advocated for biennial mammography for women in this age group
instead of the previous suggestion of getting screened every one to two
years." In the new study, "the researchers looked at data from 11,474
women with breast cancer and 922,624 women without breast cancer who underwent
screenings at US facilities involved in the long-running Breast Cancer
Surveillance Consortium (BCSC) from January 1994 to December 2008." The
researchers fond that "women who went every two years for a screening were
not associated with an increased risk of advance stage breast cancers or large
tumors, even if the woman had dense breasts or used hormone replacement
therapies, when compared with women who were screened every year."
        Bloomberg News (3/19, Cortez)
reports, "The study found an exception for women 40 to 49 years old with
extremely dense breasts." These individuals "were about twice as
likely to be diagnosed with large tumors or advanced cancer if they skipped
mammograms." Additionally, "they...had higher rates of false-positive
results."
        Reuters (3/19, Steenhuysen)
reports, however, that some groups, including the American College of
Radiology, criticized the study, arguing that its methodology was flawed.
        False-Positive
Mammograms May Have Negative Psychological Effects. The Los Angeles Times (3/19, Brown, Times, 692K) reports,
"Long after learning that a troubling reading on a screening mammogram was
just a false alarm, women continued suffering negative psychological effects,
researchers in Denmark have reported" in the Annals of Family Medicine.
Researchers found that, "six months after hearing they did not have breast
cancer, women with these false positives experienced changes in 'existential
values' and 'inner calmness' as great as for women who had cancer."
        On its website, ABC News (3/19, Moisse)
reports that additionally, "women who had false positives were...more
likely to report disturbances in sleep and sexuality, according to the
study."
        The NBC News (3/19, Fox)
"Vitals" blog reports that the researchers wrote, "False-positive
findings on screening mammography causes long-term psychosocial harm: Three
years after a false-positive finding, women experience psycho-social
consequences that range between those experienced by women with a normal
mammogram and those with a diagnosis of breast cancer."
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