Routine Breast Cancer Screening Should Start at Age 40: USPSTF

Women who are considered to be at average risk for breast cancer should have mammograms every other year starting at age 40 years until age 74, according to the latest recommendations from the US Preventive Services Task Force .

In one editorial, Lydia E. Pace, MD, MPH, and Nancy L. Keating, MD, MPH, highlighted that though screening earlier will prevent more deaths from breast cancer, it will also lead to more false positive findings and increase rates of overdiagnosis. "Given mammography screening's modest benefits, we feel that all women—and particularly those aged 40 to 49 years—should be counseled about the benefits and harms of mammography and supported in deciding whether the balance of benefits to harms fits with their priorities and values," wroteIn a second editorial, Joann G. Elmore, MD, MPH, of UCLA, and Christoph I.

The editorialists also cautioned against adopting artificial intelligence support tools too rapidly, criticizing the USPSTF for overlooking this"pressing issue." Compared with no screening, annual screening would reduce rates of breast cancer mortality more than biennial screening does among women aged 40-74 years, according to the CISNET modeling that informed the USPSTF's decision.

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