Should race make a difference to when you get a mammogram everyday health 7 data recovery registration code

Guidelines on when and how often women should undergo mammography have been hotly debated for more than a decade. But a new study suggests that mammography recommendations based on age alone may fail to adequately protect nonwhite women.

The study, published march 7 in JAMA surgery, analyzed data from hundreds of thousands of white, black, hispanic, and asian women and found the average age of breast cancer onset varies among racial groups. The data support the idea that race should be a factor in determining when women start breast cancer screening.

“the goal of this is not to create a panic or reignite controversy,” says sahael stapleton, MD, the first author of the paper and a clinical fellow in surgery at massachusetts general hospital.Breast cancer


“the goal of this is to continue the discussion about screening. Here’s another piece of evidence that you should think about people’s differences.”

Currently, the U.S. Preventive services task force (USPSTF), recommends women of all racial groups who are at average risk for developing breast cancer begin screening at age 50.

“there are some components based on family history and some patient preference involved, but those things have much less influence,” dr. Stapleton says. “it’s mostly, you turn 50 and now you get your mammogram.” A clear difference in risk depending on race

The researchers analyzed data on the age of breast cancer onset and the stage of the disease from 747,763 women with breast cancer included in the surveillance, epidemiology, and end results (SEER) program database from 1973-2010.Breast cancer the women ranged from ages 40 to 75. SEER is the largest cancer database in the country, although it does not include all patients.

The study showed a range in the average age of diagnosis, with a higher proportion of nonwhite patients diagnosed before age 50 compared to white patients. The average age at diagnosis for white women was 59 compared to 56 for black women, 55 for hispanic women, and 46 for asian women.

Higher percentages of nonwhite women were diagnosed before age 50. Among black women, 31 percent were diagnosed before age 50 compared to 35 percent for hispanic women, 33 percent among asian women, and 24 percent for white patients.White patients moreover, higher percentages of black and hispanic patients were diagnosed with advanced cancers: 47 and 43 percent, respectively, compared with 37 percent of white patients and 36 percent of asians.

Screening recommendations for many types of diseases are often based on studies that begin with a focus on just one group of people, typically white males, stapleton notes.

“we tend to do studies in white males and then you start to look at white females and then other races,” he notes. “A lot of the recommendations we provide in medicine might potentially have some bias. We wanted to explore that in greater detail.” ideal time to screen an ongoing topic of debate

white patients

Breast cancer screening recommendations continue to be debated. Researchers and policymakers seek to improve the numbers of women whose cancers are caught early without causing an increase in the number of women who undergo unnecessary screening and diagnostic tests that cause anxiety and increase the cost of healthcare. “you can gain a lot of value when you can screen appropriately—or don’t screen appropriately and prevent the overuse of resources,” stapleton says.

In the meantime, women should consider all of their risk factors for breast cancer, including race, family history, breast density and a history of benign breast conditions, and discuss their preferences with their healthcare providers, he says.White patients

“have that conversation,” stapleton says. “ultimately, whether or not you do something comes down to your decision based on a careful discussion with your health care provider. It becomes a personalized decision.”

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