Woman Health – Your Hosts Are Scott Hensley And Nancy Shute

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Answers to specific problems may not apply to everyone.

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Materials in this web site are in no way intended to replace the professional medical care, advice, diagnosis or treatment of a doctor. Except that none of my 40something friends I’ve spoken with have had that kind of conversation with a physician.

Instead they’ve heard.

End of discussion. You’re 40, here’s a prescription for a mammogram. Oftentimes I learned that if 1000 lowtoaveragerisk women of my age have a mammogram, 900 will get a normal result, though one of them will actually have breast cancer that is missed by the test. Notice, only two of them will actually have breast cancer, the other 100 will have an abnormal mammogram that requires further testing or biopsies. Did you know that the ol is on the basis of the data the USPSTF used to formulate its 2009 recommendations, that is a mix of information from large registries, analyses of the many studies done of mammography and predictive models.

We wanted this to be depending on p available evidence on mammography, and to use p ways to communicate with people about risk, says Elkin. She collaborated with Elena Elkin, a health outcomes researcher at Memorial Sloan Kettering Cancer Center. That’s not a big difference unless for sure, you or someone you care about is among those three additional deaths. So if 1000 my age women and risk profile have annual mammograms starting at 40, over a lifetime, 22 will die of breast cancer. So if those women start mammography at age 50 and are screened any other year, on the other end of the spectrum, 25 will die of breast cancer. For instance, what I found most illuminating were the scenarios for starting mammograms at different ages and intervals.

Shots is the online channel for health stories from the NPR Science Desk.

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In addition to the business side of health, look to Shots for the latest on research and medical treatments. Your hosts are Scott Hensley and Nancy Shute. Generally, you can reach the Shots team via our contact form. Let me tell you something. Expert groups differ on when and how often women must have mammograms. Generally, many groups now say that a woman in her 40s must talk to her doctor about the advantages and drawbacks of mammography as well as her individual risk if you are going to make the decision that’s right for her. Polaneczky wanted to also give an estimate of the effects of screening and there’re lots of online ols to calculate risk. So, the mere fact that there’s inconsistency should tell us that not even the experts agree on p thing for an individual to do, says Elkin.

We must respect that, she says, when a woman makes her choice. To was not to drive women ward or away from mammography. By the way, an online decision ol that launched earlier this year may make that conversation easier. Next year I’m determined to actually talk over the screening decision with my doctor rather than slink out the door with my questions unanswered. Actually the online tool, called Breast Screening Decisions, grew out of a blog post written by Margaret Polaneczky, a gynecologist at Weill Cornell Medical College, back in That’s when the Preventive Services Task Force first recommended that ‘averagerisk’ women in their 40s shouldn’t be automatically be screened for breast cancer. I wanted women to decide not as a gut reaction to a horror story they’ve heard, either pro or con, she says.

Polaneczky got good feedback on her explanation and wanted to some particular evidencebased screening decision aid.

It uses ‘easytounderstand’ infographics to show what’s likely to happen across a population of ‘similarrisk’ women if they have regular mammograms.

Ol gives a woman in her 40s an individual breast cancer risk assessment by asking questions about ethnicity, age at first menstrual period, personal history of breast abnormalities and family medical history, among other factors. And now here’s a question. How worried am I about the harms of screening? Am I willing to do anything to detect breast cancer as early as possible? With all that said… My ur of the ol ended with a series of questions intended to clarify what’s important to me. Just think for a moment. Some women will say, ‘My mother had a breast biopsy and developed an abscess, and I never seek for an unnecessary biopsy,’ says Polaneczky.

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