title: Evidence for U.S. Preventive Services Task Force (USPSTF) recommendations against routine mammography for females between 40-49 years of age.
abstract: Breast cancer is the most common cancer among females, worldwide, accounting for 22.9% of all cancers (excluding non-melanoma skin cancer) in women. Mammography is a sensitive (77-95%) and specific (94-97%) screening method for breast cancer. Previously, females between the 40-50 years old were recommended to have mammograms every one to two years. However, based on current evidence, in 2009, USPSTF recommended that the decision to start regular, biennial screening mammography for females younger than 50 years should be an individual decision and take patient context into account, including patient values regarding specific benefits and harms. This decision was based on findings regarding radiation exposure, false-positive and false-negative rates, over-diagnosis, and pain and psychological responses. The goal of this paper is to focus on evidence for updating the U.S. Preventive Services Task Force (USPSTF) recommendation against routine mammography for females between 40-49 years of age.
authors.affiliation: Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA. pkarimi@jhsph.edu
authors.forename: Parisa
authors.initials: P
authors.lastname: Karimi
authors.forename: Armin
authors.initials: A
authors.lastname: Shahrokni
authors.forename: Sedighe
authors.initials: S
authors.lastname: Moradi
mesh_terms: D000328:Adult; D026683:Advisory Committees / Q000592:standards*; D000367:Age Factors; D001943:Breast Neoplasms / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D055088:Early Detection of Cancer; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008327:Mammography / Q000592:standards*; D008403:Mass Screening / Q000592:standards*; D008875:Middle Aged; D017410:Practice Guidelines as Topic / Q000592:standards*; D011314:Preventive Health Services / Q000592:standards*; D011379:Prognosis