New Screening Guidelines. All about the money?? #EmotionalTopic


The American Cancer Society finally announced sweeping changes in the breast cancer screening guidelines based on independent meta analysis of the data. We've been expecting this since the US Preventative Services Task Force published their recommendations years ago. But is it all about the money? Corruption?

The U.S. Preventive Services Task Force (USPSTF) is an independent, volunteer group of national experts in prevention and evidence-based medicine that makes recommendations about clinical preventive services such as screening tests, counseling services, and preventive medications.

In my work with women who have had a diagnosis of breast cancer over the past 10 years, I have been accused of a lot of things. But I have never let that make me afraid or stop me from speaking the truth as I see it. On behalf of the women I serve daily and the science that I see presented at conferences and looking deeply into this issue. I am all for these changes.

The cancers that are killing people are not affected by our treatments- and finding them before they are palpable is not making a difference according to the data. This is why I post the studies. 25 year studies. Good science.... The science is now proving early detection just isn't the answer. No matter how much we wish that it was, it's time to admit our direction needs tweaking.

The USPSTF analyzed all the studies on mammograms when they made their recommendations, but look at the results of just one 25 year very well done study. The results show NO significant difference in mortality between women who get mammograms vs. those who do not get them in 25 years of followup.

Over-diagnosis

At the end of the screening period, an excess of 142 breast cancer cases occurred in the mammography arm compared with control arm (666 v 524) (fig 4). Fifteen years after enrollment, the excess became constant at 106 cancers.

This excess represents 22% of all screen detected invasive cancers—that is, one over-diagnosed breast cancer for every 424 women who received mammography screening in the trial.

I care very much about these women who are over, or falsely diagnosed and the havoc that's wreaked on their lives. This creates undue burdens on the system as well. I also care about those who find it early but that didn't help, they often feel responsible because it was detected early and #EarlyDetectionSavesLives right?

A feel good message, but just not the case. It is the biology of the cancer, and little else that determines outcomes. #PreventionSavesLives is the true message.

Psychology & Epigenetic Factors