Detail (Long)
<b>Mammography benefits:</b><sup>11</sup><br>
◦ Screening mammography reduces breast CA–specific mortality for pts 60-69 yo (solid evidence) and for pts 50-59 yo (fair evidence), based on RCTs.<br>
◦ Recent pop studies question the benefits of screened populations who participate in screening for longer duration.<br>
◦ Pts 30-49 yo: 1,904 pts needed to prevent 1 breast CA death.<br>
◦ Pts 50-59 yo: 1,339 pts needed to prevent 1 breast CA death.<br>
◦ Pts 60-69 yo: 377 pts needed to prevent 1 breast CA death.<br>
◦ The validity of meta-analyses showing a mortality benefit is limited by improvements in medical imaging and tx in the decades since their completion.<br>
◦ The 25-yr f/u from the Canadian National Breast Screening Study (CNBSS) RCT completed in 2014 showed no mortality benefit assoc w/ mammography screening.
◦ Screening mammography reduces breast CA–specific mortality for pts 60-69 yo (solid evidence) and for pts 50-59 yo (fair evidence), based on RCTs.<br>
◦ Recent pop studies question the benefits of screened populations who participate in screening for longer duration.<br>
◦ Pts 30-49 yo: 1,904 pts needed to prevent 1 breast CA death.<br>
◦ Pts 50-59 yo: 1,339 pts needed to prevent 1 breast CA death.<br>
◦ Pts 60-69 yo: 377 pts needed to prevent 1 breast CA death.<br>
◦ The validity of meta-analyses showing a mortality benefit is limited by improvements in medical imaging and tx in the decades since their completion.<br>
◦ The 25-yr f/u from the Canadian National Breast Screening Study (CNBSS) RCT completed in 2014 showed no mortality benefit assoc w/ mammography screening.