AI Article Synopsis
- Breast cancer incidence rises with age, being most significant up to 80 years old, with effective screening shown for women aged 50-74.
- Most health organizations do not recommend screening for women over 74 due to insufficient evidence in that demographic.
- The article discusses screening guidelines for older women, focusing on shared decision-making, risk assessment, and ways to communicate effectively with patients about their options.
Article Abstract
Incidence of breast cancer increases with age up until age 80. Screening mammography has demonstrated efficacy in decreasing mortality from breast cancer among women between 50 and 74 years of age. However, most major organizations do not include women over 74 in their recommendations due to the lack of evidence in this age-group. This article will review current recommendations for breast cancer screening in women over the age of 74. It will also present clear guidelines for primary care clinicians to follow that incorporate shared decision-making techniques, tools for estimating the risks and benefits of screening mammography, and strategies for integrating a patient's life expectancy and comorbidities into the decision-making process. We also emphasize the importance of using thoughtful communication strategies to fully engage older women in the breast cancer screening discussion.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7822071 | PMC |
| http://dx.doi.org/10.3122/jabfm.2020.03.190380 | DOI Listing |
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