Prime II

[medgator]

Breast cancer screening should start at age 40 – 10 years earlier than previous advice, group says

In new draft guidance, the U.S. Preventive Services Task Force says women should get mammograms at an earlier age than had been recommended.

www.usatoday.com

Breast-Cancer Screening From Age 40 Would Save More Lives, Experts Say

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[Fpg1245]

Breast cancer screening should start at age 40 – 10 years earlier than previous advice, group says

In new draft guidance, the U.S. Preventive Services Task Force says women should get mammograms at an earlier age than had been recommended.

www.usatoday.com

Breast-Cancer Screening From Age 40 Would Save More Lives, Experts Say

Wait so we are gonna increase screening but then when women are diagnosed? We tell them it’s nothing and not to worry?

Or no wait they’ll be getting surgery and hormone therapy but be lectured about the evils of RT.

I really hate being an oncologist

Also didn’t he USPSTF and the ACS hate each other because of their differences in screening? What gives?

 

[medgator]

Wait so we are gonna increase screening but then when women are diagnosed? We tell them it’s nothing and not to worry?

Or no wait they’ll be getting surgery and hormone therapy but be lectured about the evils of RT.

I really hate being an oncologist

Also didn’t he USPSTF and the ACS hate each other because of their differences in screening? What gives?

Usptf the same organization that killed PSA screening a decade ago. So maybe there is something to this

 

[RadOncDoc21]

Good to tell patients they have cancer earlier but will do everything humanly possible to wait to treat.

 

[Fpg1245]

Good to tell patients they have cancer earlier but will do everything humanly possible to wait to treat.

Great to know screening guidelines have become another game to be manipulated of course under the guise of good government

 

[sirspamalot]

My wifey insists on annual mammograms and cervix bx "But it makes no sense from a population standpoint" has zero weight.

And, as noted, as with prostate G6, what do you do with a low grade breast tiny lesion? Cut it? Radiate it? Hormonalize it?

Our specialty is hell bent on destroying itself, but surely we can get behind the potential for more cases!

Breast in 2023 like prostate in 2005 please.

 

[Sheldor]

Pair this new recommendation with the Livi APBI protocol, and hard to argue its not good for patients, and our field, on some level.

 

[NotMattSpraker]

Wait so we are gonna increase screening but then when women are diagnosed? We tell them it’s nothing and not to worry?

Or no wait they’ll be getting surgery and hormone therapy but be lectured about the evils of RT.

I really hate being an oncologist

Also didn’t he USPSTF and the ACS hate each other because of their differences in screening? What gives?

Where's Vinay when you need him?

I feel like we are so close to everyone realizing that so much of medicine is political, biased, and often recommendations carry emotional baggage. But yet so far.

 

[DoctwoB]

Where's Vinay when you need him?

I feel like we are so close to everyone realizing that so much of medicine is political, biased, and often recommendations carry emotional baggage. But yet so far.

I usually don't go down the medicine in politics rabbit hole.

But can someone explain to me why mammograms with a number needed to invite to screening of 1667 to prevent one death are being recommended by the USPSTF (https://www.thelancet.com/article/S1470-2045(20)30398-3/fulltext) while PSA with a number needed to invite to screening of 221 (Results from 22 years of Followup in the Göteborg Randomized Population-Based Prostate Cancer Screening Trial) to prevent one death is recommended against or as "shared decision making"?

 

[madchemist89]

I usually don't go down the medicine in politics rabbit hole.

But can someone explain to me why mammograms with a number needed to invite to screening of 1667 to prevent one death are being recommended by the USPSTF (https://www.thelancet.com/article/S1470-2045(20)30398-3/fulltext) while PSA with a number needed to invite to screening of 221 (Results from 22 years of Followup in the Göteborg Randomized Population-Based Prostate Cancer Screening Trial) to prevent one death is recommended against or as "shared decision making"?

Breast cancer lobby is extremely powerful.

 

[OTN]

Breast cancer lobby is extremely powerful.

Yep, they tried to back off the mmg screening recs a few years ago and got absolutely torched in the press/online/etc. Last time they'll ever make that mistake.

 

[TheWallnerus]

I usually don't go down the medicine in politics rabbit hole.

But can someone explain to me why mammograms with a number needed to invite to screening of 1667 to prevent one death are being recommended by the USPSTF (https://www.thelancet.com/article/S1470-2045(20)30398-3/fulltext) while PSA with a number needed to invite to screening of 221 (Results from 22 years of Followup in the Göteborg Randomized Population-Based Prostate Cancer Screening Trial) to prevent one death is recommended against or as "shared decision making"?

Breast cancer lobby is extremely powerful.

There ain't no Race for the Cure for prostate afaik, ain't no "save the prostates" T-shirt afaik, etc etc.

Time for men's lib?

 

[NotMattSpraker]

I usually don't go down the medicine in politics rabbit hole.

But can someone explain to me why mammograms with a number needed to invite to screening of 1667 to prevent one death are being recommended by the USPSTF (https://www.thelancet.com/article/S1470-2045(20)30398-3/fulltext) while PSA with a number needed to invite to screening of 221 (Results from 22 years of Followup in the Göteborg Randomized Population-Based Prostate Cancer Screening Trial) to prevent one death is recommended against or as "shared decision making"?

LDCT for lung cancer has entered the chat.

[Crowd boos and throws pink water balloons]

 

[OTN]

LDCT for lung cancer has entered the chat.

[Crowd boos and throws pink water balloons]

That one has good data, though

 

[sirspamalot]

LDCT be like: