Breast Cancer Screening Presentation - PiPP

Breast Cancer Screening The Search for Consensus Presented for Paint it Pink September 19, 2011 Nathaniel W. Cuthbert, MD .

Breast Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]

U.S. Preventive Services Task Force (USPSTF) November 2009 ,[object Object],[object Object],[object Object]

USPSTF Rationale ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],To screen or not to screen, that is the question: Whether ‘tis wiser to avoid the anxieties And costs of screening mammography, and hope By good fortune to avoid the ravages of breast cancer Or be proactive through screening and improve one’s odds of early detection and treatment?

BREAST CANCER DETECTION ,[object Object],[object Object],[object Object],[object Object]

RISK FACTORS FOR BREAST CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BREAST CANCER RISK ,[object Object],[object Object],[object Object],[object Object]

MYTHS OF BREAST CANCER ,[object Object],[object Object],[object Object]

MYTH # 1 ,[object Object],[object Object],[object Object]

MYTH # 2 ,[object Object],[object Object],[object Object],[object Object]

MYTH # 7 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MYTH # 8 ,[object Object],[object Object],[object Object],[object Object],[object Object]

MYTH # 10 ,[object Object],[object Object],[object Object],[object Object]

Why is the definitive assessment of screening mammography so difficult? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Biases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Radiology- September 2011 ,[object Object],[object Object],[object Object]

Mammographic Screening and “Overdiagnosis” ,[object Object],[object Object],[object Object]

Swedish Two County Trial ,[object Object],[object Object],[object Object]

Is Mammographic Screening Justifiable…? ,[object Object],[object Object],[object Object],[object Object]

American Cancer Society ,[object Object],[object Object],[object Object]

American College of Gynecology (July 2011) ,[object Object],[object Object],[object Object],[object Object],[object Object]

American College of Radiology ,[object Object],[object Object],[object Object]

Breast Cancer Survival Age at Diagnosis: The 5-year relative survival rates for breast cancer increase with age at diagnosis until the age of 75. 82% for women age under 45 86% for women ages 45–54 87% for women ages 55–64 88% for women ages 65–74 84% for women ages 74 and over American Cancer Society Breast Cancer Facts & Figures 2001–2002

CONCLUSION ,[object Object],[object Object],[object Object]

Breast Cancer Screening Presentation - PiPP

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Breast Cancer Screening Presentation - PiPP