Tuesday, April 30, 2024

Another Government Recommendation

 How many people die as a result of a Government mandate. Take breast cancer. The USPSTF issued an update recommendation in JAMA. They note:

The USPSTF recommends biennial screening mammography for women aged 40 to 74 years. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women 75 years or older. (I statement) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of supplemental screening for breast cancer using breast ultrasonography or MRI in women identified to have dense breasts on an otherwise negative screening mammogram. (I statement)

 In my clinical experience women over 75 still have a high incidence of BCa and it is essential to take measures to mitigate the costs, pain, suffering and demands on health care. The USPSTF has a chronic reputation of making grossly inappropriate recommendations in my opinion.