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Downward trend in the use of mammograms in the United States is a "great concern"
Last week, research published in the online edition of Cancer reported a decline in the annual use of mammograms in the United States. Researchers from the National Cancer Institute noted that "After robust, rapid increases in reported use of mammography by women in the US since 1987, estimates from the 2005 National Health Interview Survey showed a decline compared with 2000 (from 70% to 66%)."
The researchers explained that "Changes in screening rates have an immediate impact on the reported incidence of breast cancer and, ultimately, mortality." The article thus suggests that a decline in the incidence rate for breast cancer may not necessarily indicate decreased mortality rates; rather, the decline may only reflect a correlative decline in screening rates.
Such research provides important context for understanding news that the rates of breast cancer have dropped sharply in recent years. ("Sharp Drop in Rates of Breast Cancer Holds,"
New York Times, April 19, 2007)
Researchers at the National Cancer Institute suggest that there are a number of factors that may explain the decline in mammography, including an increased number of women without health insurance, the increased cost of copayments for office visits, perceptions about the effectiveness of preventive screening, and reduced perceived risk due to reports about decreasing breast cancer death.
In a letter to the editor published by the New York Times on May 17, 2007, Peter B. Dean, M.D., formerly Visiting Professor at Brigham and Women’s Hospital in Boston, Massachusetts, wrote that this trend "should be of great concern." He emphasized that regular mammograms, while not perfect, are "still the most effective method currently available to prevent early breast cancer death."
By Elena Landriscina
May 22, 2007
"Reported drop in mammography. Is this a cause for concern?"
Nancy Breen, Kathleen A Cronin, Helen I. Meissner, Stephen H. Taplin, Florence K. Tangka, Jasmin A. Tiro, and Timothy S. McNeel. Cancer, Published online, May 14, 2007.
http://www3.interscience.wiley.com/cgi-bin/fulltext/114262763/HTMLSTART
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