Why are the guidelines for mammography inconsistent?

When women are fully educated about the risks and benefits of mammograms, 70 percent may choose not to have screening. ANDYou can be in that 30 percent who decides to have a mammography? and absolutely have the Right to decide for yourself.

“For nearly a century, public health organizations, professional associations, patient advocacy groups, academics, and clinicians for the most part viewed Cancer screening as an easy and safe way to save lives. ”But today we’re all looking at the same evidence D.different Interpretations about Evidence on The benefits and harms of Screening Mammographyphy He hasS. LED to conflicting recommendationsranging from intensive screenings from 40 years to no screening. “ Currently the four main groups in the Uenjoyed S.did it instructed to make mammography recommendations– the American Cancer Society, the US Preventive Services Task Force, the American College of Obstetricians, and Gynecologist, and the National Comprehensive Cancer Network—each to adjust conflicting guidelines. W.What is a woman to do? That is the subject that I am discussing in my video Mammogram Recommendations: Why The Conflicting Guidelines ?.

GGuidelines are based on systematic reviews of the evidence. In the last 15 years, 50 systematically reviews on the use of routine mammography for breast cancer screening in asymptomatic women have been released but no consistent conclusion was reached. ”Whow come? It turns out that the conclusions may be more systematic reviews influenced due to competing conflicts of interest between the authors.

“It IAfter all, it’s just that healthcare group that provides the service tellS. us, how valuable this service is and how much of it we need … We have to recognize that, as in any other profession or industry, self-interest is inevitably at work in the healthcare system.As a matter of fact, an analysis of more than a hundred articles closed: “SScientific Article tend to highlight the great advantages of mammography Screening about its greatest harm. This imbalance is tied together to the authors Affiliation. ”

It can’t be a coincidence that all from the panels of experts who have spoken out against routine mammograms locked out Radiologists. Possibly those who rely on mammograms for their paychecks may be more likely to recommend them. A “leading proponent of mammography screening” called “I make a living reading mammograms” and “If you don’t have a conflict of interest, probably don’t have the know-how ‘. “He accused the breast cancer screening panels to inject their own biases. “In this debate there is are Armies of believers and just a disappointing dispersion of moderators and peacemakers. ”

Some even have recommended the “This debate should nÖdo not take place in the publicS.This paternalism assumes that women cannot decide for themselves whether the available evidence supports or disproves mammography. Discouraging discussion with women about the evidence for and against Mammography is more damaging to women’s health, no less, when doctors genuinely believe that patients should be active partners in making decisions about their care. ”

IIf you read the latest studies, you can determine whether investigators indicate conflicts of interest, But if you simple Hear about second hand study, you may not have a clue. Until the developers of screening guidelines emphasizee Evidence of commercial or financial interests, we all have to take personal responsibility to become informed consumers.

It would be nice to have trust in cancer charities, Bbut it is virtually impossible that such organizations remain strictly “evidence-based” when they have to to trust on donors for their existence. In his honor, the Chief Medical Officer of the American Cancer Society (ACS) “noticed that we have to stay true to science “-Bthe end he was talk about prostate cancer Sieving. Even though The ACS simple Telling women to do mammograms, it lets Men decide for themselves. They Charity is open about the Damage from Prostate cancer screening, however very little transparent ‘instructive’ Information about the damage caused by Mammography is provided on the American Cancer Society website.

“In the United States…a Double standards exists: women are encouraged to take part in mammography screening “—to Just do itwhile men are advised to Make informed decisions about prostate screening, tooalthough the basic questions to consider are very similar.

the dissimilarity like organizations like the American Cancer Society outlook the divided Make a decision of women considering breast cancer screening compared to men considering prostate cancer screening couldn’t be clearer. D.Ö [they] believe men can handle uncertainties about screening tests in prostate cancer, but that women cannot deal with uncertainties and actually will confused of them in making breast cancer screening decisions? Men arrive do informed decisions, but women are only called.

TThe bottom line is that’s there is more than one correct answer“To the question” Should I be screened for breast cancer? My goal is that you can make the decision that is right for you and your loved ones. A survey found the when women knew how small they are The real effectiveness of breast cancer screening in preventing breast cancer deaths is, 70% they said want nÖT Submit to it. but, You can be in that 30 percentand she have every Right to decide for yourself.

When it comes to this topic, there is just so much confusion, combined with the corrupting commercial interests of a billionDollar industry. As with any major health decision, everyone should be fully informed about the risks and benefits, and make up your own mind about your own body.


  • Currently, the American Cancer Society, the US Preventive Services Task Force, the American College of Obstetricians and Gynecologists, and the National Comprehensive Cancer Network all have conflicting guidelines for mammography screening.
  • The conclusions of systematic reviews on the use of routine mammograms for breast cancer screening in asymptomatic women have been conflicting, and the evidence may be influenced by competing conflicts of interest among the authors.
  • An analysis of more than a hundred publications came to the conclusion: “Scientific articles tend to emphasize the main advantages of mammography screening over its main harms. This imbalance is related to the affiliation of the authors. ”
  • Cancer charities can also be faced with staying strictly “evidence-based” when in need of donations.
  • In the United States, there is a double standard of encouraging women to have routine mammograms while recommending men to make informed decisions about prostate screening, although the basic issues to consider are pretty similar.
  • One survey found, “If women knew how poor breast cancer screening actually is in preventing breast cancer deaths, 70% would say they would not submit.” decide on a mammogram and you have the right to decide for yourself.

This is the second in a 14-part series on mammogramsthat started with Nine out of ten women are misinformed about mammograms. The following videos complete the series:

More about breast cancer, see:

I was able to Home page Colon cancer screening in just one video. If you lost it, Cto hell Should we all have a colonoscopy over the age of 50?.

Also on the subject of medical check-ups, see Are annual health checks worthwhile? and Is it worth doing an annual physical exam?.

In health,

Michael Greger, MD

PS: If you haven’t already, you can subscribe to my free videos here and check out my live presentations:

Related Articles