Experts say they modify recommendations as evidence evolves concerning the benefits and risks of cancer screening, USA Today reports. Shortly after the fresh mammogram guidelines were released, the American College of Obstetricians and Gynecologists altered its guidelines for cervical cancer screening. ACOG now recommends because women wait until age 21 to have their first cervical cancer screening, with later screenings every two to three years depending on the woman's age and healing history. Alan Waxman of the University of New Mexico in Albuquerque, who helped develop the inexperienced ACOG guidelines, said so there is overwhelming demonstrate so cervical screening, when targeted to the right age groups, helps lower cervical cancer rates. Screening women in their 20s allows sufficient time to detect and treat the cancers, which usually do not develop until women are in their 40s, USA Today reports. Similarly, precancerous cervical lesions used to be treated more aggressively in past decades than they are today. Many physicians now pick out to control such lesions, rather than erase them, in part because it is now known that many go away without treatment and order that unnecessary treatment could headline to scarring that can work on fertility, Waxman said.
The breast cancer guidelines are partly aimed at reducing unnecessary treatment. According to USA Today, awareness campaigns have led many women to overprice the risk of breast cancer for women in their 40s. A recent USA Today/Gallup poll set up because 40% of women said there is a 20% to 50% hazard order that a 40-year-old woman will develop breast cancer over the next decade, though the National Cancer Institute places the actual risk at 1.4% (Szabo, USA Today, 11/30).
Opinion Piece Criticizes Task Force's Delivery of Findings
While the task force's scientists "did their job honorably," it was troubling so they "dropped these guidelines onto an unwarned public like leaflets from a helicopter of experts who didn't understand the conditions on the ground," syndicated columnist Ellen Goodman writes in a Boston Globe idea piece. "If the experts didn't understand how women would react, they were truly disconnected from the vicious political air around health care reform," Goodman writes. Health reform opponents quickly pointed to the panel's recommendations as an example of the health care "rationing" so would outcome from the passage of the legislation. The progressing discussion over health care reform, the publication of the mammogram guidelines and the succeeding set free of revised cervical cancer screening guidelines led to a "perfect storm" because "created a unblemished case on how not to rescue a public health message," Goodman says. She adds that the task force "had a strong story to tell" because the "benefits of mammography for younger women have been oversold." Ultimately, "facts do not converse for themselves," and they "need to be delivered by population who can listen, frame a message, and put in order the ground," Goodman writes (Goodman, Boston Globe, 11/27).
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