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Show Table la. Published Recommendations for Screening Mammography. Low Risk High Risk Screening Interval Stop Age Source* Ages 40-49 Age 50+ ACP - 2 yrs - USPSTF 1-2 yrs 69 - continue based on other factor; ACPM 1-2 yrs 70 - continue based on comorbidity AAFP, CTFPHC Counsel. 1-2 yrs 69 Baseline at 40; 75 - continue if patient & physician ICSI patient preference. lyr consent. NCI 1-2 yrs 1-2 yrs 75 ACOG 1-2 yrs lyr Continue 70 & older. AMA lyr lyr - ACS lyr lyr Based on comorbidity. ACR lyr lyr - Begin earlier if patient is anxious or high risk. Begin between ages 40-49. "May warrant more aggressive screening." Yearly from age 40 to 49. Begin before age 40 if patient and physician consent. Start earlier or increase frequency. Consider beginning before age 40. Consider beginning before age 40. Table lb. Published Recommendations for Clinical Breast Exam (CBE). Screening Interval Source* USPSTF, CTFPHC, AAFP NCI ACR, AMA ICSI ACS ACOG Ages 18-29 Ages 30-39 Ages 40-49 Age 50+ 1-2 yrs Yesa Yesa lyr lyr 3 yrs 3 yrs lyr lyr 3 yrs 3 yrs lyr lyr lyr lyr lyr lyr Stop Age 69 70 75 Based on comorbidity. a NCI recommends CBE between ages 40-70 but does not specify an interval between examinations. Table lc. Published Recommendations for Breast Self Exam (BSE). Source* Start Age Stop Age ACOG 19 Lifelong ACS 20 ICSI 30 75 ACR 40 Insufficient evidence to recommend USPSTF for or against BSE. Fair evidence to exclude teaching of BSE from period health examination for women CTFPHC ages 40-69. * Sources AAFP American Academy of Family Physicians, 2001 ACS American Cancer Society, 2000 ACOG American College of Obstetricians and Gynecologists, 2000 ACP American College of Physicians, 1989 ACPM American College of Preventive Medicine, 1996 ACR American College of Radiology, 1998 AMA American Medical Association, 1999 CTFPHC Canadian Task Force on Preventive Health Care, 2001 NCI National Cancer Institute, 2001 ICSI Institute for Clinical Systems Improvement, 2001 USPSTF United States Preventive Services Task Force, 1996 Table 2. Characteristics of Respondents. n % Total surveys sent 1018 Sex Eligible physicians 947 Male 290 79 Eligible respondants 367 39 Female 77 21 Specialty Length of practice Family practice 198 54 <10 years 161 44 Internal medicine 89 24 >10 years 196 53 Obstetrics/gynecology 80 22 Not answered 10 3 n % Female patients / week <20 72 20 20-49 150 52 >50 93 15 Not answered 52 14 30 Utah's Health: An Annual Review Volume VIII |
