Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor
In Reply: To make evidenced-based recommendations
related to breast cancer screening of elderly women, the efficacy (or lack
thereof) of screening mammography needs to be better defined. Additional time
preference and utility data are also needed, and guidelines for a threshold
for average life expectancy gained and cost per year of life saved are required.
In the meantime, elderly women and their physicians must decide whether to
continue or discontinue screening mammography at age 70 years. In an effort
to build a clinically relevant and useful model to facilitate this decision,
we focused on the 2 most important factors that would influence decisions
about screening in the elderly: (1) level of breast cancer risk determined
by age and BMD measurement, and (2) time preference or discount rate.
Kerlikowske K, Phillips KA, Cummings SR, Salzmann P, Cauley JA. Screening Mammography in Elderly Women—Reply. JAMA. 2000;283(24):3202-3204. doi:10.1001/jama.283.24.3198