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Research Letter
April 10, 2017

Physician Breast Cancer Screening Recommendations Following Guideline ChangesResults of a National Survey

Author Affiliations
  • 1Division of General Internal Medicine, Johns Hopkins University, Baltimore, Maryland
  • 2RAND Corporation, Santa Monica, California
  • 3RAND Corporation, Pittsburgh, Pennsylvania
  • 4Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
  • 5Department of Oncology, Johns Hopkins School of Medicine, Baltimore, Maryland
  • 6Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Intern Med. Published online April 10, 2017. doi:10.1001/jamainternmed.2017.0453

Different professional societies and organizations continue to disagree over the optimal time to initiate and discontinue breast cancer screening mammography and the optimal screening interval. In October 2015, the American Cancer Society (ACS) revised its guidelines, encouraging personalized screening decisions for women ages 40 to 44 years followed by annual screening starting at age 45 years and biennial screening for women 55 years or older.1 The US Preventive Services Task Force (USPSTF) reissued its recommendations in January 2016 recommending personalized screening decisions for women ages 40 to 49 years followed by biennial mammograms for women ages 50 to 74 years.2 The American Congress of Obstetricians and Gynecologists (ACOG) recommends yearly mammograms for women 40 years or older.3 With physician recommendations the most important determinant for patients obtaining screening,4 we investigated physician recommendations in light of recent guideline changes in a national sample.

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