As primary care physicians adapt to the challenge of individualizing breast cancer screening decisions, they now must also grapple with how to address breast density. Following 38 states and the District of Columbia that have adopted legislation requiring that women with dense breasts be notified about their breast density, on February 15, 2019, the US Congress passed national breast density legislation.1 Specifically, the law directed the US Food and Drug Administration (FDA), through the regulatory process, to ensure that all mammography reports and the lay summaries provided to patients include information about women’s’ breast density. Even before the 2019 Congressional legislation, the FDA, which has overseen the regulation of mammography facilities since enactment of the Mammography Quality Standards Act of 1992, was working to address communication about breast density in mammography reports, describing the absence of consistent information about breast density across states as a failure of regulation.2 On March 27, 2019, the FDA announced proposed amendments to the Mammography Quality Standards Act, including a proposed rule requiring breast density reporting by mammography facilities.3 This proposed rule is open for public comment until June 26, 2019.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Keating NL, Pace LE. New Federal Requirements to Inform Patients About Breast Density: Will They Help Patients? JAMA. Published online May 09, 2019321(23):2275–2276. doi:10.1001/jama.2019.5919
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: