US researchers have pointed out that older women with breastcancer may undergo surveillance mammography, regardless of their life expectancy or other health risks, which could lead to potential harms. ASBrS2023
BOSTON — Older women who have had breast cancer frequently undergo annual surveillance mammography, even if there is only a small risk of their developing a second cancer or if they have other mortality risks associated with age and comorbidities. This ongoing annual surveillance with mammography may be doing more harm than good, warn researchers.
"A positive or false positive finding may unnecessarily erode patient quality of life and incur costs to the patient and healthcare system without benefit," she said. She added:"If an elderly woman is in poor health and has significant competing mortality risks compared to breast cancer, annual mammography may not be necessary."
The aim is to evaluate false positive rates and the potential for overdiagnosis and overtreatment,"so stay tuned," she added. "In general, in this patient population, consideration should be given to stratifying based on an individual patient's risk of breast cancer recurrence or new breast cancer, estimated life expectancy, as well as shared decision-making with the patient based on their goals of care.
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