Mammogram report turns guidelines top...

Mammogram report turns guidelines topsy-turvy

There are 33 comments on the TwinCities.com story from Nov 16, 2009, titled Mammogram report turns guidelines topsy-turvy. In it, TwinCities.com reports that:

An influential group's new recommendations about mammograms for younger women set off a furious debate Monday that left women without clear guidance about how best to protect their health.

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Brett Favre

Henderson, NV

#1 Nov 16, 2009
Any surprise this report comes out of Chicago?

Talk about your socialized healthcare 'death panel'.

"Sorry, you should have had your mammogram at age 40, but instead, you waited. Now it's too late! Oh well. At least we'll keep those healthcare costs down so the voters don't hate us..."
predictions_

United States

#2 Nov 16, 2009
the doctors opposed to rationing will be audited by obama's IRS then beat by his union thugs. after government control health care, the government won't test any women for cancer, let alone treat them, it costs too much. hooray for communist death care!
Anonymous Radio Caller

United States

#4 Nov 17, 2009
Make that, 'recent'. Gotta make some coffee.
Death Panel has a name

United States

#5 Nov 17, 2009
From the story: "The task force is an independent panel of experts in prevention and primary care appointed by the federal Department of Health and Human Services. "
"An independent panel" P A N E L.... A nd about as independent as one appointed by the federal Department of Health, run by Death Panel Obama, can be.
Here you go, people. This is how it's going to work. Doublespeak. What was good is is now bad. What was recommended is recommended against. 40s something women, you're just not worth as much as you thought you were. Thanks to Obama's medicalthink. MMMM MMMM MMMM.
Anonymous Radio Caller

United States

#6 Nov 17, 2009
Sorry for that inadvertent duplicate post.
here we go

Saint Paul, MN

#7 Nov 17, 2009
Of all the things that need to be cut with the fabulous new health care bill, this is the first pick? Breast cancer is one of the most curable cancers as long as it's found early.

My sister was 40 when she had her first mammogram. She spent the next 2 years battling, and winning the fight against breast cancer. They just had a woman on the news who was 39 when she found a lump with a self exam that turned out to be cancer. I find it appalling this information is even being suggested. Don't listen to it!!!!
Mpls 123

Minneapolis, MN

#8 Nov 17, 2009
The US Preventative Services Task Force is a panel that has been around for about 25 years (since the Regan era). The group looks at the available evidence and makes recommendations for the interventions that are both effective and cost-effective.

The USPSTF is a trusted resource for our physicians (and other providers) who use their recommendations, as well as the recommendations from groups like the American Cancer Society, to counsel their patients about which preventative resources they should use and when.

This tool lets you figure out which preventative services are recommended for you: http://epss.ahrq.gov/ePSS/search.jsp
Saving Money

Minneapolis, MN

#9 Nov 17, 2009
"Preventative Services Task Force". This reeks of being a precursor to socialized medicine and having to cut corners.

Every woman in the US will ba affected.

Next thing I see is your twice yearly dental checkup will turn into an every other year check up.
Onummercare

Minneapolis, MN

#10 Nov 17, 2009
Not rationing. Nope.

And let’s delay a biopsy six or nine months, too.

And if Obamacare passes, women better go ahead & make their appointments when they turn 40 so they can maybe get tested in their 50’s.
Oh Brother

Minneapolis, MN

#11 Nov 17, 2009
Who are these idiots to tell any woman when or how to do exams or get a mammogram?
Thank those that elected Obama
2010 is now

United States

#12 Nov 17, 2009
Obama and Pelosi have touted the AMA (American Medical Association) for backing Obamacare. Now the AMA is touting this as a correct decision too...Imagaine that. Meanwhile the ACS (American Cancer Society) disagrees and wants women to continue testing under the current guidelines that have saved so many women. The IRS is in the news today having screwed up a supposed tax break for 15 Million couples and retirees and some people actually believe (Liberals) that the government can provide Obamacare for up to 300 Million people..........take a gander at this bridge for sale. Take another bow Obama!
Candace

Madison, WI

#13 Nov 17, 2009
The task force also recommended against breast self-examinations, saying teaching women how to perform them doesn't save lives and isn't necessary. Instead, experts say, women should make a point of noticing any changes in their breasts in the course of daily activities.

Talk about a contradiction. How do you notice any changes without a self exam? This report could not have been written by a woman. I was always told that one of the important reasons for starting mamograms in your 40's was to get baseline pictures to compare to for changes that could be cancerous. Since most insurance was undoubtedly persuaded to cover all mamograms as a way to save expensive treatments by catching lumps early, they are now looking for ways to cut costs and this is a big one.

Deaths from breast cancer have dropped 30% from 1990. Just what do they attribute that to if not earlier detection through mamograms and self exams? Sounds like a cost cutting move putting all women at increased risk again.
BLJ

Minneapolis, MN

#14 Nov 17, 2009
I am suspicious that this government study is a result of Obama's plans for the government to run our healthcare. To keep costs down they are wanting to cut testing.
Bob the Bilderberg

Saint Paul, MN

#15 Nov 17, 2009
BLJ wrote:
I am suspicious that this government study is a result of Obama's plans for the government to run our healthcare. To keep costs down they are wanting to cut testing.
You're being too kind. They're planning on keeping costs down by having people die before they get too old and expensive to take care of.
Unreal

Saint Paul, MN

#16 Nov 17, 2009
This task force is not good for women to read or abide by..I am a Breast Cancer survivor, and it is really really important to do self exam's..Maybe they should talk to the one's who found it themselves doing a self exam...Geez...it amazes me that I am without a job right now, and there are task force's that employ idiots...
AMAZING....
Please...to yourself a favor and continue self exam's.
predictions_

United States

#17 Nov 17, 2009
don't let the government death care agency find out if you have cancer, you will be presented a choice: allowed to die of the cancer, or pay a small fee to accept a lethal injection. hooray for communist death care!
here we go

Sacramento, CA

#18 Nov 17, 2009
predictions_ wrote:
don't let the government death care agency find out if you have cancer, you will be presented a choice: allowed to die of the cancer, or pay a small fee to accept a lethal injection. hooray for communist death care!
....beause death is cheaper than paying for treatment of ANY kind.

The world is becoming an increasingly scary place.
here we go

Sacramento, CA

#19 Nov 17, 2009
I do find it interesting that the first thing this panel chooses to pick on is a form of cancer effecting women. We wouldn't want to do something, like, oh say, cut insurance for Viagra....
ISRW

Minneapolis, MN

#20 Nov 17, 2009
Wow, with a single exception this entire thread is some sort of raving partisan misfire. Naturally the one intelligent contribution gets modded down...

This recommendation is not out of place with many 'best practice' considerations about screening tools. Go read JAMA or the New England Journal of Medicine, and you'll discover a steady stream of articles that legitimately look at the question of whether a given screening method (or treatment) for a disease is effective in a given group of patients. You will find that doctors do not recommend daily testing for all possible disease conditions; they use statistical measures to determine the efficacy of any given tool. The recommendation here amounts to one group's conclusion that mammograms are not particularly effective as routine screening instruments, on a yearly basis, within a specific age range. Go read their report, and you can see how they've cited the evidence for that conclusion.

There are lots and lots of cases like this in medicine. Recently routine Prostate-Specific Antigen (PSA) tests are being removed from the list of stuff you do routinely for asymptomatic patients. In both that case and mammograms, the recommendations aren't in any way precluding people's access. In this specific case the report actually specifically says that women who ask for a mammogram simply because they're more worried about breast cancer should still get one. The only change here would be that women wouldn't get actively sought out for mammograms starting at 40 when they didn't have any other indications (like family history) to indicate high risk.

To get from this report to rants about Obama and "death panels" takes a seriously warped view of reality, folks. All that does is make you look like dorks who can't see past their own noses. Have an adult conversation for once.
tbone

Tucson, AZ

#21 Nov 17, 2009
ISRW wrote:
Wow, with a single exception this entire thread is some sort of raving partisan misfire. Naturally the one intelligent contribution gets modded down...
This recommendation is not out of place with many 'best practice' considerations about screening tools. Go read JAMA or the New England Journal of Medicine, and you'll discover a steady stream of articles that legitimately look at the question of whether a given screening method (or treatment) for a disease is effective in a given group of patients. You will find that doctors do not recommend daily testing for all possible disease conditions; they use statistical measures to determine the efficacy of any given tool. The recommendation here amounts to one group's conclusion that mammograms are not particularly effective as routine screening instruments, on a yearly basis, within a specific age range. Go read their report, and you can see how they've cited the evidence for that conclusion.
There are lots and lots of cases like this in medicine. Recently routine Prostate-Specific Antigen (PSA) tests are being removed from the list of stuff you do routinely for asymptomatic patients. In both that case and mammograms, the recommendations aren't in any way precluding people's access. In this specific case the report actually specifically says that women who ask for a mammogram simply because they're more worried about breast cancer should still get one. The only change here would be that women wouldn't get actively sought out for mammograms starting at 40 when they didn't have any other indications (like family history) to indicate high risk.
To get from this report to rants about Obama and "death panels" takes a seriously warped view of reality, folks. All that does is make you look like dorks who can't see past their own noses. Have an adult conversation for once.
i iknew someone would buy this obama crap, breast cancer went down 30% in 18 years by mammagrams and self examinations, and why discourage self examinations?? seriously this is the beginning of Obama healthcare people you got conned by a smooth talking used car salesman.

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