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Some women need mammograms more frequently than others, and guidelines should reflect those individual risk profiles, according to authors of a new study on the always-controversial issue of screening for breast cancer.
The standard approach, which is based on age alone, has been challenged in recent years by a number of health experts who contend that some women get more mammograms than they need and others get too few. The new paper, published Monday in the Annals of Internal Medicine, argues for a more complex approach to mammography based on personal risk factors such as age, breast density, family history of breast cancer and even a woman's personal preference.
Most medical organizations, including the American Cancer Society, recommend that healthy women undergo screening every one to two years beginning at age 40 regardless of risk factors. In 2009, the U.S. Preventive Services Task Force recommended a more relaxed schedule: that screening for women ages 40 to 49 should be based on individual risk factors and women ages 50 to 74 should be screened every two years.