Shared Decision Making in Breast Cancer Screening, 2018 | Breast Cancer | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Breast Cancer Screening in 2018Time for Shared Decision Making

Educational Objective
To understand why the rate of mammograms have not changed despite changing guidelines
1 Credit CME

In the past 9 years, there has been a major shift in the recommendations for breast cancer screening. Recognizing additional evidence about the harms of mammography, in 2009, the United States Preventive Services Task Force (USPSTF) revised its previous recommendation of annual mammograms for all women beginning at age 40 years and instead recommended biennial mammograms for women aged 50 to 74 years. The USPSTF recommended against routine screening mammography for women aged 40 to 49 years, stating that the decision to start regular mammography before age 50 years should be an individual one that considers how each patient values specific benefits and harms. The USPSTF reiterated this recommendation in a 2016 update, and other organizations, notably the American Cancer Society in 2015, have joined the USPSTF in recommending less routine use of mammography and a more individualized approach to screening.

Sign in to take quiz and track your certificates

Buy This Activity

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 CME Credit™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Article Information

Corresponding Author: Nancy L. Keating, MD, MPH, Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115 (keating@hcp.med.harvard.edu).

Conflict of Interest Disclosures: Both authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

References
1.
Radhakrishnan  A, Nowak  SA, Parker  AM, Visvanathan  K, Pollack  CE.  Physician breast cancer screening recommendations following guideline changes: results of a national survey.  JAMA Intern Med. 2017;177(6):877-878.PubMedGoogle ScholarCrossref
2.
Smith  RA, Andrews  KS, Brooks  D,  et al.  Cancer screening in the United States, 2017: a review of current American Cancer Society guidelines and current issues in cancer screening.  CA Cancer J Clin. 2017;67(2):100-121.PubMedGoogle ScholarCrossref
3.
Grady  D, Redberg  RF.  Physician adherence to breast cancer screening recommendations.  JAMA Intern Med. 2017;177(6):763-764.PubMedGoogle ScholarCrossref
4.
Kopans  DB, Baker  JA, Zeynep Ozdemir  B, Podrazik  PM, Redberg  RF, Grady  D.  False information about breast cancer screening—letters and reply.  JAMA Intern Med. 2018;178(2):298-300.PubMedGoogle ScholarCrossref
5.
Nelson  HD, Fu  R, Cantor  A, Pappas  M, Daeges  M, Humphrey  L.  Effectiveness of breast cancer screening: systematic review and meta-analysis to update the 2009 US Preventive Services Task Force recommendation.  Ann Intern Med. 2016;164(4):244-255.PubMedGoogle ScholarCrossref
6.
Independent UK Panel on Breast Cancer Screening.  The benefits and harms of breast cancer screening: an independent review.  Lancet. 2012;380(9855):1778-1786.PubMedGoogle ScholarCrossref
7.
Stacey  D, Légaré  F, Lewis  K,  et al.  Decision aids for people facing health treatment or screening decisions.  Cochrane Database Syst Rev. 2017;4:CD001431.PubMedGoogle Scholar
8.
National Committee for Quality Assurance.  HEDIS 2014: Summary table of measures, product lines, and changes. http://www.ncqa.org/Portals/0/HEDISQM/HEDIS2014/List_of_HEDIS_2014_Measures.pdf. Accessed January 31, 2018.
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close