En el consultorio le pregunte a la doctora a que edad se empezaba a hacer el rastreo y me contestó que es a partir de los 50 años, 1 mamografia cada dos años.
En el pdf que tenemos para estudiar de prevención en la práctica clínica dice que se hace a partir de los 40 años, 1 mamografia cada 2 años hasta los 69.
Si alguien puede responder agradezco, así no tenemos la duda para el lunes. Yo pienso que es a partir de los 50 como dijo la doctora, de hecho si me respondió eso es porque debe hacer eso en la practica, pero pregunto igual por si alguien escucho a partir de los 40 como dice el pdf.
Abrazo
Hola Ramiro: se está actualizando la recomendación, te copio la última vigente hasta que salga la nueva. Saludos
ResponderEliminarScreening for Breast Cancer
Release Date: November 2009
Updated: December 2009
-The USPSTF recommends biennial screening mammography for women aged 50 to 74 years. Grade: B recommendation.
The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.
Grade: C recommendation.
The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older. Grade: I Statement.
The USPSTF recommends against teaching breast self-examination (BSE).
Grade: D recommendation.
The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older. Grade: I Statement.
The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer. Grade: I Statement.
On December 4, 2009, the USPSTF unanimously voted to update the language of their recommendation regarding women under 50 years of age to clarify their original and continued intent.
Este es el link
http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm
Saludos
Acá les mando una calculadora de riesgo de cancer según El instituto del cancer de EUA, así tienen otros enfoques
ResponderEliminarhttp://www.cancer.gov/bcrisktool/
Y las opiniones de diferentes referentes y Asociaciones quienes tienen opiniones que son las siguientes.
Saquen sus propias conclusiones...(así es la medicina y nos toca bailar con esto)...jaja
●The American Cancer Society [115], American College of Radiology [116], American Medical Association [117], the National Cancer Institute [118], the American College of Obstetricians and Gynecologists :
y the National Comprehensive Cancer Network (NCCN) : recommend starting routine screening at age 40.
The American Academy of Family Physicians recommends screening mammography every one to two years for women ages 40 and older.
●The United States Preventive Services Task Force (USPSTF), the American College of Physicians, and the Canadian Task Force on the Periodic Health Examination recommend beginning routine screening at age 50 .
The Canadian Task Force in 2011 revised its recommendations to recommend against screening for women under age 50 .
These groups advise individual risk assessment and shared decision-making with patients regarding mammogram screening for women 40 to 49 years of age .
For women who do not wish to participate in shared decision-making, the ACP suggests mammograms every one to two years for women age 40 to 49 years.
The USPSTF advises screening every two years for women who elect to be screened.
●In 2000, the Advisory Committee on Cancer Prevention in the European Union recommended women between the ages of 50 and 69 be offered mammogram screening in the context of an organized screening program with quality assurance . Women aged 40 to 49 should be advised of potential harms of screening, and if mammograms are offered to these women, they should be performed with strict quality standards and double reading.