Through the MAGIC of computer MODELS (not real science with randomized controlled trials) plus crediting mammography with greater efficacy than it deserves according to the dissenting doctors below, the USPSTF (US Preventive Services Task Force) now gives screening with radiation (mammography) a grade of “B” instead of the previous “I” for “Incomplete Evidence”, even though there is ZERO NEW DATA to move it to grade B according to some respected doctors arguing that women should NOT begin screening with mammography at 40.
Up to this year, the USPSTP has somewhat stood up to industry associations & protected the age group from 40-50 with the rating of incomplete evidence. Meta-analyses have shown younger women suffer the greatest harm due to their breast tissue being more dense than older women’s and mammography’s limited ability to see well in glandular, muscular, normal tissue (dense tissue) because it is white on the screen just as a cancer would be, so more is missed at the same time more is also biopsied in this age group.
The Dissenting View - Dr. Woloshin, M.D. audio interview by New England Journal of Medicine
Authors: Steven Woloshin, M.D., Karsten Juhl Jørgensen, M.D., D.Med.Sci., Shelley Hwang, M.D., M.P.H., and H. Gilbert Welch, M.D., M.P.H.
(These authors are all heavyweights with big pedigrees & long careers of calling BS on screening mammography due to harms to many for a small net benefit for a few and while they will state that “better tests are needed that find the breast cancers that matter,” they never dare to mention that a test already exists that picks up early thermal markers of not only the breast cancers that matter, but more importantly, the warmer patterns prior to breast cancer formations that favor it in quality thermography lest their lives be in jeopardy from a hit team?)
Only 6:33 minutes long Woloshin’s interview is loaded with statistics that do not support screening mammography for this age group particularly and that at best it increases one’s chances of not dying of breast cancer from 99.7% to 99.8% while carrying significant potential harms rarely if ever disclosed (e.g. overdiagnosis and high rates of false positives that are now associated with increased risk per this damning long and large Swedish study, associating false positive biopsies with increased future risk of breast cancer published only weeks after this short great warning signal interview of Dr. Woloshin below).
UPDATE Nov 2024 More Support Against:
Does Screening at 40-49 Years Boost Breast Cancer Survival?
Canadians Say No
The Proponents’ View From Past & Current Chairs of the USPSTF Parroting the Same Talking Points with Zero Real Evidence?!
Notice how the Chair of last year’s USPSTF (top) mockingbird’s the same talking points as her new replacement (bottom). Here are their talking points:
#1 Breast Screening Saves Lives (yes and harms more than it saves according to many)
#2 BOTH CLAIM THERE IS NEW evidence/science for expanding screening ages, yet I cannot find them referencing this “new science” so if anyone else can, please enlighten all of us.
#3 Black women are 40% more likely to die of breast cancer
#4 Black women get a higher percentage of highly aggressive breast cancers
#5 Women Over 75 - Need More Evidence of Screening Effectiveness
In the Dissenters’ Opinion above, Dr. Woloshin very logically explains the racial inequity question in his six minute audio interview linked above and he and his team warn that much harm will likely result with this new guideline to all colors of women but maybe especially to black women since they are being especially targeted for earlier screening with trials claiming to benefit them!
Below is a longer interview of the current president who is still claiming there is evidence to lower the age for mammography but not citing any, just memorized talking points.
Hidden truths in their words: notice that they tell you not to mammography screen annually, only biannually, because annual screening increases the harms by 50% they state. Wow. Does that mean if one doesn’t have a mammogram at all it decreases harms by 100%??!