Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.

<h4>Background</h4>The 2009 US Preventive Services Task Force breast cancer screening update recommended against routine screening mammography for women aged 40-49; confusion and release of conflicting guidelines followed. We examined the impact of the USPSTF update on population-level s...

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Autores principales:	Amy T Wang, Jiaquan Fan, Holly K Van Houten, Jon C Tilburt, Natasha K Stout, Victor M Montori, Nilay D Shah
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/86423b9946c24562aa692a951d9181f4
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spelling	oai:doaj.org-article:86423b9946c24562aa692a951d9181f42021-11-18T08:28:41ZImpact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.1932-620310.1371/journal.pone.0091399https://doaj.org/article/86423b9946c24562aa692a951d9181f42014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24618830/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The 2009 US Preventive Services Task Force breast cancer screening update recommended against routine screening mammography for women aged 40-49; confusion and release of conflicting guidelines followed. We examined the impact of the USPSTF update on population-level screening mammography rates in women ages 40-49.<h4>Methods and findings</h4>We conducted a retrospective, interrupted time-series analysis using a nationally representative, privately-insured population from 1/1/2006-12/31/2011. Women ages 40-64 enrolled for ≥ 1 month were included. The primary outcome was receipt of screening mammography, identified using administrative claims-based algorithms. Time-series regression models were estimated to determine the effect of the guideline change on screening mammography rates. 5.5 million women ages 40-64 were included. A 1.8 per 1,000 women (p = 0.003) decrease in monthly screening mammography rates for 40-49 year-old women was observed two months following the guideline change; no initial effect was seen for 50-64 year-old women. However, two years following the guideline change, a slight increase in screening mammography rates above expected was observed in both age groups.<h4>Conclusions</h4>We detected a modest initial drop in screening mammography rates in women ages 40-49 immediately after the 2009 USPSTF guideline followed by an increase in screening rates. Unfavorable public reactions and release of conflicting statements may have tempered the initial impact. Renewal of the screening debate may have brought mammography to the forefront of women's minds, contributing to the observed increase in mammography rates two years after the guideline change. This pattern is unlikely to reflect informed choice and underscores the need for improved translation of evidence-based care and guidelines into practice.Amy T WangJiaquan FanHolly K Van HoutenJon C TilburtNatasha K StoutVictor M MontoriNilay D ShahPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 3, p e91399 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Amy T Wang Jiaquan Fan Holly K Van Houten Jon C Tilburt Natasha K Stout Victor M Montori Nilay D Shah Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.
description	<h4>Background</h4>The 2009 US Preventive Services Task Force breast cancer screening update recommended against routine screening mammography for women aged 40-49; confusion and release of conflicting guidelines followed. We examined the impact of the USPSTF update on population-level screening mammography rates in women ages 40-49.<h4>Methods and findings</h4>We conducted a retrospective, interrupted time-series analysis using a nationally representative, privately-insured population from 1/1/2006-12/31/2011. Women ages 40-64 enrolled for ≥ 1 month were included. The primary outcome was receipt of screening mammography, identified using administrative claims-based algorithms. Time-series regression models were estimated to determine the effect of the guideline change on screening mammography rates. 5.5 million women ages 40-64 were included. A 1.8 per 1,000 women (p = 0.003) decrease in monthly screening mammography rates for 40-49 year-old women was observed two months following the guideline change; no initial effect was seen for 50-64 year-old women. However, two years following the guideline change, a slight increase in screening mammography rates above expected was observed in both age groups.<h4>Conclusions</h4>We detected a modest initial drop in screening mammography rates in women ages 40-49 immediately after the 2009 USPSTF guideline followed by an increase in screening rates. Unfavorable public reactions and release of conflicting statements may have tempered the initial impact. Renewal of the screening debate may have brought mammography to the forefront of women's minds, contributing to the observed increase in mammography rates two years after the guideline change. This pattern is unlikely to reflect informed choice and underscores the need for improved translation of evidence-based care and guidelines into practice.
format	article
author	Amy T Wang Jiaquan Fan Holly K Van Houten Jon C Tilburt Natasha K Stout Victor M Montori Nilay D Shah
author_facet	Amy T Wang Jiaquan Fan Holly K Van Houten Jon C Tilburt Natasha K Stout Victor M Montori Nilay D Shah
author_sort	Amy T Wang
title	Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.
title_short	Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.
title_full	Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.
title_fullStr	Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.
title_full_unstemmed	Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.
title_sort	impact of the 2009 us preventive services task force guidelines on screening mammography rates on women in their 40s.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/86423b9946c24562aa692a951d9181f4
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Impact of the 2009 US Preventive Services Task Force guidelines on screening mammography rates on women in their 40s.

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