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Mammography may be beneficial to all women, regardless of age
Date:4/21/2008

ource of information on cancer incidence and survival in the United States. The researchers analyzed SEER data for the years 1996-2002, and looked at mammography rates in the five years prior to diagnosis.

In total, 12,358 women over age 80 were analyzed. Patients were stratified into nonusers (women who did not have mammograms), 49 percent; irregular users (women who had one or two mammograms), 29 percent; and regular users (women who had three or more mammograms.), 22 percent.

Sixty-eight percent of regular users were more likely to be diagnosed with early disease, stage I while nonusers and irregular users more often were diagnosed with stages II, III or IV, 56 percent and 33 percent respectively.

Five-year survival rate was 94 percent in regular users, compared to 88 percent in irregular users and 82 percent in nonusers. Despite these rates, the researchers were not able to find an increase in overall survival because those getting mammograms were healthier and, therefore, more likely to live longer, said Badgwell, the study's first author.

"For example, in our study, we showed a 12 percent decrease in the risk of breast cancer death for each mammogram. However, in the women who received mammograms, we also showed a 12 percent decrease in non-breast cancer death, thereby showing the bias for women who were healthy and receiving mammograms," said Badgwell.

Babiera and Badgwell acknowledge their studies limitations but feel this type of retrospective data may be the best that can be obtained because it's unlikely a randomized control trial could ever be conducted.

"Now that we have this data and we know that mammography improves survival in the younger population, it would be difficult to conduct a randomized trial and stratify women of any age to a control group to not receive mammography," said Badgwell.

Instead, the researchers stress that physicians should review each woman's situation person
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Contact: Laura Sussman
lsussman@mdanderson.org
713-745-2457
University of Texas M. D. Anderson Cancer Center
Source:Eurekalert  

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Mammography may be beneficial to all women, regardless of age
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