Navigation Links
Not All Women Need Digital Mammograms
Date:1/4/2008

Older women do as well with more cost-effective conventional film screenings, study says

FRIDAY, Jan. 4 (HealthDay News) -- Preliminary results from a landmark trial released in 2005 concluded that digital mammography screening was better at catching breast cancers than conventional film mammography was.

But a new study, published this week in the Annals of Internal Medicine, concludes that digital mammography is not cost-effective except when used in younger women or in women with dense breasts.

The new study was part of the original landmark DMIST (Digital Mammographic Imaging Screening Trial), sponsored by the U.S. National Cancer Institute. It included more than 42,000 women in the United States and Canada.

Traditional all-film mammography screening was compared with all-digital mammography screening and with targeted digital mammography screening. The targeted screening referred to age-targeted digital mammography for women under 50, and age- and density-targeted screening for women under 50 or women over 50 with dense breasts.

The study authors compared the screening methods using a measure known as quality-adjusted life year gained, or QALY -- a measurement devised to capture both quality and length of life.

All-digital mammography screening cost $331,000 per QALY relative to film mammography, but it cost more and was less effective than targeted screening. Targeted screening resulted in more detected cancers and fewer deaths than either all-film or all-digital mammography, and the cost-effectiveness ranged from $26,500 per QALY gained to $84,500.

In the Medicare (over 65) population, digital mammography targeted to women with dense breasts ranged from $97,000 per QALY gained to $257,000.

Conventional film mammography was better at detecting breast cancer in older women with non-dense breasts, but the finding was not statistically significant. Because of this finding, digital mammography screening was determined not to be cost-effective for all groups.

But many imaging centers have already switched to digital mammography.

"It's a pragmatic consideration; you have to make a decision. You can't run dual systems," said Dr. Jay Brooks, chairman of hematology/oncology at the Ochsner Health System in Baton Rouge, La. "As we're moving to the digital age, you have to make a financial decision."

Most Ochsner sites have converted to digital mammography in the past several years. Brooks' site in Baton Rouge, the last to switch, will be converting within the next 60 to 90 days, he said.

More information

To learn more about the DMIST trial, visit the U.S. National Cancer Institute.



SOURCES: Jay Brooks, M.D., chairman, hematology/oncology, Ochsner Health System, Baton Rouge, La.; Jan. 1, 2008, Annals of Internal Medicine


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Slim-Fast Celebrates Weight Loss by Hosting Style Your Slim(SM) Fashion Show Featuring Real Women
2. Religion habit cuts anxiety in women
3. Men need more Botox than women
4. Pesticides May Cause Asthma Among Farm Women
5. Handling pesticides associated with greater asthma risk in farm women
6. AHF Says Op-Out Clause is Crucial to New Jersey Law Requiring HIV Testing of Pregnant Women
7. Bald Women Get Their Heads Together in Southern California
8. BRCA1 Mutation Prevalent Among Hispanic, Younger Black Women
9. Breast cancer gene mutation more common in Hispanic, young black women, Stanford/NCCC study finds
10. Low-Income Womens Cancer Screenings Cost Effective: Report
11. Study determines costs of breast and cervical cancer detection among low-income women
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Not All Women Need Digital Mammograms
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, can now ... and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings ... The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the ...
(Date:6/25/2016)... Oklahoma (PRWEB) , ... June 25, 2016 , ... ... both athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures ... Oklahoma City area —Johnson is one of the first doctors to perform the ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle ... chronic pain and the benefits of holistic treatments, Serenity Recovery Center of ... Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the red ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, ... and the Road To Recovery® program to drive cancer patients to and from their ... to ensure the highest quality of life and ongoing independence. Getting to and ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... client, The Grove Investment Group (TGIG), has initiated cultivation and processing operations at ... Las Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of a complete ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 Dehaier Medical Systems ... "Company"), which develops, markets and sells medical devices and ... , signed a strategic cooperation agreement with Hongyuan Supply ... Supply Chain") on June 20, 2016, to develop Dehaier,s ... strategic cooperation agreement, Dehaier will leverage Hongyuan Supply Chain,s ...
(Date:6/24/2016)... Mass. , June 24, 2016   Pulmatrix, ... pharmaceutical company developing innovative inhaled drugs, announced today that ... Russell Investments reconstituted its comprehensive set of ... "This is an important milestone for Pulmatrix," ... will increase shareholder awareness of our progress in developing ...
(Date:6/23/2016)... Research and Markets has announced the addition of the ... report to their offering. ... failure, it replaces the function of kidneys by removing the ... the treatment helps to keep the patient body,s electrolytes such ... Increasing number of ESRD patients & substantial healthcare expenditure on ...
Breaking Medicine Technology: