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Council on Scientific Affairs

JAMA. 1989;261(17):2535-2542.

Abstract
Currently, age-specific recommendations for screening mammograms in asymptomatic women that have been developed by professional, voluntary, and governmental organizations differ. While there is strong epidemiologic evidence that mammographic screening in asymptomatic women aged 50 years or older reduces breast cancer mortality, the evidence for mortality reduction is not as clear for women aged 40 to 49 years. However, as described in this report, findings of further mortality and survival follow-up of subjects in earlier studies, as well as observations from more recent studies, suggest reductions in mortality and better survival in younger women as well. While mammography is currently the most effective method for detecting early breast cancers, some breast cancers may develop during the intervals between screening mammograms. The costs of mammographic screening also require consideration in the process of making national screening recommendations.

(JAMA. 1989;261:2535-2542)

Author Affiliations
From the Council on Scientific Affairs, American Medical Association, Chicago, III.

Footnotes
This report was submitted to the House of Delegates of the American Medical Association at the June 1988 Annual Meeting as Council on Scientific Affairs Report F. The action of this report was adopted as amended.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of scientific literature as of June 1988.

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (William R. Hendee, PhD).

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