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Mammography Guidelines Survey

Preliminary Results Are In

In November, right after the new mammography recommendations hit the press, HealthCentral sent out a survey to ask women what they thought. After more than 1000 responses, the preliminary results are in.

If you have not already, please take the survey (you need a facebook account)

Women Speak Out: Mammograms are painful but worth it

By Veronica Combs, HealthCentral Director of Patient Engagement

A compelling subject

35% of respondents were between 50-59 years of age
25% were between 60-69
21% between 40-49
13% over age 70 and
6% 39 and under

Most respondents had experienced at least one mammogram, with about 50% of respondents having had over 10 in their lifetime.

Of our respondents 26% had been diagnosed with breast cancer.

Graph 1&2: Survey participants trust mammograms, and most women think that there should not be age limits around when a woman can get a mammogram.

Graph 3: HealthCentral members also thought mammograms should always be covered by health insurance.

Graph 4: Although the personal comments showed that women had concerns about false positive test results, the majority of survey respondents said the peace of mind from having he test outweighed the anxiety of a false positive and additional unnecessary testing.

Graph 5&6: We also compared responses from women who had breast cancer to responses from women who did not have breast cancer.

Personal stories reveal human aspect of screening

The survey included an optional question that asked women to describe their experiences with mammograms. Almost everyone made a comment, which is unusual and shows the level of interest in this topic.

The general consensus was that mammograms are painful, but worth it. Many, many women said a mammogram had detected cancer and led to a lumpectomy or mastectomy. There were people who agreed with the U.S. Preventive Services Task Force about the risk of false positives and described unnecessary tests. There were also women whose cancer was missed by mammograms.

Based on these comments, women are interested in other screening methods for breast cancer, including digital mammograms, thermograms, and other, yet-to-be-developed screenings that are less invasive and expensive. There were also comments about the need for skilled technicians to perform the tests.

The comments below represent common themes among the survey responses.

“I dont think they are very accurate, especially for dense breasts. Mammograms did not detect my breast cancer. Neither did an ultrasound. It only showed up on MRI. I felt a lump 3 months after the last mammogram came back as 'normal'.”

“Of course the procedure was uncomfortable, but so are many health exam procedures. I am a breast cancer survivor, and my tumors were found on a routine mammogram.”

“I believe with all the money donated to breast cancer, there should be a simpler test to detect abnormalities each time you visit ob/gyn starting at 18. In the absence of that, we should not deter young women from getting mammograms and breast self-exams.”

“They may be a bit uncomfortable, but certainly tolrerable. The worst thing is to have to sit there for some time until the radiologist tells you the results. That increases my blood pressure and is worse that the actual test!”

“By its very nature, a mammogram is painful and scary to say the least. But it is also a welcome lifesaver! My DCIS was found in a routine screening mammogram (age 47) and every mammogram after has been frightening but necessary.“

We sent a survey invite to readers who subscribed to the newsletters from these topic areas on our Web site:
• Breast cancer
• Chronic pain
• Depression
• Heart
• Migraine
• Osteoporosis
• Women’s health
The survey ran from Nov. 19 – 25.

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