Citing the increase in my mother’s cancer cases in younger women, a group of experts recommend that the majority of women expect to be older than 50 years.
El Grupo de Trabajo de Servicios Preventivos de EE. UU. concluded a boceto of public recommendation last year. The group emits influential advisors for preventative health, and its recommendations will be widely adopted in the United States.
In 2009, the group of workers increased the time it began to initiate routine images, from 40 to 50 years old, which aroused much controversy. At that moment, the investigators were concerned that a more timely check would be more harmful than beneficial, and that it would lead to inappropriate transactions in more young women, including alarming hallazgos that would lead to invasive procedures that were produced, but at the last instance, its innecesarios.
However, my mother’s cancer cases between 40-year-old women are on the rise, rising to 2 years between 2015 and 2019, says John Wong, vice-president of the work group. The panel recommends a check-up every year for women with an average risk of mama’s cancer, so many patients and those who prove it prefer an annual check.
“Hay be sure to say that we should do it every year from the age of 40 onwards we have enough benefits to recommend it to all women of the country, with the end of being able to live longer and have a better quality of life”, Dijo Wong, primary care physician at the Tufts Medical Center and director of comparative effectiveness investigation at the Tufts Institute of Traditional Clinical Science.
The recommendations are extremely critical from some women’s health advocates, such as Rep. Rosa DeLauro, Democrat of Connecticut, and Rep. Debbie Wasserman Schultz, Democrat of Florida, who affirmed that the council is not sufficient. lejos.
In a letter to the group of workers in June, we note that the guidelines are “if they are insufficient with respect to science, they believe in the lack of cobertura, they generate uncertainty for women and their victims, and they exacerbate health disparities”.
To begin with, in a very debated topic, the work group also affirmed that we do not know enough to recommend that we carry out additional explorations, such as ecografías or magnetic resonances, for women with dense mamario tejido.
This means that the aseguradoras are not obliged to offer full coverage of additional tests to these women, because your cancers may not be seen alone with my mother’s cancer and that, to do so, you have a major risk of suffering from my mother’s cancer. Approximately the age of 40-year-old women is in this category.
In recent years, the law has required more evidence of breast cancer that informs women when they have a dense breast and indicates that the breast tissue may be an insufficient diagnostic herramienta for them.
From September onwards, all United States population centers are required to inform patients of this information.
Doctors can only prescribe to these patients additional or “supplementary” investigations. However, you should follow a menu that ensures that you pay the totality of the gas, including any additional precautions that are taken as part of the preventive warning, which means that the law must be offered at no cost.
Medicare, the health plan of the government for major budgets, does not cover additional explorations. In the private sector market, the price is dispersed and depends, among other factors, on the state prices, the type of plan and its design.
The working group is established under the standards that preventive care services must be covered by sanitary facilities at no cost to the patients.
Según Robert Traynham, voice of AHIP, the association that represents the medical security companies, the decision of the group not to approve the additional investigations has important implications for the patients.
“What this means for cobertura is that there is no obligation to cover these specific items for women with their density at a cost of gold”, says.
Some businesses may opt to include these procedures in addition to medical safety plans, the law does not require, according to Traynham.
Kathleen Costello, a jubilant California surfer who was diagnosed with mama’s cancer in 2017 when she was 59 years old, said it was agreed that breast cancer would not be detected for many years.
You have to have annual reviews and every year you receive a card that informs you that you do not have cancer. In the cards you will also be informed that your mother has some teeth and that some of them may have some additional parts, but the safety is not yours.
Six months after a mamografía in 2016, the doctor knew that the skin felt stiff. The doctor has a mamografía and an ecografía.
“In 30 seconds, the ultrasound encountered the cancer,” Costello said in an interview, and added that it was because “the technology palideció and salió de la habitación.”
La masa medía cuatro centímetros, añadió Costello: “It was difficult for me to accept that it would increase in six meters from an undetectable size to four centimeters”.
Sin embargo, Wong, of the working group, affirmed that there are no scientific evidence that demonstrates that the obtaining of additional images, there is through magnetic resonance or ecography, reduces the progression of mama’s cancer and prolongs the life of women with their mother denso.
On the other hand, there is much evidence that supplementary examinations can allow frequent false positivity and biopsies, where they contribute to the possibility of unnecessary invasive procedures.
“It’s tragic,” said Wong. “We are frustrated as women. Please note that the complementary elements are useful”.
Some medical organizations like the Estadounidense College of Radiology are responsible for the realization of supplementary studies for women with their mamario denso. Según Stamatia Destounis, president of the Comisión de Imagen Mamaria del Colegio, hay studies that demonstrated that ecography, in conjunction with mamografía, detected additional cancers in patients with dense tissue.
For women with dense mothers who have a risk of mother’s cancer, recent investigations indicate that magnetic resonance is the best complementary exploration, says Destounis, “with much better cancer detection and more favorable positive prediction values”.
The school also recommends an annual check for women with a risk of cancer, under control every year recommended by the panel. The group of radiologists is pressured to recommend that the risk of cancer of all women before the age of 25 is evaluated, so that women with high rates of risk can be credited with some checks including those before the age of 40.
We have seen more people than black women, girls and other minors who suffered from mother’s cancer and died before the age of 50 with more frequency than the restaurant of women, signaled Destounis.
Los transexuales que no se han sometido de mastectomía deben seguir realizándose pruebas de detección del cáncer de mama, añadió, y las mujeres transexuales, cuyo uso de hormonas las expone a major riesgo de cáncer de mama que al hombre average, deben hablar de Las pruebas detección con su medico.
Aunque el councile del grupo del impezar a hacerse a los 40 años es “una mejora”, desjora Destounis, las recomendaciones finales “no van lo scientientee lejos como para salvador la vida de las mujeres”.
Roni Caryn Rabin is a Times periodical specializing in maternal and infant health, racial and economic disparities in health care and the influence of food in medicine. More by Roni Caryn Rabin