New Study: Women in Their 40s Prefer to Delay Breast Cancer Screening After Decision Aid Intervention - What You Should Know

Aurora, Colorado United States of America
27.0% of participants preferred to delay screening before viewing the decision aid compared with 38.5% after.
A study published in the Annals of Internal Medicine found that some women in their 40s prefer to delay breast cancer screening after a decision aid intervention.
Breast cancer surgeon Dr. Laura Esserman advocates for a personalized approach to breast cancer screening called the WISDOM study.
The US Preventive Services Task Force recommends mammograms every other year for women between the ages of 40 and 74.
Women who preferred to delay screening had a lower risk for breast cancer than those who preferred not to.
New Study: Women in Their 40s Prefer to Delay Breast Cancer Screening After Decision Aid Intervention - What You Should Know

A recent study published in the Annals of Internal Medicine revealed that some women in their 40s prefer to delay breast cancer screening, especially after a decision aid intervention. According to the research conducted by Laura D. Scherer and colleagues from the University of Colorado School of Medicine, 27.0% of participants preferred to delay screening before viewing the decision aid compared with 38.5% after.

The researchers found that women who preferred to delay screening had a lower risk for breast cancer than those who preferred not to delay. However, it is important to note that this does not mean that all women in their 40s should delay screening without consulting their healthcare providers.

Another study published in the Annals of Internal Medicine found that women who prefer to wait until age 50 for breast cancer screening tend to have lower risk based on family history. On the other hand, women who prefer earlier screening have higher risk and are less concerned about the downsides of false positives and unnecessary biopsies.

The US Preventive Services Task Force updated their recommendation for mammograms every other year for women between the ages of 40 and 74. However, many women are unaware of the risks associated with mammograms such as false-positive results, unnecessary biopsies, anxiety, and debilitating treatment for tumors that may not harm them.

Breast cancer surgeon Dr. Laura Esserman advocates for a personalized approach to breast cancer screening called the WISDOM study. This approach takes into account individual risk factors and preferences to determine the most appropriate screening schedule.

It is crucial for women in their 40s to be informed about both the benefits and risks of breast cancer screening before making a decision. Women should discuss their concerns and preferences with their healthcare providers to make an informed choice that best suits their individual circumstances.



Confidence

90%

Doubts
  • Are there any potential conflicts of interest among the researchers or funding sources?
  • Is the sample size of the study large enough to be representative of all women in their 40s?

Sources

79%

  • Unique Points
    • US Preventive Services Task Force updated their recommendation for mammograms every other year for women between the ages of 40 and 74.
    • Many women are unaware of the risks associated with mammograms such as false-positive results, unnecessary biopsies, anxiety, and debilitating treatment for tumors that may not harm them.
    • Breast cancer surgeon Dr. Laura Esserman advocates for a personalized approach to breast cancer screening called WISDOM study.
  • Accuracy
    • The U.S. Preventive Services Task Force has been flip-flopping in their recommendations about when women should begin mammography screening since 1996.
    • New research suggests that educating women in their 40s about the benefits and harms of mammography leads to more delaying screening until they turn 50.
    • Mammograms save lives but come with risks such as false positives, unnecessary biopsies, and overdiagnosis.
  • Deception (30%)
    The author uses emotional manipulation by implying that women in their 40s have been 'caught in the crossfire' of a decades-long debate about mammograms and that they are unaware of the harms. The author also uses selective reporting by only mentioning false positives, unnecessary biopsies, anxiety, and debilitating treatment as harms without providing context or mentioning potential benefits. The author quotes Dr. Laura Esserman stating 'We're not being honest with people.' which is a lie by omission as the article does not provide any information about the benefits of mammograms for women in their 40s.
    • Most women have absorbed the widely broadcast message that screening mammography saves lives...But many remain unaware of the costs of routine screening in their 40s
    • The benefits and the harms of mammography came as a surprise to nearly half the study participants.
    • More than one-quarter said what they learned from the study about overdiagnosis differed from what their doctors told them.
    • We're not being honest with people.
    • New research makes the case for educating women in their 40s...about the harms as well as the benefits of the exam.
  • Fallacies (80%)
    The author uses an appeal to authority fallacy when quoting Dr. Laura Esserman and stating 'Esserman sees women who are diagnosed with slow-growing tumors that she believes in all likelihood would never harm them.' This implies that because Esserman is a breast cancer surgeon, her opinion on the harmlessness of slow-growing tumors is valid and true. However, this does not necessarily mean that all slow-growing tumors are harmless for every individual. Additionally, the author uses inflammatory rhetoric when stating 'In addition, mammography can give women a false sense of security.' This statement implies that mammography is inherently dangerous and misleading without providing any evidence or context.
    • ][The author] Esserman sees women who are diagnosed with slow-growing tumors that she believes in all likelihood would never harm them.[/
  • Bias (95%)
    The author uses language that depicts the need for education about mammograms and the harms as well as benefits as a surprise to women. This implies a bias towards downplaying the importance of mammograms in their 40s, potentially leading readers to question their necessity.
    • In addition, mammography can give women a false sense of security.
      • We're not being honest with people.
      • Site Conflicts Of Interest (100%)
        None Found At Time Of Publication
      • Author Conflicts Of Interest (100%)
        None Found At Time Of Publication

      90%

      • Unique Points
        • Megan Sanderson went for her first mammogram at the age of 40.
        • Doctor diagnosed Megan with stage-one breast cancer during the mammogram.
      • Accuracy
        • The U.S. Preventive Services Task Force now recommends women to be screened for breast cancer every other year starting at age 40.
        • Had Megan waited for ten years before getting a mammogram, her cancer could have been worse.
        • Mammography saves lives but comes with risks such as false positives, unnecessary biopsies, and overdiagnosis.
      • Deception (100%)
        None Found At Time Of Publication
      • Fallacies (100%)
        None Found At Time Of Publication
      • Bias (100%)
        None Found At Time Of Publication
      • Site Conflicts Of Interest (100%)
        None Found At Time Of Publication
      • Author Conflicts Of Interest (100%)
        None Found At Time Of Publication

      96%

      • Unique Points
        • 27.0% of women aged 39 to 49 years preferred to delay breast cancer screening before viewing a decision aid intervention, compared to 38.5% after.
        • Participants who preferred to delay screening had a lower risk for breast cancer than those who preferred not to delay.
      • Accuracy
        • The U.S. Preventive Services Task Force has been flip-flopping in their recommendations about when women should begin mammography screening since 1996.
      • Deception (100%)
        None Found At Time Of Publication
      • Fallacies (90%)
        No explicit logical fallacies found in the author's statements. However, there are appeals to authority and inflammatory rhetoric in the quotes from other sources.
        • ] Laura D. Scherer, Ph.D., from the University of Colorado School of Medicine in Aurora, and colleagues examined breast cancer screening preferences among women aged 39 to 49 years in a pre-post survey with a breast cancer screening decision aid (DA) intervention.
        • The authors write. More information: Laura D. Scherer et al, Mammography Screening Preferences Among Screening-Eligible Women in Their 40s, Annals of Internal Medicine (2024). DOI: 10.7326/M23-3325
        • Victoria Mintsopoulos et al, Informing Informed Decision Making: Balancing the Benefits and Harms of Breast Cancer Screening, Annals of Internal Medicine (2024). DOI: 10.7326/M24-0885
      • Bias (100%)
        None Found At Time Of Publication
      • Site Conflicts Of Interest (100%)
        None Found At Time Of Publication
      • Author Conflicts Of Interest (100%)
        None Found At Time Of Publication

      80%

      • Unique Points
        • Women who prefer to wait until age 50 for breast cancer screening tend to have lower risk based on family history.
        • Women who prefer earlier screening have higher risk and are less concerned about the downsides of false positives and unnecessary biopsies.
      • Accuracy
        • The US Preventive Services Task Force recommends all women begin screening mammography at age 40.
        • New research suggests that educating women in their 40s about the benefits and harms of mammography leads to more delaying screening until they turn 50.
      • Deception (30%)
        The article does not intentionally deceive the reader but it is misleading in its presentation of information. It presents the results of a study that shows women prefer to delay mammograms after learning about the benefits and drawbacks of breast cancer screening, but it does not disclose that this preference is based on a small percentage of women with lower risk for breast cancer. The author also implies that there is an ongoing debate around breast cancer screening guidelines without disclosing his own opinion or the fact that the majority of medical organizations recommend regular mammograms starting at age 40. This creates an impression of uncertainty where there isn't one.
        • The messaging around mammography often doesn’t go beyond this simple three-word refrain: screening saves lives.
      • Fallacies (90%)
        The author provides a clear and detailed explanation of the study's findings and the reasons why women prefer to delay or not delay mammograms based on their personal risk. The author also discusses the potential harms of mammography, but does not make any fallacious arguments or appeals to authority. However, there are some instances of inflammatory rhetoric used by the study's lead author when discussing the messaging around mammography and the need for balanced information.
        • ][The USPSTF] has historically messaged simply about mammograms, and said, ‘go get screened; it saves lives.’ It definitely does. But it also has drawbacks that some people, not everybody, care about.[/
      • Bias (100%)
        None Found At Time Of Publication
      • Site Conflicts Of Interest (100%)
        None Found At Time Of Publication
      • Author Conflicts Of Interest (100%)
        None Found At Time Of Publication