222662 Connecting the dots: Surprise and disagreement over mammography guidelines

Monday, November 8, 2010 : 4:30 PM - 4:50 PM

Erica S. Breslau, PhD , Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD
Heather Edwards, PhD, MPH , NCI/Dccps/Brp/Acsrb, SAIC-Frederick, Inc., Bethesda, MD
Clinical practice guidelines for cancer screening offer a potentially valuable tool for improving health care outcomes by assisting patient and practitioner decisions. Paradoxically, recent mammography guidelines created discordance between the intended and actual receivers of this evidence-based information. The objective is to describe the guideline process and to examine public response to the mammography evidence.

A communication framework and newspaper data from Pew Research Center will be used to illustrate the media and the public's interest in the breast cancer screening guidelines, and provide potential explanations for discordant opinions from those of the US Preventive Services Task Force (USPSTF); the issuing guideline body.

Even though USPSTF guideline messages are designed for practitioners, they offer an opportunity to engage individual patients in an informed discussion. Since the public has constant information access through various media channels, the current mammography guidance illustrate the importance of guideline bodies communicating evidence-based information to the public so that the information facilitates individual decision-making by patients and their providers.

Learning Areas:
Chronic disease management and prevention
Clinical medicine applied in public health
Provision of health care to the public

Learning Objectives:
1. Increase awareness of United States Preventive Services Task Force mammography guideline process. 2. Describe the publicís interest in mammography guidelines. 3. Explore implications of future guideline issuance in terms of mammography adherence.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I study mammography screenings and provide guidance on guidelines to the public
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.