Clinicians not following breast cancer screening guidelines

Albert Wu awu at JHU.EDU
Sun May 21 18:46:39 UTC 2017


Hopefully you would have discussed the risks and benefits with her and allowed her to make the decision about what to do

In the US this might including having to pay an additional amount if it were not covered by her health insurance – but she should be helped to decide

Albert

From: "Tommaso MD, Laura" <ltommaso at NCH.ORG>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, "Tommaso MD, Laura" <ltommaso at NCH.ORG>
Date: Sunday, May 21, 2017 at 12:43 PM
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: Re: [IMPROVEDX] Clinicians not following breast cancer screening guidelines



Imagine a 40 year-old average risk pt presents and requests to get a mammogram. You tell her that it not the current recommendations of some of the governing bodies that set guidelines and the associated risks/benefits. She gets breast cancer at 42 and was found at a late stage.  She had asked you for the mammogram..

________________________________
From: Edward Winslow [edbjwinslow at GMAIL.COM]
Sent: Saturday, May 20, 2017 7:08 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Clinicians not following breast cancer screening guidelines
The Medscape article is fairly unbiased.

One problem with our current guideline process is the plethora of guidelines available. The national guideline clearing house has between 32 and 52 sets of guidelines on breast cancer screening. While the USPSTF guidelines are probably the least biased, other well meaning people with or without any of several potential biases, may believe another set of guidelines.
Quis custodiet ipsos custodes? Literally translated from the Roman Poet Juvenal as "Who will guard the guards themselves". In this context I meant a more focused use of the concept. "Who will guide the guideline writers".

On Fri, May 19, 2017 at 11:36 AM Elizabeth Cohen <lesotholiz at gmail.com<mailto:lesotholiz at gmail.com>> wrote:
http://www.medscape.com/viewarticle/878405#vp_2

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