OB/GYN Group Revises Breast Screening Recommendations for Average-Risk Women

By Amy Orciari Herman

Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS

The American College of Obstetricians and Gynecologists has updated its guidance on breast cancer screening in average-risk women to emphasize shared decision-making between the patient and provider.

Previously, the group recommended that average-risk women undergo annual screening mammography beginning at age 40. Now, the group advises the following:

• Women should be offered screening mammography beginning at age 40. If women don't start screening in their 40s, they should do so at age 50. The decision on when to begin screening should follow a discussion of the potential benefits and harms of screening.

• Screening should occur every 1 or 2 years, depending on the patient's preference. Screening every 2 years, especially for women aged 55 and older, is "reasonable."

• Women should be screened until at least age 75. After this, the decision whether to stop screening should follow a discussion of the woman's current health and life expectancy.

• Clinical breast exam can be offered to women aged 25–39 every 1 to 3 years. For women aged 40 and older, the exam can be offered annually.