The U.S. Preventive Services Task Force (USPSTF) has updated its breast cancer screening guidelines, now recommending that individuals at average risk begin mammograms at age 40. This change lowers the starting age for routine breast cancer screening by a decade, as the previous guidance advised starting at 50. Screenings should continue every other year through age 74.
Breast cancer is the second most common cancer among women, accounting for about 30% of all new cancer diagnoses, according to the American Cancer Society. It is also the second leading cause of cancer death for women, following lung cancer. Early detection through mammograms can identify tumors up to two years before they are physically detectable by the patient or a healthcare provider.
“Screening for breast cancer saves lives, so it is important for eligible individuals to follow these new recommendations,” said Dr. Lorna Fitzpatrick, vice president of medical affairs at Excellus BlueCross BlueShield. However, many eligible individuals in New York state are not getting screened. Data from the National Cancer Institute shows that 20% of people in New York who are eligible for breast cancer screening are not participating, with 81.4% of individuals aged 50-74 receiving a mammogram in 2022.
Barriers to routine breast cancer screening include transportation difficulties, limited hours at screening facilities, and patient concerns about discomfort or safety. To address these challenges, some hospitals offer mobile mammography units and extended hours to increase access to screenings.
While the test may cause brief discomfort, Dr. Fitzpatrick emphasized that the benefits of early detection far outweigh the discomfort of the procedure. Mammograms are also covered as a preventive service by most health insurance plans at no cost to the patient when performed by an in-network provider.
Individuals with higher risk factors, such as a family history of breast cancer, should consult their healthcare provider to determine the most appropriate age and frequency for screening.
For more information about breast cancer screening, visit the U.S. Preventive Services Task Force website.
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