CE: Breast Cancer Screening: A Review of Current Guidelines.

: Breast cancer accounts for more than a quarter million diagnoses each year in the United States. Routine screening is the primary method used to detect cancer in its earliest stages, before symptoms develop. Recent changes to national screening guidelines have resulted in a lack of consensus and confusion among health care providers and the public. This article reviews the guidelines of the American Cancer Society, the U.S. Preventive Services Task Force, and the National Comprehensive Cancer Network and provides guidance to nurses as they support and educate patients.

[1]  S. Woolf,et al.  Breast Cancer Screening: A Summary of the Evidence for the U.S. Preventive Services Task Force , 2002, Annals of Internal Medicine.

[2]  Mark A. Helvie,et al.  Breast Cancer Screening and Diagnosis Clinical Practice Guidelines in Oncology. , 2006, Journal of the National Comprehensive Cancer Network : JNCCN.

[3]  M. Glackin,et al.  Factors influencing participation in breast cancer screening. , 2013, British journal of nursing.

[4]  S. Friedman,et al.  NCCN Guidelines Insights: Genetic/Familial High-Risk Assessment: Breast and Ovarian, Version 2.2017. , 2017, Journal of the National Comprehensive Cancer Network : JNCCN.

[5]  Roberta M Ray,et al.  Randomized trial of breast self-examination in Shanghai: final results. , 2002, Journal of the National Cancer Institute.

[6]  Munir Ghesani,et al.  Dense breasts: a review of reporting legislation and available supplemental screening options. , 2014, AJR. American journal of roentgenology.

[7]  David A Mankoff,et al.  ACR Appropriateness Criteria Breast Cancer Screening. , 2016, Journal of the American College of Radiology : JACR.

[8]  Practice Bulletin No. 179 Summary: Breast Cancer Risk Assessment and Screening in Average-Risk Women. , 2017, Obstetrics and gynecology.

[9]  Oguzhan Alagoz,et al.  Collaborative Modeling of the Benefits and Harms Associated With Different U.S. Breast Cancer Screening Strategies , 2016, Annals of Internal Medicine.

[10]  J. Lortet-Tieulent,et al.  Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society. , 2015, JAMA.

[11]  Seema A Khan,et al.  NCCN clinical practice guidelines in oncology: breast cancer screening and diagnosis. , 2009, Journal of the National Comprehensive Cancer Network : JNCCN.

[12]  K. Loh,et al.  Healthcare Professionals’ Perceptions and Knowledge of the USPSTF Guidelines on Breast Self-Examination , 2015, Southern medical journal.

[13]  M. Gail,et al.  Projecting individualized probabilities of developing breast cancer for white females who are being examined annually. , 1989, Journal of the National Cancer Institute.

[14]  Gillian D Sanders,et al.  Benefits and Harms of Breast Cancer Screening: A Systematic Review. , 2015, JAMA.

[15]  D. Berry,et al.  Benefits and risks of screening mammography for women in their forties: a statistical appraisal. , 1998, Journal of the National Cancer Institute.

[16]  A brief nursing intervention reduces anxiety before breast cancer screening mammography. , 2015, Psicothema.

[17]  T. Wilt,et al.  Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. , 2009, Annals of internal medicine.

[18]  Karla Kerlikowske,et al.  Relationship between mammographic density and breast cancer death in the Breast Cancer Surveillance Consortium. , 2012, Journal of the National Cancer Institute.

[19]  Stephen W Duffy,et al.  A breast cancer prediction model incorporating familial and personal risk factors , 2004, Hereditary Cancer in Clinical Practice.

[20]  W. P. Evans,et al.  American Cancer Society Guidelines for Breast Cancer Screening: Update 2003 , 2003, CA: a cancer journal for clinicians.

[21]  Evelyn P Whitlock,et al.  Supplemental Screening for Breast Cancer in Women With Dense Breasts: A Systematic Review for the U.S. Preventive Services Task Force , 2016, Annals of Internal Medicine.

[22]  R. Gatenby,et al.  Beyond mammography: new frontiers in breast cancer screening. , 2013, The American journal of medicine.

[23]  K. Bibbins-Domingo,et al.  Controversies in Breast Cancer Screening Strategies. , 2016, Journal of the National Comprehensive Cancer Network : JNCCN.

[24]  R. Hendrick,et al.  Implications of CISNET modeling on number needed to screen and mortality reduction with digital mammography in women 40-49 years old. , 2014, AJR. American journal of roentgenology.

[25]  Jay Parikh,et al.  Impact of mammography detection on the course of breast cancer in women aged 40-49 years. , 2012, Radiology.

[26]  Nancy L Keating,et al.  A systematic assessment of benefits and risks to guide breast cancer screening decisions. , 2014, JAMA.

[27]  M. Yaffe,et al.  Overdiagnosing overdiagnosis. , 2014, The oncologist.