Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Apr;3(4):174-182.
doi: 10.17265/2328-7136/2015.04.006. Epub 2015 Apr 30.

Regional variation in mammography use among insured women 40-49 years old: impact of a USPSTF guideline change

Jacqueline M Hirth  1 , Yong-Fang Kuo  2 , Yu-Li Lin  2 , Abbey B Berenson  3
Affiliations

Regional variation in mammography use among insured women 40-49 years old: impact of a USPSTF guideline change

Jacqueline M Hirth et al. J Health Sci (El Monte). 2015 Apr.

Abstract

Purpose: The impact of the US Preventive Services Task Force (USPSTF) recommendation that 40-49 year old women should no longer routinely receive screening mammography in November 2009 in different regions of the US is unknown.

Methods: We conducted a retrospective cohort study using medical claims from administrative health records from privately insured 40-59 year old women enrolled between 2005 and 2012 to evaluate biennial screening trends.

Results: There was a slight decrease in mammography usage among 40-49 year old US women after the 2008-2009 biennial period (p<0.001). There were some regional differences in mammography trends, with the West showing the greatest difference in odds of 40-49 year olds receiving a mammography in 2011-2012 compared to 2008-2009 (OR: 0.93; 95% CI: 0.91-0.94). Although trends for 50-59 year olds mirrored that of 40-49 year olds, the younger age group had a stronger decline in 2009-2010 and 2010-2011.

Conclusions: These findings show that USPSTF guideline changes made some differences in mammography usage among 40-49 year olds, but adherence was uneven across regions.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Mammography rates in the US and 4 census regions, by year and age group
Figure 1
Figure 1
Mammography rates in the US and 4 census regions, by year and age group
Figure 1
Figure 1
Mammography rates in the US and 4 census regions, by year and age group
See this image and copyright information in PMC

References

    1. U.S. Preventive Services Task Force. Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine. 2009;2009(151):716–26. - PubMed
    1. Allen SS, Pruthi S. The mammography controversy: when should you screen? The Journal of Family Practice. 2011;60(9):524–31. - PubMed
    1. Squiers LB, Holden DJ, Dolina SE, Kim AE, Bann CM, Ranaud JM. The public’s response to the U.S. Preventive Services Task Force’s 2009 recommendations on mammography screening. American Journal of Preventive Medicine. 2011;40(5):497–504. - PubMed
    1. Wang AT, Fan J, Van Houten HK, Tilburt JC, Stout NK, Montori VM, et al. Impact of the 2009 US Preventive Services Task Force Guidelines on screening mammography rates on women in their 40s. PLOS One. 2014;9(3):e91399. - PMC - PubMed
    1. Pace LE, He Y, Keating NL. Trends in mammography screening rates after publication of the 2009 US Preventive Services Task Force recommendations. Cancer. 2013;119(14):2518–23. - PubMed

LinkOut - more resources