Outline Of A Clinical Practice Guideline Screening For Breast Cancer

983 Words Feb 8th, 2016 4 Pages
I would like to discuss a proposal to address a clinical practice guideline in screening for breast cancer in women with an average risk that is supported by the Agency for Healthcare Research and Quality (AHRQ). AHRQ a federal agency working under the U.S. Department of Health and Human Services, which provides comprehensive and science-based information on improving the quality of healthcare. A). The following guidelines were reviewed:

1. American College of Obstetricians and Gynecologists. (ACOG). Breast cancer screening. American College of Obstetricians and Gynecologists (ACOG); 2011 Aug. 11 p. (ACOG practice bulletin; no. 122)

2. Canadian Task Force on Preventive Health Care (CTFPHC). Recommendations on screening for breast cancer in average-risk women aged 40-74 years. CMAJ. 2011 Nov 22; 183 (17): 1991-2001.

3. Kaiser Permanente Care Management Institute (KPCMI). Breast cancer screening clinical practice guideline. Oakland (CA): Kaiser Permanent Care Management Institute; 2010 Aug. 142p.

B). Evaluation of the areas of agreement and difference
1. Areas of agreement:
a). According to ACOG (2011), it is not recommended to mammography screen women greater than 74 years of age, due to limited benefit in reduction of life expectancy and lack of available data to support screening in women greater than 74.

b). For women aged 60 and younger, it is agreed that breast magnetic resonance imaging (MRI) is not recommended for routine screening in women at average risk…

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