Screening mammography in women younger than 50 years of age

Article Abstract:

Certain general principles may assist doctors in deciding whether to screen young women of average risk for breast cancer. The benefit of screening older women aged 50 to 69 years is clearer than for women aged 40 to 49, based on analyses of breast cancer screening studies. Younger women's breasts contain less fat, so small tumors are more difficult to detect on mammograms. Many follow-up tests must be performed on younger women to confirm a positive mammogram result. The harms, such as false-positive mammograms and anxiety, and costs of screening younger women may outweigh the benefits. Screening mammography is advisable for women aged 50 and over. Doctors may discuss screening with women under 50, and recommend screening for those at higher risk.

Evaluation, Medical examination, Medical screening, Health screening, Mammography, Middle aged women

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Saving office practice

Article Abstract:

Professional medical organizations and information technology experts should cooperate in creating a low-cost software program that would simplify the management of a medical office. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) calls for a single claim form for all health insurance companies. An electronic medical record and electronic billing systems could also benefit many small medical practices. This would reduce the administrative costs of running a medical office and attract more medical students to a career in primary care.

Management dynamics, Management, Technology application, Electronic records, Company business management, Medical offices

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Sponsorship, authorship, and accountability

Article Abstract:

A revision to the Uniform Requirements for Manuscripts Submitted to Biomedical Journals is presented. It covers conflicts of interest that arise when a scientist does a study that is sponsored or supported by industry.

Standards, Medical publishing

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