Breast Cancer Update: What has changed about what we know?

This story was originally published in the 2024 Winter edition of Healthy Community.

Advancements in breast cancer detection and treatment have improved survival rates and increased the number of survivors. Enhanced mammography techniques, more effective therapies and updated screening guidelines emphasize the importance of regular screenings and early intervention, ensuring better outcomes for women nationwide.

Better Outcomes

According to the CDC, the current five-year survival rate for localized breast cancer has reached 99%, up from 98% in previous years. Advancements in early detection and treatment, enhanced mammography techniques and more effective therapies have all played a role in increasing survival rates.

More Survivors

The American Cancer Society reports there are currently more than 4 million breast cancer survivors in the U.S., up from 3.5 million a few years ago. This increase highlights the progress in breast cancer detection, treatment and patient support. Advances in medical research, improved treatment methods, heightened awareness and the effectiveness of public health initiatives have all contributed to this growing number of survivors.

Greater Access

According to the Cleveland Clinic, approximately 39 million mammograms were performed in the U.S. in 2023, with an estimated 40 million expected in 2024. These figures show a steady increase from previous years, reflecting growing awareness and adherence to screening recommendations, which are crucial for early detection and successful treatment of breast cancer.

New Screening Guidelines

Based on ongoing research and the latest findings, recent updates to mammography screening guidelines have been made to optimize early detection and patient outcomes. The U.S. Preventive Services Task Force (USPSTF) now recommends screenings every two years for women starting at age 50, while the American Cancer Society (ACS) advises annual screenings beginning at age 45, with the option to switch to biennial screenings at age 55. Be sure to talk with your provider about what is right for you.

Affordability

The Mayo Clinic states that most insurance plans, including Medicare and Medicaid, cover the full cost of screening mammograms, as required by the Affordable Care Act. The CDC’s National Breast and Cervical Cancer Early Detection Program provides access to breast cancer screening to low-income, uninsured and underinsured women ages 40-64. For individuals without insurance, the cost typically ranges from $100 to $250. It is important for patients to verify their coverage details with their insurance providers.