Annals of Internal Medicine tip sheet Nov...( Annals of Internal Medicine is publishe...),Health

Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), an organization of more than 115,000 internal medicine physicians and medical students. The following highlights are not intended to substitute for articles as sources of information. For an embargoed fax of an article, call 1-800-523-1546, ext. 2656, or 215-351-2656.

1. AAFP and ACP-ASIM Guidelines Show How Migraines Should be Treated --And Can Be Prevented
(Clinical Guidelines, p. 840. News release to follow.)

2. Women Over Age 75 Benefit from Mammography
A new study provides strong, indirect evidence for recommending routine mammography screening to women over age 75 (Article, p. 783). Researchers took data on 12,038 female Medicare beneficiaries who were at least 69 years old and received a new diagnosis of breast cancer between 1995 and 1996. They found that, in general, women 75 years or older had larger tumors at diagnosis and were less likely to have had screening mammography than 69-74 year-old women. However, older women who had regular mammography had similar sized and stage tumors as the younger women, suggesting a benefit of mammography in women after age 75. Although the researchers did not study whether screening women after age 75 improved their breast cancer mortality rates or gave better quality of life, they did determine that regular mammography is associated with detecting earlier-stage disease in older women.

3. Post Menopausal Hormones + Alcohol Substantially Increase Risk of Breast Cancer
Data from the Nurses' Health Study found that the use of postmenopausal therapy (PMH) for five or more years and drinking 1.5 alcoholic drinks or more daily increased risk for breast cancer (Article, p. 798). Women who used both PMH and alcohol had almost twice the risk for breast cancer than women who used neither. The authors concluded that women should
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Contact: Susan Anderson
sanderson@mail.acponline.org
215-351-2653
American College of Physicians
18-Nov-2002

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