New guidelines for breast cancer screening have been released by the
Canadian Task Force on Preventive Health Care and published in the CMAJ.
Canadian Task Force on Preventive Health Care. Recommendations on screening
for breast cancer in average-risk women aged 40-74 years. CMAJ. 2011; 183
(17): 1991- 2001. Available from: http://www.cmaj.ca/content/183/17/1991
A summary of the new recommendations included in these guidelines are
available on page 1995.
"Recommendations are presented for the use of mammography, magnetic
resonance imaging (MRI), breast self-examination and clinical breast
examination to screen for breast cancer (see Box 1). These recommendations
apply only to women at average risk of breast cancer aged 40 -74 years. They
do not apply to women at higher risk because of personal history of breast
cancer, history of breast cancer in first-degree relatives, known mutations
of the BRCA1/BRCA2 genes or previous exposure of the chest wall to
radiation. No recommendations are made for women aged 75 years and older,
given the lack of data available for this group.
Mammography
. For women aged 40-49 years, we recommend not routinely screening with
mammography. (Weak recommendation; moderate-quality evidence)
. For women aged 50-69 years, we recommend routinely screening with
mammography every two to three years. (Weak recommendation; moderate-quality
evidence)
. For women aged 70-74 years, we recommend routinely screening with
mammography every two to three years. (Weak recommendation; lowquality
evidence)
Magnetic resonance imaging
. We recommend not routinely screening with MRI scans. (Weak recommendation;
no evidence)
Clinical breast examination
. We recommend not routinely performing clinical breast examinations alone
or in conjunction with mammography to screen for breast cancer. (Weak
recommendation; low-quality evidence)
Breast self-examination
. We recommend not advising women to routinely practice breast
self-examination. (Weak recommendation; moderate-quality evidence)"
The Canadian Association of Radiologists responded (unfavorably) to these
guidelines.
Vogel, L. Breast-screening guidelines fuel firestorm. CMAJ. (News). 2011.
Available from:
http://www.cmaj.ca/site/earlyreleases/22nov11_breast-screening-guidelines-fu
el-firestorm.xhtml
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
Neil John Maclean Health Sciences Library
University of Manitoba
email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca
phone: 204.977.5660
website: <http://mhiknet.lib.umanitoba.ca/>
http://mhiknet.lib.umanitoba.ca/
Please note that MHIKNET Library Services will be closed on Friday November
11, 2011, for Remembrance Day.
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
Neil John Maclean Health Sciences Library
University of Manitoba
email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca
phone: 204.977.5660
website: <http://mhiknet.lib.umanitoba.ca/>
http://mhiknet.lib.umanitoba.ca/
As part of Canadian Patient Safety Week, the Canadian Patient Safety
Institute has just released an updated version of the Canadian Disclosure
Guidelines: Being Open with Patients and Families:
http://www.patientsafetyinstitute.ca/english/toolsresources/disclosure/pages
/default.aspx
This document, a revision of the disclosure guidelines originally published
in 2008, aims to help organizations be open and honest with patients and
families about safety incidents. CPSI's hope is that these guidelines will
create new conversations about disclosure, clarify how best to meet the
needs of patients and families, and help align disclosure policies across
Canada. Learning organizations will take the opportunity to pause and
reflect each time disclosure takes place, to learn from the experience, and
make improvements in the system and in how they meet the needs of patients
and families.
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
Neil John Maclean Health Sciences Library
University of Manitoba
email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca
phone: 204.977.5660
website: <http://mhiknet.lib.umanitoba.ca/>
http://mhiknet.lib.umanitoba.ca/
The Manitoba Institute for Patient Safety (MIPS) has two new resources that
are being promoted as part of the Canadian Patient Safety Week:
www.asklistentalk.ca
. Self-Advocacy for Everyone (SAFE) Toolkit:
http://www.safetoask.ca/safetoolkit/index.html
"The SAFE toolkit has information, tips and resources that can help people
learn to be more involved in their healthcare. It consists of key patient
safety topics in summary and full version formats, and a Leader's Guide."
. Patient Safety: A Primer :
http://www.mbips.ca/wp/wp-content/uploads/2011/10/v2-primer-final-oct-7-2011
.pdf
Patient Safety: A Primer is a resource that can be used alone for
information on patient safety basic concepts for healthcare providers and
students, or as part of the Learn to be Safe resource
(www.mbips.ca/wp/initiatives/learn-to-safe-a-simulation-learning-experience-
rehearse-for-safety/).
Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
Neil John Maclean Health Sciences Library
University of Manitoba
email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca
phone: 204.977.5660
website: <http://mhiknet.lib.umanitoba.ca/>
http://mhiknet.lib.umanitoba.ca/
MHIKNET Library Services is updating the software that we use to deliver
articles to you. Unfortunately we are experiencing technical difficulties
during this update, which is causing a delay in delivering your full text
articles to you. Library technical services are doing everything they can
to complete this update to get the service back online as soon as possible.
In the meantime, if you have outstanding requests for articles, Elizabeth
Stregger will be in touch about alternate delivery options for you.
Thank you for your patience,
Orvie
Mrs. Orvie Dingwall, BA, MLIS, AHIP
Outreach Services Librarian
Neil John Maclean Health Sciences Library
University of Manitoba
email: <mailto:orvie_dingwall@umanitoba.ca> orvie_dingwall(a)umanitoba.ca
phone: 204.977.5660
website: <http://mhiknet.lib.umanitoba.ca/>
http://mhiknet.lib.umanitoba.ca/