Shiela Appavoo MD
@ShielaAppavoo
🇨🇦#radiologist, Breast Imager. #radvocacy Coalition for Responsible Healthcare Guidelines. @CanadaSBI
ID:1069228746689830912
https://tinyurl.com/3h3fddmj 02-12-2018 13:56:13
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How will 🇨🇦 respond to the increase in breast cancer cases in younger women? Rising incidence was a key factor in the US decision to lower the screening age to 40. What do you say CTFPHC | GECSSP? Thank you Jean Seely, MD CTV News for this insightful segment. ctvnews.ca/video/c2911627…
Acne is a harm in COVID protection in the same way recalls are a harm in #breastcancer screening.
#40not50 #paternalism
Updated EUSOBI guidelines add screening US or MRI in average-risk women with dense breasts, MRI at least q4 years if extremely dense; endorse breast cancer risk assessment at age 25, as American College of Radiology. High-risk women annual MRI at 25, depending on risk. DenseBreast-Info.org
Breast cancer rates increasing significantly in younger women in Canada. In the last 35 years:
➡️45.5% in 20-29
➡️12.5% in 30-39
➡️9.1% in 40-49
➡️17.5% in 50-54
uOttawa - Médecine familiale, Family Medicine Statistics Canada Marina von Stackelberg
Astounding and disturbing results Canadian Society of Breast Imaging uOttawa Dept. Radiology, Rad Onc & Medical Physics Incidence of Breast Cancer in Younger Women: A Canadian Trend Analysis - Jean M. Seely, Larry F. Ellison, Jean-Michel Billette, Shary X. Zhang, Anna N. Wilkinson, 2024 journals.sagepub.com/doi/full/10.11…
Thank you to Anna Wilkinson for the marathon of interviews she did yesterday, getting the message out there that the CTFPHC | GECSSP guidance needs an overhaul for the safety of our patients.
#cdnpoli Mark Holland
cbc.ca/listen/live-ra….?onboarding=false
The CTFPHC | GECSSP guidelines affect people from children to adults, cancer and non-cancer screening. Everyone at some point may be affected by these non-expert recommendations that “go against logic and evidence” as urologist, Dr Fred Saad put it. #cdnpoli Mark Holland
Canadians deserve better. Let's finally fix it.
Every CDN deserves the right to detect cancer early. #cdnpoli Mark Holland
Ya'ara Saks יערה זקס
Lisa Hepfner Health Canada and PHAC
cbc.ca/news/politics/…
POP Strategic Communications That’s why we and colleagues from other specialties have established the Coalition for Responsible Healthcare Guidelines. At the press conference last week, there was only time for a few presentations. Please sign the “Add your voice” document on densebreastscanada.ca
Canadian doctors are using 'outdated' guidelines to screen for cancer, experts warn | CBC News. What we’ve been saying on White Coat Black Art for years. cbc.ca/news/politics/…
Thank you, Marina von Stackelberg for this deeper dive into issues with CTFPHC | GECSSP
National & provincial level experts who understand nuances of disease and the benefits & harms of screening are being ignored. Patients are being diagnosed late. #cdnpoli
cbc.ca/news/author/ma…
A pause was requested and granted because CTFPHC | GECSSP interfered w the scientific process and dictated to the evidence review team that antiquated studies be used. Nothing changed. Why did the USA focus on studies after 2016 and we’re stuck in the 60s? Mark Holland #cdnpoli
10 medical specialties & patients have joined, speaking out about the harms to Canadians from
CTFPHC | GECSSP guidelines. Read about the Coalition for Responsible Healthcare Guidelines: Current screening guidelines are risking lives | Healthing.ca healthing.ca/partners/coali…
And it’s not just cancers. Pediatric developmental delay, impaired vision, pregnancy/postpartum depression and hepatitis C screening are all similarly inexpertly handled by CTFPHC | GECSSP.
You can read more here: healthing.ca/partners/coali…
Lori Bird Jennie Dale Shiela Appavoo MD annieslight No need to apologize at all, Lori. The point of my column is that men and women aren’t being tested early enough for a host of cancers.
Thank you to Canadian Cancer Society and NPAssociation Canada for withdrawing your endorsement of CTFPHC | GECSSP 2018 breast screening guidelines.Thank you to the provinces who committed to lowering the screening age to 40. Thank you all for doing the right thing #cdnpoli
Outdated guidelines putting lives at risk – Brandon Sun brandonsun.com/opinion/2024/0… via The Brandon Sun
Thanks for sharing your personal story, Deveryn Ross. While stats are critical to understanding disease, screening is not academic exercise. Those “numbers” are humans. #cdnpoli