Quebec to Expand Breast Cancer Screening for Women Aged 45-49, Pending System Improvements
Quebec’s Breast Cancer Screening Program may soon include women aged 45 to 49, according to a recent recommendation by INESSS. However, experts suggest delaying this expansion to avoid overwhelming the healthcare system. Key priorities include reducing the province’s high recall rate and updating the program’s computer system.
Health Minister Christian Dubé tasked INESSS with evaluating the potential expansion of the screening program. INESSS’s findings, released on Monday, advocate for improvements before adding a new age group.
The committee’s main suggestion is to enhance efficiency by decreasing recall rates and updating technology before gradually integrating women aged 45 to 49. INESSS clarifies that their analysis did not take a stance on screening women under 50.
Catherine Truchon, Director of Health Services at INESSS, highlighted the need for a strategic approach to address resource implications. The addition of a large number of women to the program could strain existing services and lead to longer wait times for various medical procedures.
The report underscores the challenges posed by the high recall rate, which results in unnecessary follow-up tests for many women. Truchon explains that though some recalls are necessary for confirmation, Quebec’s rate surpasses targets, necessitating further investigation.
The province’s recall rates exceed recommended thresholds, indicating the need for system improvements. INESSS proposes enhancements like email or text invitations and potential interventions to streamline the screening process.
Expanding screening to women under 50 presents financial and logistical challenges. INESSS acknowledges the disparities compared to other regions but also highlights budget constraints within the healthcare system.
While the discussion continues about potentially extending screening to women aged 40 to 44, current focus remains on the 45-49 age group. Truchon emphasizes ongoing monitoring of cancer data to inform future decisions.
Breast cancer is a significant health concern for women, with early detection being crucial in saving lives. The proposed expansion aims to enhance screening effectiveness and reduce mortality rates among younger women.
