Ageing
Half of women missing recommended mammograms – US data
Concerning AI-generated data showing the low attendance of women at breast screenings has been published in the US.
Data suggests that 53.3 per cent of commercially insured women received their recommended screening mammogram between 2022 and 2023. This is up from 47.3 per cent in the prior two-year period, an increase of nearly 13 per cent. But almost half of women are still missing out on these critical screenings.
Cedar Gate Technologies’ predictive AI model has identified that approximately 52 per cent of women due for a mammogram in the coming year are unlikely to get it. This could leave millions of women at risk of missing an early detection opportunity.
“Our data shows that more women are getting mammograms, but there is still a concerning potential for gaps in preventive care,” said David Snow, chairman and CEO of Cedar Gate.
“Providers, payers, and employers need to understand how trends could impact their own patient and member populations to increase the rate of necessary mammograms. Early detection remains the most effective way to improve breast cancer outcomes. Our predictive model enables healthcare organizations to identify women at risk of missing these critical screenings and target their outreach to improve care.”
The analysis evaluated nearly 3.4 million women in Cedar Gate’s National Healthcare Benchmark Database, which includes anonymised data for approximately 15 million individuals.
The AI model examines multiple data points and assigns a probability score on whether the person is unlikely to get a mammogram based on U.S. Preventive Services Task Force (USPSTF) guidelines.
These guidelines recommend biennial screenings for women between the ages of 40 and 75 who are at average risk for breast cancer. Of the women analyzed, almost 1.75 million were flagged as unlikely to get a mammogram.
The average age of women with breast cancer as a primary diagnosis in Cedar Gate’s database of commercially insured members is 58 years – four years younger than the national median age of 62 for the entire population, which includes Medicare and Medicaid patients. By starting regular mammogram screenings at 40, women and their doctors may detect early signs of cancer sooner, which can lead to more treatment options and better outcomes.
According to 2024 estimates, there will be 310,720 new cases of invasive breast cancer among women in the US, excluding recurrences.
Additionally, there will be 56,500 new cases of ductal carcinoma in situ (DCIS), a non-invasive or pre-invasive form of breast cancer, and 42,250 breast cancer-related deaths. The Centers for Disease Control and Prevention (CDC) advocates for regular mammogram screenings as one of the most effective ways to catch breast cancer early.
Ageing
Mediterranean diet lowers stroke risk in women, study finds
Insight
Pregnancy and breastfeeding linked to higher cognitive ability in postmenopausal women
Pregnancy and breastfeeding are linked to stronger cognition in postmenopausal women, a long-term study suggests.
Greater cumulative time spent pregnant and time spent breastfeeding correlated with higher overall scores in the study, including verbal and visual memory, in later life.
Researchers analysed annual assessments of more than 7,000 women aged about 70 for up to 13 years using data from the Women’s Health Initiative Memory Study and the Women’s Health Initiative Study of Cognitive Aging.
On average, those who were pregnant for around 30.5 months were expected to have a 0.31 per cent higher global cognition score than those who had never been pregnant.
A lifetime average of 11.6 months of breastfeeding was linked to a 0.12 per cent higher global score.
Each additional month spent pregnant was associated with a 0.01-point rise in overall ability.
Each extra month of breastfeeding showed the same increase, and a 0.02-point gain in verbal and visual memory. Although small, these effects are similar to known protective factors such as not smoking and high physical activity.
The work was led by Molly Fox, an anthropology professor at the University of California, Los Angeles.
Fox said: “Any ways in which we can focus public health outreach or clinical interventions towards higher-risk populations leads to more effective and efficient efforts.”
Participants who had ever been pregnant scored, on average, 0.60 points higher than those who had never been pregnant.
Those who had breastfed scored 0.19 points higher overall and 0.27 points higher for verbal memory than those who had never breastfed.
Women are disproportionately affected by Alzheimer’s disease, a progressive condition that impairs memory and thinking skills, and this is not fully explained by life expectancy differences.
The authors say biology and social factors may both play roles.
They noted that more adult children could contribute to cognitive health by buffering stress, supporting wellbeing or encouraging healthy behaviour.
“If we can figure out, as a next step, why those reproductive patterns lead to better cognitive outcomes in old age, then we can work towards figuring out how to craft therapies, for example, new drugs, repurposed drugs or social programmes, that mimic the naturally occurring effect we observed,” said Fox.
The study team is now working to identify the mechanisms that link reproductive histories to cognitive resilience.
Insight
‘Rejuvenated’ eggs raise hopes for improved IVF outcomes
Scientists say they have ‘rejuvenated’ human eggs, in work that could improve IVF success rates for older women.
The team reports that an age-related defect causing genetic errors in embryos may be reversed by supplementing eggs with a key protein.
In eggs donated by fertility patients, microinjection of the protein cut the share showing the defect from 53 per cent to 29 per cent.
The findings were presented at the British Fertility Conference in Edinburgh by researchers from the Max Planck Institute for Multidisciplinary Sciences in Göttingen.
The technique is being commercialised by Ovo Labs, co-founded by professor Melina Schuh, who led the research.
The approach targets problems in meiosis, the process where eggs halve their genetic material before fertilisation.
In older eggs, chromosome pairs can loosen and separate too soon, leading to embryos with too many or too few chromosomes, known as aneuploidy.
The researchers found levels of a protein called Shugoshin 1, which helps hold chromosome pairs together, decline with age. Microinjections appeared to restore this “molecular glue” and reduce errors.
Professor Schuh said: “Overall we can nearly halve the number of eggs with [abnormal] chromosomes. That’s a very prominent improvement.
“Most women in their early 40s do have eggs, but nearly all of the eggs have incorrect chromosome numbers. This was the motivation for wanting to address this problem.
“What is really beautiful is that we identified a single protein that, with age, goes down, returned it to young levels and it has a big effect.
We are just restoring the younger situation again with this approach.
Declining egg quality is a major reason IVF success rates fall steeply with age.
UK figures show an average birth rate of 35 per cent per embryo transferred for patients under 35, dropping to 5 per cent for women aged 43 to 44.
Dr Agata Zielinska, co-founder and co-chief executive of Ovo Labs, said: “Currently, when it comes to female factor infertility, the only solution that’s available to most patients is trying IVF multiple times so that, cumulatively, your likelihood of success increases.
“What we envision is that many more women would be able to conceive within a single IVF cycle.”
The approach would not extend fertility beyond menopause.
The team is in talks with regulators about a clinical trial.
Dr Güneş Taylor, of the University of Edinburgh, who was not involved, said: “This is really important work because we need approaches that work for older eggs because that’s the point at which most women appear.
“If there’s a one-shot injection that substantially increases the number of eggs with properly organised chromosomes, that gives you a better starting point.”
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