AMIC calls for changes to USPSTF process

AuntMinnie.com staff writers

May 19, 2011

The Access to Medical Imaging Coalition (AMIC), together with several patient advocacy organizations, is urging the U.S. Agency for Healthcare Research and Quality (AHRQ) to change the composition of the U.S. Preventive Services Task Force (USPSTF) and its process for issuing recommendations.

In a letter written to AHRQ, AMIC and its allies requested the following changes:

Include representatives from specialty medical associations, patient groups, and scientific societies.
Make the USPSTF recommendations process open to the public and fully transparent by following the procedures required under the Federal Advisory Committee Act.
Require that the USPSTF issue recommendations affecting a particular area of medicine and/or a specific disease state only if at least one member of the USPSTF has proven expertise in such area.

The letter was signed by the following groups, in addition to AMIC:

Action to Cure Kidney Cancer
American Pain Foundation
Bladder Cancer Advocacy Network
Brain Injury Association of America
Colon Cancer Alliance
ColonTown
Hypertrophic Cardiomyopathy Association
Kidney Cancer Association
Lung Cancer Alliance
Men's Health Network
Patient Advocates for Advanced Cancer Treatments
Sarcoma Foundation of America
Semi-Colon Club
Sudden Cardiac Arrest Association
Us TOO International Prostate Cancer Education and Support Network
YES! Beat Liver Tumors
ZERO -- The Project to End Prostate Cancer

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Images in a 70-year-old asymptomatic woman with a prior excisional biopsy in the left breast yielding lobular carcinoma in situ 3 years earlier. Screening contrast-enhanced mammography (CEM) was performed, which was considered a prevalence screen as the woman had no prior breast MRI in the past 3 years and no prior CEM. (A) Low-energy (26–30 kVp) mediolateral oblique (MLO) and (B) craniocaudal (CC) views show surgical clips but no abnormality. (C) Recombined MLO and (D) CC images show an enhancing mass in the medial left breast (arrows). Biopsy revealed invasive lobular carcinoma. Size was 0.2 cm; tumor grade II/III; negative lymph nodes; and estrogen receptor–positive, progesterone receptor–positive, and human epidermal growth factor receptor 2–negative.

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