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ANN ARBOR---Michigan's strict mammography regulations, enacted in 1989 and beefed up in 1994, improved the quality of mammograms and did not limit access to the cancer-screening procedure, according to a new analysis.
These findings are significant beyond Michigan's borders, because federal mammography standards have been enacted which closely mirror the Michigan model.
The success of Michigan's law, which was the first of its kind in the nation, suggests the federal regulations also will reap positive results. The White House authorized the stricter national standards in October.
Each year, more than 20 million U.S. women receive mammography exams, a procedure shown to be an effective method of controlling breast cancer morbidity and mortality. Prior to the federal mammography regulations, quality standards varied from state to state.
The study analyzing the effects of Michigan's mammography law is detailed in the April issue of the American Journal of Public Health. The article's lead author is Lou Fintor, M.A., M.P.H., a faculty research investigator in the Department of Internal Medicine at the University of Michigan Medical School.
The bottom line is that after Michigan enacted its stricter standards:
Fintor participated in the mammography study while working at the National Cancer Institute (NCI). He is now an investigator for a U-M Health System program that oversees research analyzing health care quality and costs and the consequences of changes in medical care. The program is called CHOICES---Consortium for Health Outcomes, Innovation, and Cost-Effectiveness Studies.
The mammography study was a collaboration between the NCI, the U.S. Food and Drug Administration, the Centers for Disease Control, the Michigan Department of Community Health and the Michigan Department of Consumer & Industry Services.
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American Journal of Public Health