Examining the evidence for breast self examination recommendations

Purpose – The purpose of the paper is to examine the evidence behind breast self examination recommendations. Design/methodology/approach – In this paper the recommendations of various professional and specialty organizations are reviewed along with an analysis of the randomized controlled trials that provided data for these recommendations. Methodological issues regarding these trials and the conclusions that can be drawn are evaluated and presented here. Findings – The paper finds that the current evidence is not sufficient to make recommendations to western women for or against breast self‐examination. Practical implications – The paper implies that breast cancer is a leading cause of morbidity and mortality in women in the USA. Originality/value – The paper shows that, while mammography and clinical breast examination remain the standard of care in screening for breast cancer, much controversy has surrounded recommendations for breast self‐examination in breast cancer screening.