Mammography screening is recommended for women between the ages of 45 and 74 and strongly recommended for women between the ages of 50 and 69.
Although in 2003 the Council of the EU recommended the implementation of organised screening programmes, in practice in Europe organised or non-organised screening co-exist and there are some uncertainties regarding their effectiveness.
Should an organised mammography screening programme vs. an opportunistic or non-organised mammography screening programme be used for early detection of breast cancer in asymptomatic women?
The ECIBC's Guidelines Development Group (GDG) recommends using an organised mammography screening programme for early detection of breast cancer in asymptomatic women.
Strong recommendation for the intervention
Moderate certainty of the evidence
Considerations for implementation and policy making
- Information from local contexts and "grey literature" may provide additional evidence on the cost-effectiveness of this intervention in different settings.
- This recommendation only applies to the age groups where the GDG has recommended screening.
- The GDG noted that there may be barriers to implementation based on the resistance to organised screening programmes of some professionals.
- The GDG agreed there is room for improvement in developing information material that is more acceptable to women invited to screening.
Monitoring and evaluation
Appropriateness and adherence to protocols for organised screening programmes.