These recommendations are for women who do not have any symptoms of breast cancer, are not at high risk of breast cancer, and want to know when they should be screened.

Healthcare question

Should organised mammography screening vs. no mammography screening be used for early detection of breast cancer in women aged 45 to 49?


For asymptomatic women aged 45 to 49 with an average risk of breast cancer, the ECIBC's Guidelines Development Group (GDG) suggests mammography screening over no mammography screening in the context of an organised screening programme.

Recommendation strength ­

  Conditional recommendation for the intervention

  Moderate certainty of the evidence


The GDG agreed this recommendation by consensus with no need for voting.

The decision on this recommendation takes into account the balance between desirable and undesirable effects that probably favours organised mammography screening for women aged 45 to 49 in the context of moderate certainty of the evidence.

New evidence suggested that the cost-effectiveness probably favours organised mammography screening.

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