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.
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.
Conditional recommendation for the intervention
Moderate certainty of the evidence
This recommendation does not apply to high-risk women (see recommendations for women with high breast density).
Considerations for implementation and policy making
GDG members agreed on the need for additional imaging techniques in this age group, together with the need for shared decision making. Implementation in this age group should be done in such a way to allow further quantification of benefits and harms.
Monitoring and evaluation
Future monitoring and evaluation of screening services should consider risks and benefits in the context of evolving treatment and management protocols. Monitoring and evaluation criteria are being developed within the ECIBC initiative.
1. Carry out evaluations of the efficacy of the intervention, time intervals, risk factors and stratification of women, as well as context specific cost-effectiveness in this age group.
2. Carry out studies addressing the role of other screening modalities (such as magnetic resonance imaging MRI) in this population.