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Assembly version: 1. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U. Department of Health and Human Services.
The decision to start screening mammography in women prior to age 50 years should be an individual one. Women who place a higher value on the potential benefit than the potential harms may choose to begin biennial screening between the ages of 40 and 49 years. Of all of the age groups, women aged 60 to 69 years are most likely to avoid breast cancer death through mammography screening.
While screening mammography in women aged 40 to 49 years may reduce the risk for breast cancer death, the number of deaths averted is smaller than that in older women and the number of false-positive results and unnecessary biopsies is larger. The balance of benefits and harms is likely to improve as women move from their early to late 40s.
Beginning mammography screening at a younger age and screening more frequently may increase the risk for overdiagnosis and subsequent overtreatment. Go to the Clinical Considerations section for information on implementation of the C recommendation. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women aged 75 years or older. The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of digital breast tomosynthesis DBT as a primary screening method for breast cancer.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adjunctive screening for breast cancer using breast ultrasonography, magnetic resonance imaging, DBT, or other methods in women identified to have dense breasts on an otherwise negative screening mammogram.