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Should breast density at age 40 guide mammography screening strategy?


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Journal
Annals of Internal Medicine
Reuters Health - 09/02/2021 - A breast cancer screening strategy based on a single measure of breast density obtained at age 40 may a cost-effective way to reduce deaths from breast cancer, researchers propose in a paper in Annals of Internal Medicine. Current breast cancer screening recommendations advise starting mammography at age 50 for women at average risk. But women with dense breasts are at increased risk for breast cancer and might benefit more than other women from earlier and more frequent screening mammography, Dr. Ya-Chen Tina Shih, with University of Texas MD Anderson Cancer Center in Houston and colleagues point out. Using a microsimulation model, they compared health outcomes and cost-effectiveness of seven breast cancer screening strategies: no screening, biennial screening between age 50 and 75, triennial screening between 50 and 75, and four breast density-stratified strategies (two with baseline mammogram at age 40, and the other two at age 50). ...


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