Recommendations from European Breast Guidelines
Should triennial vs. biennial mammography screening be used for early detection of breast cancer in women aged 45 to 49?
- Strong recommendation against the intervention
- Conditional recommendation against the intervention
- ✓ Conditional recommendation for either the intervention or the comparison
- Conditional recommendation for the intervention
- Strong recommendation for the intervention
A recommendation can be strong or conditional.
When a recommendation is strong, most women will want to follow it. When a recommendation is conditional, the majority of women want to follow it but may need more discussion with their healthcare professional first.
The conditional recommendation for either triennial or biennial screening was agreed by the GDG by consensus.
The reason for the conditional recommendation for either the intervention or the comparison was due mainly to the improved health effects with biennial screening, but moderate savings and favourable cost-effectiveness with triennial screening.
Monitoring and EvaluationNone considered.
EvidenceDownload the evidence profile
The GDG noted that there would be 5 fewer breast cancer deaths averted and 12 fewer QALYs per 100,000 women with triennial vs biennial screening. The GDG noted that the data presented here refers to only a 5-year screening interval, as compared to the 20-year screening interval for the 50-69 age category.