Recommendations from the European Breast Cancer Guidelines

Women between the ages of 50 and 69


Recommendations

For asymptomatic women aged 50 to 69 with an average risk of breast cancer, the ECIBC's Guidelines Development Group (GDG) recommends against annual mammography screening in the context of an organised screening programme (strong recommendation, very low certainty in the evidence).
For asymptomatic women aged 50 to 69 with an average risk of breast cancer, the ECIBC's Guidelines Development Group (GDG) suggests biennial mammography screening over triennial mammography screening in the context of an organised screening programme (conditional recommendation, very low certainty in the evidence).

Summary of Judgements

  triennial
vs.
biennial mammography screening
annual
vs.
triennial mammography screening
Certainty of evidence Very low Very low
Balance of effects Probably favors the comparison Probably favors the comparison
Resources required Moderate savings Large costs
Cost effectiveness Does not favor either the intervention or the comparison Does not favor either the intervention or the comparison
Equity Varies Varies
Acceptability Varies Varies
Feasibility Yes Probably no

Based on the strong recommendation against annual over triennial screening and conditional recommendation of biennial over triennial screening, for the annual vs. biennial mammography screening comparison, the ECIBC's GDG agreed on a strong recommendation against annual screening without the need to discuss in detail the evidence to decision framework criteria.