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The average B5a upgrade rate across UK breast screening programmes is around 20%.
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Awareness of the cervical screening and breast screening programmes was high, with over 94% awareness, but relatively poor for bowel cancer-screening with only 415 (61.8%) aware that there was such a programme (Table 2).
A UK government review says the national breast screening programme is damaging more women's lives than it saves and should be scrapped.
The primary aim of the NHS breast screening programme is to reduce deaths from breast cancer by early detection.
Conclusion The NHS breast screening programme is only moderately likely to be cost effective at a standard threshold.
The Dutch breast screening programme is characterized by low referral rates and relatively high-interval cancer rates.
The probability that the breast screening programme is cost effective compared with no screening was 45% (2260 scenarios) at a threshold of £20 000 per QALY.
Whether such a reduction occurs in a long-running, organized, population-based breast screening programme is what Joost Nederend and colleagues explore in their study from The Netherlands [ 1].
If the NHS breast screening programme is to be implemented on a solid evidence base, further randomised trials are urgently required.
The balanced presentation afforded by convening a Citizens Juryy when considering a major question such as the introduction of a breast screening programme is advocated.
The Scottish Breast Screening Programme is a nationwide, free at point of delivery screening service, to which all women aged between 50 and 70 years are invited to attend every 3 years.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com