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Mammography screening of women aged 50 70 years with supplemental ultrasound for 40% with dense breasts would, therefore, necessitate 10,000 mammograms, 3766 ultrasound examinations (lasting, on average, around 10 min) and 644 referrals for assessment (57% more than with mammography alone), and would detect 97 101 breast cancers (18 23% more than mammography alone).
At present, there are no consistent guidelines for mammography screening of women aged 40 49 years.
In 1996, Program policy prioritized mammography screening of older women to allow for best use of limited resources.
Considering the poor economy of these countries, provision of facilities for routine mammography screening of women at risk may not be justifiable.
Organised mammography screening of women aged 50-69 years began April 1st 1991 in Copenhagen municipality, November 1st 1993 in Funen County, and June 1st 1994 in Frederiksberg municipality.
Mammography screening of asymptomatic women may also have potential negative side effects such as overdiagnosis of asymptomatic breast cancers that would otherwise not have given rise to clinical symptoms.
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Estimating the impact of mammography screening on mortality in Loire-Atlantique should be the object of further investigations.
A second example can be found in the discussion of the benefit of mammography screening for early detection of breast cancer.
In this community sample of women eligible for mammography screening, awareness of overdiagnosis of breast cancer was minimal, consistent with earlier quantitative survey research.
The contribution of each factor in explaining the recent variation in trends in incidence of invasive breast cancer was similar, with a slightly stronger estimated effect of mammography screening than of hormone treatment (table 4 and fig 4).
While prior studies have been able to identify characteristics associated independently with use of mammography screening, most of these studies have been conducted with convenience-based, rather than population-based, representative samples of women.
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