Designing a New Breast Cancer Screening Program Considering Adherence
The existing mammography screening guidelines worldwide do not fully capture the dynamics of mammography screening. Specifically, these guidelines consider only age, which is just one of the risk factors associated with breast cancer, when making policy recommendations. Understanding that women at the same age groups do not have uniform breast cancer risks suggests that screening strategies that are tailored to individual risks may be more beneficial in saving the lives of high-risk women while decreasing unnecessary complications in low-risk women. The existing mammography screening guidelines also do not consider adherence behavior of patients when making policy recommendations. The existing guidelines assume 100% adherence to screening recommendations by patients, an assumption which is not supported by observed screening rates.