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In Germany, a national mammography screening with standardised quality management was introduced by unanimous decision of the Bundestag in 2005. Politicians estimated the benefits as high and referred to the blatant quality deficiencies of the ‘grey’ screening in the hands of practicing physicians. Since then, women between 50 and 69 years of age have been contacted every two years via the residents’ register. The letter of invitation is accompanied by an information sheet which informs the women about the benefits and harms of screening. The current version was developed by the Institute for Quality and Efficiency in Health Care (IQWiG) using the methodology of evidence-based decision support. The X-ray examination of the breast (mammography) is used as standard procedure for diagnostic assessment of cancer suspicious (tactile) findings (so-called ‘diagnostic’ or ‘curative’ mammography). Whether it is also suitable for early detection of breast cancer in clinically healthy women (with the main goal of prolonging life expectancy) has been investigated in controlled trials Abstract

Mammografie-Screening: Nutzen, Risiken, Aufklärung – ein Gespräch zwischen Ingrid Mühlhauser und Ulrike Nitz