Decreased breast cancer mortality rates through screenings
In a groundbreaking development, the latest findings from a comprehensive evaluation study reveal that the German mammography screening program significantly reduces breast cancer mortality among participating women. The study, conducted by researchers from the University of Münster and funded with approximately ten million euros, is one of the largest of its kind globally.
The study, commissioned by the Federal Office for Radiation Protection, highlights that around one in four breast cancer deaths in the target age group (50- to 69-year-old women) are prevented by the screening program. This effect is specific to examinations carried out within the quality-assured, organized screening program and does not extend to mammograms done outside this system.
Furthermore, the benefit of the screening program clearly outweighs the very low radiation risk associated with the mammography examination, confirmed by its radiation protection law approval.
The study combined two different analytical approaches: billing data from health insurance companies across the country and comprehensive data from North Rhine-Westphalia. The results were presented this week in Berlin by Federal Environment Minister Carsten Schneider, Federal Health Minister Nina Warken, and others.
In addition, there is increasing integration of artificial intelligence (AI) in Germany's breast cancer screening. AI-assisted tools have been shown to improve cancer detection rates without increasing false-positive recall rates. Although AI use is not yet fully embedded in national guidelines or reimbursement, amendments are underway to include AI officially in the screening program.
The mammography screening program, introduced in 2005, has been nationwide for women aged 50 to 69 since 2009 and will be available up to the age of 75 from 2024. Women eligible for the program receive a written invitation every two years. Participation is voluntary and takes place in certified units under strict quality and radiation protection guidelines.
Minister Warken emphasized that the study results are a good message for all women in Germany who receive an invitation for mammography screening. Early diagnosis through screening can prevent up to every fourth death from breast cancer. The program enables early detection and increases the chances of recovery.
References: [1] University of Münster. (2022). Reduction of breast cancer mortality by mammography screening in Germany. Retrieved from
The latest evaluation study from the University of Münster, conducted with funding of approximately ten million euros and focused on medical-conditions like breast-cancer, has concluded that the German mammography screening program significantly reduces breast cancer mortality among participating women, particularly those aged 50 to 69. Furthermore, the integration of artificial intelligence (AI) in Germany's breast cancer screening has been shown to improve cancer detection rates without increasing false-positive recall rates, with amendments underway to officially include AI in the screening program. This program, implemented nationwide in 2009, encourages early diagnosis and increases the chances of recovery, as it can prevent up to one-fourth of breast cancer deaths.
