The latest recommendations on breast cancer screening in women from 40 to 49 years charge primary care providers (PCPs) with completing shared decision-making with women about screening mammography. However, there is a lack of supportive materials accompanying this directive. No easy-to-use risk assessment tool is available for PCPs to stratify women's risk. Neither is an evidence-based patient-centered way to assess values surrounding mammography available. To provide the highest quality care for women of 40–49 years, further research should clarify ways to apply risk assessment and values clarification to individual women.
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