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Koya DL, Chen JG, Smith TG, Moran WP. Screening mammography use in Medicare beneficiaries reflects 4-year mortality risk. The American journal of medicine. 2011 Apr 1; 124(4):369.e1-8.
Screening mammography use in older Medicare beneficiaries seems to reflect their 4-year risk of mortality rather than age alone, suggesting that patients and providers consider prognosis in screening decisions. Prospective studies are needed to explore the use of the prognostic index as a mammography screening decision tool.