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In a recent article in Operations Research, the authors show how the model would be used. Take a 40-year-old white woman who has no history of breast cancer in her family, who started menstruation at 14, and who had her first child at 23. Because her chances of getting in situ cancer or invasive cancer are low (0.1 percent and 0.2 percent), the model recommends waiting to get a mammogram until she turns 42. They then look at a 50-year-old woman who has the same risk factors as the first woman but did not have any mammograms during that time. This time, the model recommends getting a mammogram because her risk, at this later age, is high enough to justify the screening.
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