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Spain Reviews Earlier Breast Screening as Basque Program Moves to 48, 45 by 2027

A national RedETS review will decide on lowering the start to 45 with coverage up to age 74.

Overview

  • The Health Ministry says RedETS is assessing a shift from the current 50–69 guideline toward starting at 45 and extending to 74 in line with EU advice.
  • Osakidetza will invite first mammograms at 48 instead of 50 and plans to reach 45 in 2027, citing clinical backing and higher incidence in women aged 45–49.
  • The Basque screening program performs about 3,000 mammograms weekly, records 79–80% participation, and identified 715 cancers in 2024, mostly at early stages.
  • Patient pressure is growing, including a Change.org campaign by 43-year-old María Varela that has drawn more than 53,500 signatures to start screening at 40.
  • Experts remain split on the start age—radiologists support 40 and Fecma favors 45—while clinicians caution about false positives, overdiagnosis, and the lack of a unified national registry to track trends in younger women.