Abstract
The benefit of mammography for breast cancer screening among women older than 75 years is unclear owing to competing comorbidity and lack of evidence.1 In this area of uncertainty, an individualized approach to cancer screening that considers a patient's age, health status, and preferences is desirable.2 Such an approach would optimize screening practices and avoid screening women unlikely to benefit; a phenomenon that may apply to 2 of every 5 mammograms in this age group.3