Initiate and reinitiate discussions around stopping screening

Estimate patient life expectancy

Summarize the benefits and risks of screening based on patient life expectancy (using decision aids may help)

Clarify patient’s values about the benefits and risks of screening

As an alternative, discuss preventive measures that may help older women in a shorter time frame (e.g., exercise)

Inform women that they may still undergo mammography if they develop a breast symptom or problem