Correction: This article was corrected on April 5, 2016, to correct the exposure in Table 3 for the randomized clinical trials and correct the 5-year risk in the first row of Table 4 by providing a more specific age category.
Study concept and design: Oeffinger, Etzioni, Michaelson, Shih, Church, Flowers, LaMonte, Wolf, Andrews, Manassaram-Baptiste, Saslow, Smith, Brawley.
Acquisition, analysis, or interpretation of data: Oeffinger, Fontham, Herzig, Michaelson, Shih, Walter, Church, Flowers, Wolf, DeSantis, Lortet-Tieulent, Saslow, Smith, Wender.
Drafting of the manuscript: Oeffinger, Fontham, Etzioni, Herzig, Michaelson, Shih, Walter, Flowers, Saslow, Smith, Brawley.
Critical revision of the manuscript for important intellectual content: Oeffinger, Etzioni, Herzig, Michaelson, Shih, Walter, Church, Flowers, LaMonte, Wolf, DeSantis, Lortet-Tieulent, Andrews, Manassaram-Baptiste, Saslow, Smith, Brawley, Wender.
Statistical analysis: Etzioni, Michaelson, Church, DeSantis, Lortet-Tieulent, Smith.
Administrative, technical, or material support: Fontham, Church, LaMonte, Andrews, Manassaram-Baptiste, Smith, Brawley, Wender.
Study supervision: Oeffinger, Shih, Church, Flowers, Smith, Brawley.
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Etzioni reported owning stock in Seno Medical Instruments. Dr Michaelson reported receiving compensation for consulting on lawsuits involving delay in the treatment of cancer from CRICO Medical Insurance Company, University of Missouri, PPIC Medical Insurance Company, NORCA Mutual Insurance Company, MCIC Vermont Insurance Company, the law office of Hart Warner, Ford, Parshall & Baker, Haut & Marsh, Newber Pepe & Monteith, Meredith, Wildberger & Brennan, and Offutt Nord Burchett, Barger & Wolen, and receiving grant funding from Nikon. Dr Flowers reported receiving compensation as a consultant to Spectrum, Celgene, Optum Rx, and Seattle Genetics; serving as an unpaid consultant to Genentech/Biogen-Idec/Roche, and Millennium/Takeda; receiving compensation for development of educational presentations from Clinical Care Options, Educational Concepts, PRIME Oncology, and Research to Practice; and his institution receiving research funding from AbbVie, Acerta, Celgene, Gilead Sciences, Infinity Pharmaceuticals, Janssen Pharmaceutical, Millennium/Takeda, Spectrum, Onyx Pharmaceuticals, and Pharmacyclics. Dr Smith reported serving as an unpaid advisor on General Electric Health Care’s Breast Medical Advisory Board in 2015, to provide advice on appropriate implementation of technology in low- and middle-income countries. No other disclosures were reported.
Funding/Support: The American Cancer Society (ACS) supported the development of this guideline through the use of general funds. Dr Oeffinger was supported in part through a Cancer Center Support Grant from the National Institutes of Health/National Cancer Institute (P30 CA008748).
Role of the Sponsor: The ACS had an advisory role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, and approval of the manuscript; and decision to submit the manuscript for publication. The ACS Mission Outcomes Committee and Board of Directors reviewed and approved the guideline. Final decisions were the responsibility of the Guideline Development Group.
Members of the American Cancer Society Guideline Development Group (GDG): Timothy R. Church, Ruth Etzioni, Christopher R. Flowers, Elizabeth T. H. Fontham, Abbe Herzig, Samuel J. LaMonte, James S. Michaelson, Kevin C. Oeffinger, Ya-Chen Tina Shih, Louise C. Walter, Andrew M. D. Wolf. (The Breast Cancer Screening Subgroup included Kevin C. Oeffinger, Elizabeth T. H. Fontham, Ruth Etzioni, Abbe Herzig, James S. Michaelson, Ya-Chen Tina Shih, and Louise C. Walter.) The ACS established the GDG, and all members served as volunteers and received no compensation from the ACS.
Additional Contributions: We thank the individuals who served as expert advisors to the GDG and provided review of the protocol for the systematic evidence review, the draft evidence report, and the draft guideline (see the eMethods in the Supplement). We would also like to thank the representatives of stakeholder organizations (listed in the eMethods) who provided comments on the draft guideline as part of the external review process.