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05) and lower across all races and within age categories. RRs were significantly higher for women with only one mammogram. CDRs were similar or higher in women undergoing DBT compared with DM, overall (4.73 versus 4.60, adjusted P= .0005) and by age and race. Positive predictive value for recall was greater for DBT overall (5.29 versus 4.45, adjusted P .0001) and by age, race, and screening frequency. All racial groups had improved outcomes with DBT screening, but disparities were observed in DBT utilization. These data suggest that