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The Avon Foundation for Women strongly supports current mammography
screening guidelines that have contributed to a 30% decrease in
breast cancer mortality since 1990 when mammography screening became
routine.On November 16, 2009, the
U.S. Preventive Services Task Force (USPSTF) recommended changing
current mammography screening guidelines to begin biennial screening
in women aged 50, discontinue screening for women over 75 years of
age, and no longer promote self breast exam.
The Avon Foundation for Women advocates for
empowering women of all ages by ensuring they have access to medical
experts with whom to discuss breast health and the knowledge to make
informed decisions with their doctors on breast health care, early
detection screening for breast cancer, breast cancer risk and risk
reduction strategies.
- The Avon Foundation continues to support
the guidelines recommended by expert groups – American Cancer
Society, American College of Radiology, Susan G. Komen for the
Cure and others – including that women get to know their own
bodies through breast self awareness and immediately report any
changes to their doctor, begin annual screening mammography at age
40, and continue annual screening mammography for as long as the
woman is in good health.
- Doctors must take time to conduct
individualized risk assessments and provide appropriate guidance
to women of all ages. It is more important than ever for women and
doctors to have a comprehensive dialogue about the benefits,
limitations, and potential harms of mammography, the risks of
delaying mammography, and the value of being familiar with ones
own body.
- Educational support, insurance coverage
and government programs for early detection must not be
jeopardized, as reductions would dramatically influence a woman’s
breast health care decisions. The November 18 statement by
Secretary of Health and Human Services, Kathleen Sebelius
reiterating that the government’s policies remain unchanged and
continue to support current mammography screening guidelines was
welcome news to those like the Avon Foundation for Women who were
concerned about possible ramifications of the USPSTF
recommendations.
- The lack of access to care for medically
vulnerable populations continues to be a priority for the Avon
Foundation. One third of all women who qualify for screening are
already not being screened due to lack of access and barriers to
screening and treatment. Resources to link women to providers
include the Avon Foundation Breast Care Fund (www.avonbreastcare.org)
and Avon Foundation Safety Net hospitals (www.avonfoundation.org/resourceguide).
- The new USPSTF recommendations address
concerns with current mammography technology and the level of
scientific understanding about breast cancer disease progression,
aggressiveness, and likelihood of metastasis. The Avon Foundation
for Women continues its commitment to fund cutting-edge research
to develop new tests for more accurate risk assessment, to better
determine which women benefit from mammography, ultrasound or MRI
screening, and accelerate advances in tumor analysis technology,
to better determine the appropriate level of aggressiveness for
treatment. Information about Avon Foundation funded grants in
these categories can be accessed via
this link, or visit the
funding webpage for
a full grant listing.
Empowering Women of All Ages to Make
Informed Decisions on Mammography Screening Avon Foundation for
Women Response to New U.S. Preventive Services Task Force (USPSTF)
Mammography Recommendations |
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