Back to The State of the Nation launch - if we can? I read the whole report and I have to say, I LOVE IT! I love it because it is so obviously from the hearts and souls of BC fighters and their families. It has been put together so well, organised, easy to read and sectioned beautifully. I will go back and read it again, section by section, slowly and really absorb what BC fighters are saying across our country and what BCNA intend to do to try and improve Australian's experiences with this disease.
I think the document is really quite thorough, but I do feel at least one thing has been missed. There is a lot of evidence from BreastScreen Australia that the invitation age for active screening of the population should be lowered to 45. I know it is free from 40, but this is not advertised and the majority of women in this age group do not know or do not think it is relevant because the '50' number is on all advertising. The mortality benefit of screening 45-49 yr olds is 30%!! That is second only to 60-64 year olds (37%) Breast density changes often around this age too and mammograms become more effective. Approximately 20% of all BC's are also found in women in their 40's (this is also a FALSE LOW if we consider women attending their first mammogram at 50-51 and finding they have BC - these stats go into the 50+ age group when these cancers were establishing and growing in their late 40's )
The problem with the data sets in this age group is that false positive and breast density data (which are two reasons to negate population mammography screening) has been collected from a 40-49 yr age range, so this information skews results away from 45-49 yr old information. If this data exists, I can't find it.
We all want early detection for best chances of survival. This is a big part of The State of the Nation Report. I feel there is a HUGE hole that women 45-49 are falling in to. Having a mammogram at 50, is too late for too many Australian women.