Breast cancer treatment: A phased approach to implementation

Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low‐ and middle‐income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Cancer Jg. 126; H. S10; S. 2365 - 2378
Hauptverfasser:	Mutebi, Miriam, Anderson, Benjamin O., Duggan, Catherine, Adebamowo, Clement, Agarwal, Gaurav, Ali, Zipporah, Bird, Peter, Bourque, Jean‐Marc, DeBoer, Rebecca, Gebrim, Luiz Henrique, Masetti, Riccardo, Masood, Shahla, Menon, Manoj, Nakigudde, Gertrude, Ng’ang’a, Anne, Niyonzima, Nixon, Rositch, Anne F., Unger‐Saldaña, Karla, Villarreal‐Garza, Cynthia, Dvaladze, Allison, El Saghir, Nagi S., Gralow, Julie R., Eniu, Alexandru
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Wiley Subscription Services, Inc 15.05.2020
Schlagworte:	Breast cancer cancer center of excellence Cancer therapies Case studies centralized care Check lists decentralized care Diagnosis dissemination and implementation science early diagnosis health disparities low‐ and middle‐income countries (LMICs) Medical diagnosis multidisciplinary evaluation Oncology Palliative care phased implementation Quality assessment resource-stratification supportive and palliative care treatment underserved communities treatment resource-stratification breast cancer low- and middle-income countries (LMICs) phased implementation multidisciplinary evaluation underserved communities cancer center of excellence early diagnosis health disparities dissemination and implementation science supportive and palliative care centralized care decentralized care
ISSN:	0008-543X, 1097-0142, 1097-0142
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Abstract	Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low‐ and middle‐income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of resources, an insufficiently trained workforce, and/or poor infrastructure. On the basis of prior work by the Breast Health Global Initiative, this article proposes a phased implementation strategy for developing sustainable approaches to enhancing patient care in limited‐resource settings by creating roadmaps that are individualized and adapted to the baseline environment. This strategy proposes that, after a situational analysis, implementation phases begin with bolstering palliative care capacity, especially in settings where a late‐stage diagnosis is common. This is followed by strengthening the patient pathway, with consideration given to a dynamic balance between centralization of services into centers of excellence to achieve better quality and decentralization of services to increase patient access. The use of resource checklists ensures that comprehensive therapy or palliative care can be delivered safely and effectively. Episodic or continuous monitoring with established process and quality metrics facilitates ongoing assessment, which should drive continual process improvements. A series of case studies provides a snapshot of country experiences with enhancing patient care, including the implementation of national cancer control plans in Kenya, palliative care in Romania, the introduction of a 1‐stop clinic for diagnosis in Brazil, the surgical management of breast cancer in India, and the establishment of a women's cancer center in Ghana. Optimal breast cancer patient outcomes are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to treatment; however, in many low‐ and middle‐income countries, effective care management pathways can be difficult to follow. On the basis of previous work by the Breast Health Global Initiative, this consensus manuscript proposes a phased implementation strategy for sustainable systematic approaches to enhancing breast cancer treatment for patients in limited‐resource settings.
AbstractList	Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low- and middle-income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of resources, an insufficiently trained workforce, and/or poor infrastructure. On the basis of prior work by the Breast Health Global Initiative, this article proposes a phased implementation strategy for developing sustainable approaches to enhancing patient care in limited-resource settings by creating roadmaps that are individualized and adapted to the baseline environment. This strategy proposes that, after a situational analysis, implementation phases begin with bolstering palliative care capacity, especially in settings where a late-stage diagnosis is common. This is followed by strengthening the patient pathway, with consideration given to a dynamic balance between centralization of services into centers of excellence to achieve better quality and decentralization of services to increase patient access. The use of resource checklists ensures that comprehensive therapy or palliative care can be delivered safely and effectively. Episodic or continuous monitoring with established process and quality metrics facilitates ongoing assessment, which should drive continual process improvements. A series of case studies provides a snapshot of country experiences with enhancing patient care, including the implementation of national cancer control plans in Kenya, palliative care in Romania, the introduction of a 1-stop clinic for diagnosis in Brazil, the surgical management of breast cancer in India, and the establishment of a women's cancer center in Ghana.Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low- and middle-income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of resources, an insufficiently trained workforce, and/or poor infrastructure. On the basis of prior work by the Breast Health Global Initiative, this article proposes a phased implementation strategy for developing sustainable approaches to enhancing patient care in limited-resource settings by creating roadmaps that are individualized and adapted to the baseline environment. This strategy proposes that, after a situational analysis, implementation phases begin with bolstering palliative care capacity, especially in settings where a late-stage diagnosis is common. This is followed by strengthening the patient pathway, with consideration given to a dynamic balance between centralization of services into centers of excellence to achieve better quality and decentralization of services to increase patient access. The use of resource checklists ensures that comprehensive therapy or palliative care can be delivered safely and effectively. Episodic or continuous monitoring with established process and quality metrics facilitates ongoing assessment, which should drive continual process improvements. A series of case studies provides a snapshot of country experiences with enhancing patient care, including the implementation of national cancer control plans in Kenya, palliative care in Romania, the introduction of a 1-stop clinic for diagnosis in Brazil, the surgical management of breast cancer in India, and the establishment of a women's cancer center in Ghana. Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low‐ and middle‐income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of resources, an insufficiently trained workforce, and/or poor infrastructure. On the basis of prior work by the Breast Health Global Initiative, this article proposes a phased implementation strategy for developing sustainable approaches to enhancing patient care in limited‐resource settings by creating roadmaps that are individualized and adapted to the baseline environment. This strategy proposes that, after a situational analysis, implementation phases begin with bolstering palliative care capacity, especially in settings where a late‐stage diagnosis is common. This is followed by strengthening the patient pathway, with consideration given to a dynamic balance between centralization of services into centers of excellence to achieve better quality and decentralization of services to increase patient access. The use of resource checklists ensures that comprehensive therapy or palliative care can be delivered safely and effectively. Episodic or continuous monitoring with established process and quality metrics facilitates ongoing assessment, which should drive continual process improvements. A series of case studies provides a snapshot of country experiences with enhancing patient care, including the implementation of national cancer control plans in Kenya, palliative care in Romania, the introduction of a 1‐stop clinic for diagnosis in Brazil, the surgical management of breast cancer in India, and the establishment of a women's cancer center in Ghana. Optimal breast cancer patient outcomes are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to treatment; however, in many low‐ and middle‐income countries, effective care management pathways can be difficult to follow. On the basis of previous work by the Breast Health Global Initiative, this consensus manuscript proposes a phased implementation strategy for sustainable systematic approaches to enhancing breast cancer treatment for patients in limited‐resource settings. Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many low‐ and middle‐income countries, effective care management pathways can be difficult to follow because of financial constraints, a lack of resources, an insufficiently trained workforce, and/or poor infrastructure. On the basis of prior work by the Breast Health Global Initiative, this article proposes a phased implementation strategy for developing sustainable approaches to enhancing patient care in limited‐resource settings by creating roadmaps that are individualized and adapted to the baseline environment. This strategy proposes that, after a situational analysis, implementation phases begin with bolstering palliative care capacity, especially in settings where a late‐stage diagnosis is common. This is followed by strengthening the patient pathway, with consideration given to a dynamic balance between centralization of services into centers of excellence to achieve better quality and decentralization of services to increase patient access. The use of resource checklists ensures that comprehensive therapy or palliative care can be delivered safely and effectively. Episodic or continuous monitoring with established process and quality metrics facilitates ongoing assessment, which should drive continual process improvements. A series of case studies provides a snapshot of country experiences with enhancing patient care, including the implementation of national cancer control plans in Kenya, palliative care in Romania, the introduction of a 1‐stop clinic for diagnosis in Brazil, the surgical management of breast cancer in India, and the establishment of a women's cancer center in Ghana.
Author	Duggan, Catherine Adebamowo, Clement Masood, Shahla Bourque, Jean‐Marc Ng’ang’a, Anne DeBoer, Rebecca Unger‐Saldaña, Karla Gebrim, Luiz Henrique Eniu, Alexandru Ali, Zipporah Niyonzima, Nixon Mutebi, Miriam Agarwal, Gaurav Masetti, Riccardo Anderson, Benjamin O. Menon, Manoj Nakigudde, Gertrude Villarreal‐Garza, Cynthia Bird, Peter Dvaladze, Allison El Saghir, Nagi S. Rositch, Anne F. Gralow, Julie R.
Author_xml	– sequence: 1 givenname: Miriam surname: Mutebi fullname: Mutebi, Miriam organization: Aga Khan University Hospital – sequence: 2 givenname: Benjamin O. surname: Anderson fullname: Anderson, Benjamin O. organization: Section of Surgical Oncology, Department of Surgery, University of Washington – sequence: 3 givenname: Catherine orcidid: 0000-0001-7369-4021 surname: Duggan fullname: Duggan, Catherine organization: Division of Public Health Sciences, Fred Hutchinson Cancer Research Center – sequence: 4 givenname: Clement surname: Adebamowo fullname: Adebamowo, Clement organization: Center for Bioethics and Research – sequence: 5 givenname: Gaurav surname: Agarwal fullname: Agarwal, Gaurav organization: Sanjay Gandhi Postgraduate Institute of Medical Sciences – sequence: 6 givenname: Zipporah surname: Ali fullname: Ali, Zipporah organization: Kenya Hospices and Palliative Care Association – sequence: 7 givenname: Peter surname: Bird fullname: Bird, Peter organization: AIC Kijabe Hospital – sequence: 8 givenname: Jean‐Marc surname: Bourque fullname: Bourque, Jean‐Marc organization: McGill University – sequence: 9 givenname: Rebecca surname: DeBoer fullname: DeBoer, Rebecca organization: University of California San Francisco – sequence: 10 givenname: Luiz Henrique surname: Gebrim fullname: Gebrim, Luiz Henrique organization: Centro de Referência da Saúde da Mulher – sequence: 11 givenname: Riccardo surname: Masetti fullname: Masetti, Riccardo organization: Catholic University – sequence: 12 givenname: Shahla surname: Masood fullname: Masood, Shahla organization: University of Florida Health Jacksonville Breast Center – sequence: 13 givenname: Manoj surname: Menon fullname: Menon, Manoj organization: Division of Public Health Sciences, Fred Hutchinson Cancer Research Center – sequence: 14 givenname: Gertrude surname: Nakigudde fullname: Nakigudde, Gertrude organization: Uganda Women's Cancer Support Organization – sequence: 15 givenname: Anne surname: Ng’ang’a fullname: Ng’ang’a, Anne organization: Ministry of Health – sequence: 16 givenname: Nixon surname: Niyonzima fullname: Niyonzima, Nixon organization: Uganda Cancer Institute – sequence: 17 givenname: Anne F. surname: Rositch fullname: Rositch, Anne F. organization: Johns Hopkins Bloomberg School of Public Health – sequence: 18 givenname: Karla surname: Unger‐Saldaña fullname: Unger‐Saldaña, Karla organization: Epidemiology Unit, Instituto Nacional de Cancerología - México – sequence: 19 givenname: Cynthia orcidid: 0000-0003-3587-339X surname: Villarreal‐Garza fullname: Villarreal‐Garza, Cynthia organization: Tecnologico de Monterrey, Centro de Cancer de Mama, Hospital Zambrano Hellion – sequence: 20 givenname: Allison surname: Dvaladze fullname: Dvaladze, Allison organization: Section of Surgical Oncology, Department of Surgery, University of Washington – sequence: 21 givenname: Nagi S. orcidid: 0000-0001-9612-4224 surname: El Saghir fullname: El Saghir, Nagi S. organization: American University of Beirut Medical Center – sequence: 22 givenname: Julie R. surname: Gralow fullname: Gralow, Julie R. organization: Section of Surgical Oncology, Department of Surgery, University of Washington – sequence: 23 givenname: Alexandru orcidid: 0000-0001-6666-5599 surname: Eniu fullname: Eniu, Alexandru email: alexandru.eniu@hopitalrivierachablais.ch organization: Vaud‐Valais
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32348571$$D View this record in MEDLINE/PubMed
BookMark	eNp90E1LxDAQBuAgK-6HXvwBUvAiQtdJ0ySteFmLX7AoyB68hTRN2S5tWpMW2X9v1-5eRDyFIc8MM-8UjUxtNELnGOYYILhRRtk5CWIMR2iCIeY-4DAYoQkARD4NyccYTZ3b9CUPKDlBYxKQMKIcT9DdvdXStZ6SRmnrtX3VVtq0t97Ca9bS6cyTTWNrqdZeW3tF1ZR69y_bojan6DiXpdNn-3eGVo8Pq-TZX749vSSLpa8I5eCHKZMMZ8DSIJcKA4GYqTzHQJkMZUAgTCPNI5xxqkJFY51mjEuWQio5YE5m6GoY2-_x2WnXiqpwSpelNLrunAhIzCJKWIh7evmLburOmn65naKcRxRIry72qksrnYnGFpW0W3GIpQcwAGVr56zOhSqGk1sri1JgELvkxS558ZN833L9q-Uw9U-MB_xVlHr7jxTJa_I-9HwDyYeRhA
CitedBy_id	crossref_primary_10_1007_s00439_024_02653_6 crossref_primary_10_1016_j_ejso_2021_03_003 crossref_primary_10_1155_ecc_1656569 crossref_primary_10_1007_s11696_022_02482_9 crossref_primary_10_1200_GO_25_00168 crossref_primary_10_1002_ijc_33400 crossref_primary_10_1016_j_ejon_2025_102852 crossref_primary_10_1016_j_biochi_2022_12_015 crossref_primary_10_1016_j_glohj_2021_11_001 crossref_primary_10_3389_fonc_2024_1482223 crossref_primary_10_18273_saluduis_56_e_24007 crossref_primary_10_3389_fcell_2020_608412 crossref_primary_10_1039_D5RA00484E crossref_primary_10_1177_11769351221148584 crossref_primary_10_1055_s_0043_1773531 crossref_primary_10_3390_life15040581 crossref_primary_10_3390_pathophysiology29040046 crossref_primary_10_1016_j_soncn_2025_151878 crossref_primary_10_3390_ncrna7010002 crossref_primary_10_1002_cncr_32891 crossref_primary_10_1002_mc_23463 crossref_primary_10_1186_s12889_024_18937_5 crossref_primary_10_1007_s10528_025_11129_9 crossref_primary_10_1186_s43067_024_00164_y crossref_primary_10_3390_biom12010071 crossref_primary_10_3390_complications2020012 crossref_primary_10_1371_journal_pone_0320498 crossref_primary_10_3389_fonc_2023_1203684 crossref_primary_10_1016_j_ejon_2022_102223 crossref_primary_10_1177_00494755221092899 crossref_primary_10_2147_CCID_S354320 crossref_primary_10_3389_fonc_2023_1132816 crossref_primary_10_1186_s12885_024_13267_6 crossref_primary_10_3389_fmed_2024_1390560 crossref_primary_10_1002_jso_28039 crossref_primary_10_1245_s10434_023_14575_0 crossref_primary_10_1016_j_ijbiomac_2023_123636 crossref_primary_10_1007_s11427_022_2240_6 crossref_primary_10_1111_febs_17097 crossref_primary_10_1007_s40203_025_00304_w crossref_primary_10_3390_genes13010088 crossref_primary_10_1016_j_psc_2023_04_010 crossref_primary_10_1186_s12885_021_08252_2 crossref_primary_10_3390_cancers13246304 crossref_primary_10_1016_j_molstruc_2024_139131 crossref_primary_10_1038_s41419_024_07222_3 crossref_primary_10_1097_MS9_0000000000002517 crossref_primary_10_1002_cncr_32880 crossref_primary_10_1016_j_soncn_2023_151567 crossref_primary_10_2478_fon_2024_0015 crossref_primary_10_1016_j_dialog_2025_100235 crossref_primary_10_1186_s12905_022_02041_0 crossref_primary_10_3390_polym13091416 crossref_primary_10_1007_s10570_024_05830_y crossref_primary_10_1007_s12609_023_00496_0 crossref_primary_10_1016_j_intimp_2024_112862 crossref_primary_10_4251_wjgo_v16_i7_3118 crossref_primary_10_1016_j_lfs_2021_120047 crossref_primary_10_1186_s12911_024_02669_y crossref_primary_10_1002_cam4_5634 crossref_primary_10_1002_eng2_12666 crossref_primary_10_1097_MS9_0000000000001187 crossref_primary_10_1186_s12885_025_13861_2 crossref_primary_10_3390_molecules29112503 crossref_primary_10_7759_cureus_58056 crossref_primary_10_1016_j_ejso_2025_109627 crossref_primary_10_1055_s_0045_1806808 crossref_primary_10_1097_OP9_0000000000000045 crossref_primary_10_1155_2022_3254581 crossref_primary_10_1186_s12885_023_11801_6 crossref_primary_10_3389_fendo_2024_1388861 crossref_primary_10_1007_s11042_023_16874_w crossref_primary_10_1186_s12905_023_02257_8 crossref_primary_10_1200_GO_23_00231 crossref_primary_10_1016_j_compbiolchem_2023_107867 crossref_primary_10_1016_j_engeos_2023_100257 crossref_primary_10_4155_fmc_2023_0375 crossref_primary_10_1016_j_xphs_2024_02_005 crossref_primary_10_1371_journal_pone_0318984 crossref_primary_10_1007_s00109_022_02226_y crossref_primary_10_1002_jso_27480 crossref_primary_10_1002_nano_202300191 crossref_primary_10_1016_j_sciaf_2024_e02477 crossref_primary_10_5897_IJNM2025_0547 crossref_primary_10_1016_j_lfs_2022_121008 crossref_primary_10_1111_jocn_16194 crossref_primary_10_1016_j_cmpbup_2023_100098 crossref_primary_10_3390_pathophysiology30020010 crossref_primary_10_1016_j_biopha_2021_112530 crossref_primary_10_2147_BCTT_S478328 crossref_primary_10_1007_s12609_024_00567_w crossref_primary_10_7759_cureus_85891 crossref_primary_10_3390_biomedicines9020114 crossref_primary_10_3390_molecules27092693
Cites_doi	10.1002/cncr.32857 10.1089/jpm.2018.0248 10.1016/j.breast.2013.07.052 10.1093/annonc/mdw213 10.1002/cncr.23843 10.1056/NEJMoa022152 10.1001/jamaoncol.2016.3031 10.1111/j.1075-122X.2006.00202.x 10.1016/S0140-6736(99)02143-1 10.1245/s10434-016-5135-1 10.1093/annonc/mdx521 10.1016/j.clon.2016.05.008 10.1200/JGO.18.10480 10.1002/cncr.32872 10.1002/cncr.32871 10.1093/annonc/mdu385 10.1016/S0140-6736(14)60488-8 10.1002/cncr.32880 10.1002/cncr.32887 10.1002/cncr.32899 10.1016/S1470-2045(17)30592-2 10.4103/0019-509X.92245 10.1016/j.breast.2013.07.049 10.1136/jclinpath-2012-201404 10.1016/j.breast.2013.07.050 10.1056/NEJMoa020989 10.1136/esmoopen-2015-000030 10.1080/13696998.2018.1484372 10.1016/j.breast.2015.01.013 10.1200/JGO.18.10130 10.1056/NEJMoa1903765 10.1016/S1470-2045(14)70117-2 10.1001/jamaoncol.2019.4782 10.1596/978-1-4648-0527-1_ch12 10.1093/annonc/mdy192 10.1200/JGO.2015.000158 10.4103/ijc.IJC_517_17 10.1186/s13027-017-0124-y 10.1136/esmoopen-2016-000142 10.1002/cncr.23838 10.1002/cncr.23841 10.6004/jnccn.2016.0103 10.1007/s00268-015-3222-2 10.1002/cncr.32877 10.1093/annonc/mdm056 10.1007/s10549-016-4031-5 10.1046/j.1524-4741.9.s2.6.x 10.3322/caac.21597 10.1002/cncr.29331 10.2471/BLT.15.163998 10.26719/2007.13.5.1160 10.1016/j.jpainsymman.2012.05.011 10.1056/NEJMoa1911149 10.31557/APJCP.2019.20.12.3711 10.1016/S1470-2045(14)70457-7 10.1007/s00268-013-2378-x 10.1016/j.jpainsymman.2017.03.036 10.6004/jnccn.2018.0044 10.1002/cncr.23836 10.1016/j.breast.2011.02.005 10.1016/S1470-2045(11)70031-6 10.1200/JCO.2015.61.8736 10.1056/NEJMoa0906260 10.1016/S0140-6736(17)32906-9
ContentType	Journal Article
Copyright	2020 American Cancer Society 2020 American Cancer Society.
Copyright_xml	– notice: 2020 American Cancer Society – notice: 2020 American Cancer Society.
DBID	AAYXX CITATION NPM 7TO 7U7 C1K H94 K9. NAPCQ 7X8
DOI	10.1002/cncr.32910
DatabaseName	CrossRef PubMed Oncogenes and Growth Factors Abstracts Toxicology Abstracts Environmental Sciences and Pollution Management AIDS and Cancer Research Abstracts ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Premium MEDLINE - Academic
DatabaseTitle	CrossRef PubMed AIDS and Cancer Research Abstracts ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Premium Oncogenes and Growth Factors Abstracts Toxicology Abstracts Environmental Sciences and Pollution Management MEDLINE - Academic
DatabaseTitleList	MEDLINE - Academic AIDS and Cancer Research Abstracts CrossRef PubMed
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Medicine
EISSN	1097-0142
EndPage	2378
ExternalDocumentID	32348571 10_1002_cncr_32910 CNCR32910
Genre	reviewArticle Review Research Support, Non-U.S. Gov't Journal Article Research Support, N.I.H., Extramural
GrantInformation_xml	– fundername: UE LifeSciences – fundername: Pfizer – fundername: Fred Hutchinson Cancer Research Center – fundername: Novartis – fundername: Seattle Cancer Care Alliance – fundername: American Society of Clinical Pathology – fundername: National Comprehensive Cancer Network – fundername: Journal of Global Oncology – fundername: GE Healthcare – fundername: National Cancer Institute funderid: 1R13CA224776‐01A1 – fundername: Susan G. Komen grantid: GSP18BHGI001 – fundername: NCI NIH HHS grantid: 1R13CA224776-01A1
GroupedDBID	--- -~X .3N .GA 05W 0R~ 10A 1CY 1L6 1OC 24P 29B 33P 3SF 3WU 4.4 4ZD 50Y 50Z 51W 51X 52M 52N 52O 52P 52R 52S 52T 52U 52V 52W 52X 53G 5GY 5VS 66C 6J9 6P2 6PF 702 7PT 8-0 8-1 8-3 8-4 8-5 85S 8UM 930 A01 A03 AAESR AAEVG AAHHS AAHQN AAIPD AAMNL AANLZ AAONW AARRQ AAWTL AAXRX AAYCA AAZKR ABCQN ABCUV ABEML ABHFT ABIJN ABIVO ABJNI ABLJU ABOCM ABPPZ ABPVW ABQWH ABXGK ACAHQ ACCZN ACFBH ACGFO ACGFS ACGOF ACMXC ACNCT ACPOU ACPRK ACSCC ACXBN ACXQS ADBBV ADBTR ADEOM ADIZJ ADKYN ADMGS ADOZA ADXAS ADZMN ADZOD AEIGN AEIMD AENEX AEUQT AEUYR AFBPY AFFPM AFGKR AFPWT AFRAH AFWVQ AFZJQ AHBTC AIACR AIAGR AITYG AIURR ALAGY ALMA_UNASSIGNED_HOLDINGS ALUQN ALVPJ AMBMR AMYDB ATUGU AZBYB AZVAB BAFTC BAWUL BFHJK BHBCM BMXJE BROTX BRXPI BY8 C45 CS3 D-6 D-7 D-E D-F DCZOG DPXWK DR2 DRFUL DRMAN DRSTM E3Z EBS EMOBN EX3 F00 F01 F04 F5P FD6 FUBAC G-S G.N GNP GODZA GX1 H.X HBH HGLYW HHY HHZ HZ~ IH2 IX1 J0M JPC KBYEO KQQ KZ1 L7B LATKE LAW LC2 LC3 LH4 LITHE LMP LOXES LP6 LP7 LSO LUTES LYRES MEWTI MK4 MRFUL MRMAN MRSTM MSFUL MSMAN MSSTM MXFUL MXMAN MXSTM N04 N05 N9A NF~ NNB O66 O9- OIG OK1 OVD P2P P2W P2X P2Z P4B P4D Q.N Q11 QB0 QRW R.K ROL RWI RX1 RYL SJN SUPJJ TEORI UDS UHB V2E V8K V9Y W8V W99 WBKPD WH7 WHWMO WIH WIJ WIK WIN WJL WOHZO WQJ WRC WVDHM WXI WXSBR XG1 XPP XV2 Z0Y ZGI ZZTAW ~IA ~WT AAMMB AAYXX AEFGJ AEYWJ AGHNM AGXDD AGYGG AIDQK AIDYY CITATION O8X NPM 7TO 7U7 C1K H94 K9. NAPCQ 7X8
ID	FETCH-LOGICAL-c3570-4b6a61d06b2fac103096cff1056a4a2304b8e781d75c4c59ebd67a6b0ba70173
IEDL.DBID	WIN
ISICitedReferencesCount	105
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000529295100004&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	0008-543X 1097-0142
IngestDate	Sat Sep 27 21:13:02 EDT 2025 Tue Oct 07 07:13:35 EDT 2025 Thu Apr 03 07:01:50 EDT 2025 Tue Nov 18 22:12:24 EST 2025 Sat Nov 29 07:19:42 EST 2025 Wed Jan 22 16:34:59 EST 2025
IsPeerReviewed	true
IsScholarly	true
Issue	S10
Keywords	treatment resource-stratification breast cancer low- and middle-income countries (LMICs) phased implementation multidisciplinary evaluation underserved communities cancer center of excellence early diagnosis health disparities dissemination and implementation science supportive and palliative care centralized care decentralized care
Language	English
License	2020 American Cancer Society.
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c3570-4b6a61d06b2fac103096cff1056a4a2304b8e781d75c4c59ebd67a6b0ba70173
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23
ORCID	0000-0001-9612-4224 0000-0001-7369-4021 0000-0003-3587-339X 0000-0001-6666-5599
PMID	32348571
PQID	2395778503
PQPubID	2045183
PageCount	14
ParticipantIDs	proquest_miscellaneous_2396853641 proquest_journals_2395778503 pubmed_primary_32348571 crossref_citationtrail_10_1002_cncr_32910 crossref_primary_10_1002_cncr_32910 wiley_primary_10_1002_cncr_32910_CNCR32910
PublicationCentury	2000
PublicationDate	May 15, 2020
PublicationDateYYYYMMDD	2020-05-15
PublicationDate_xml	– month: 05 year: 2020 text: May 15, 2020 day: 15
PublicationDecade	2020
PublicationPlace	United States
PublicationPlace_xml	– name: United States – name: Atlanta
PublicationTitle	Cancer
PublicationTitleAlternate	Cancer
PublicationYear	2020
Publisher	Wiley Subscription Services, Inc
Publisher_xml	– name: Wiley Subscription Services, Inc
References	2017; 3 2017; 4 2013; 22 2013; 66 2020; 126 2014; 25 2011; 12 2016; 34 2020; 6 2018; 4 2019; 20 2003; 9 2011; 20 2014; 15 2002; 347 2017; 161 2016; 40 2008; 113 2007; 18 2015; 1 2018; 29 2015; 16 2006; 12 2020; 382 2017; 28 2015; 94 2013; 45 2015; 121 2010; 362 2016; 94 2018; 21 2019; 381 2007; 13 2016; 14 2015; 24 2018; 391 2016; 1 2020 2017; 10 2017; 12 2014; 38 2019 2018 2017 2017; 18 1999; 353 2011; 48 2018; 55 2016; 28 2014; 383 2016; 27 2018; 16 2016; 23 World Health Organization (e_1_2_9_41_1) 2019 e_1_2_9_75_1 e_1_2_9_31_1 e_1_2_9_52_1 e_1_2_9_50_1 e_1_2_9_10_1 e_1_2_9_35_1 e_1_2_9_77_1 e_1_2_9_12_1 Jazieh AR (e_1_2_9_30_1) 2018; 4 e_1_2_9_33_1 e_1_2_9_54_1 World Health Organization (e_1_2_9_73_1) 2017 e_1_2_9_71_1 O’Neil DS (e_1_2_9_76_1) 2017; 4 e_1_2_9_14_1 e_1_2_9_39_1 e_1_2_9_16_1 e_1_2_9_37_1 e_1_2_9_58_1 e_1_2_9_18_1 e_1_2_9_20_1 e_1_2_9_62_1 e_1_2_9_22_1 e_1_2_9_45_1 e_1_2_9_68_1 e_1_2_9_24_1 e_1_2_9_43_1 e_1_2_9_66_1 e_1_2_9_8_1 e_1_2_9_6_1 e_1_2_9_4_1 e_1_2_9_60_1 Duggan C (e_1_2_9_64_1) 2018; 4 e_1_2_9_26_1 e_1_2_9_49_1 e_1_2_9_28_1 e_1_2_9_47_1 Ginsburg O (e_1_2_9_2_1) 2020; 126 e_1_2_9_53_1 e_1_2_9_74_1 e_1_2_9_51_1 e_1_2_9_72_1 e_1_2_9_11_1 e_1_2_9_34_1 e_1_2_9_57_1 e_1_2_9_13_1 e_1_2_9_32_1 e_1_2_9_55_1 e_1_2_9_70_1 World Health Organization (e_1_2_9_38_1) 2018 e_1_2_9_15_1 e_1_2_9_17_1 e_1_2_9_36_1 e_1_2_9_59_1 e_1_2_9_19_1 e_1_2_9_42_1 e_1_2_9_63_1 e_1_2_9_40_1 e_1_2_9_61_1 e_1_2_9_46_1 e_1_2_9_67_1 e_1_2_9_23_1 e_1_2_9_44_1 e_1_2_9_65_1 e_1_2_9_7_1 e_1_2_9_5_1 e_1_2_9_3_1 Coufal O (e_1_2_9_21_1) 2015; 94 e_1_2_9_9_1 e_1_2_9_25_1 e_1_2_9_27_1 e_1_2_9_48_1 e_1_2_9_69_1 e_1_2_9_29_1 Hawley P (e_1_2_9_56_1) 2017; 10
References_xml	– year: 2020 article-title: Enhancing global access to cancer medicines publication-title: CA Cancer J Clin – volume: 4 start-page: 12s issue: suppl 3 year: 2018 article-title: Implementation of guideline‐based clinical practice at Ocean Road Cancer Institute in Tanzania publication-title: J Glob Oncol – volume: 18 start-page: e607 year: 2017 end-page: e617 article-title: Resource‐stratified implementation of a community‐based breast cancer management programme in Peru publication-title: Lancet Oncol – volume: 13 start-page: 1160 year: 2007 end-page: 1169 article-title: Barriers to and factors facilitating breast cancer screening among Iranian women: a qualitative study publication-title: East Mediterr Health J – volume: 55 start-page: 166 year: 2018 end-page: 169 article-title: Compliance to radiotherapy: a tertiary care center experience publication-title: Indian J Cancer – volume: 12 start-page: 387 year: 2011 end-page: 398 article-title: Optimisation of breast cancer management in low‐resource and middle‐resource countries: executive summary of the Breast Health Global Initiative consensus, 2010 publication-title: Lancet Oncol – volume: 15 start-page: e223 year: 2014 end-page: e233 article-title: Delivery of affordable and equitable cancer care in India publication-title: Lancet Oncol – volume: 20 start-page: S81 issue: suppl 2 year: 2011 end-page: S87 article-title: The role of breast cancer civil society in different resource settings publication-title: Breast – volume: 347 start-page: 1233 year: 2002 end-page: 1241 article-title: Twenty‐year follow‐up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer publication-title: N Engl J Med – volume: 4 start-page: 1 year: 2018 end-page: 7 article-title: Facing the global challenges of access to cancer medication publication-title: J Glob Oncol – volume: 20 start-page: 3711 year: 2019 end-page: 3721 article-title: Delays in diagnosis and treatment of breast cancer and the pathways of care: a mixed methods study from a tertiary cancer centre in North East India publication-title: Asian Pac J Cancer Prev – volume: 126 start-page: 2365 issue: suppl year: 2020 end-page: 2378 article-title: Breast cancer early detection: a phased approach to implementation publication-title: Cancer – volume: 126 start-page: 2448 issue: suppl year: 2020 end-page: 2457 article-title: The central role of provider training in implementing resource‐stratified guidelines for palliative care in LMICs: lessons from the Jamaica Cancer Care and Research Institute (JACCRI) in the Caribbean and Universidad Catolica in Latin America publication-title: Cancer – year: 2018 – volume: 3 start-page: 42 year: 2017 end-page: 48 article-title: Prognostic factors for local control in breast cancer after long‐term follow‐up in the EORTC Boost vs No Boost Trial: a randomized clinical trial publication-title: JAMA Oncol – volume: 38 start-page: 1084 year: 2014 end-page: 1092 article-title: Morbidity of chemotherapy administration and satisfaction in breast cancer patients: a comparative study of totally implantable venous access device (TIVAD) versus peripheral venous access usage publication-title: World J Surg – volume: 29 start-page: 1634 year: 2018 end-page: 1657 article-title: 4th ESO‐ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 4) publication-title: Ann Oncol – volume: 113 start-page: 2282 issue: 8 suppl year: 2008 end-page: 2296 article-title: Guideline implementation for breast healthcare in low‐ and middle‐income countries: breast healthcare program resource allocation publication-title: Cancer – volume: 4 start-page: 1 year: 2018 end-page: 3 article-title: Improving breast health care in the State of Sergipe, Brazil: a commentary publication-title: J Glob Oncol – volume: 48 start-page: 391 year: 2011 end-page: 396 article-title: Estrogen, progesterone and HER2 receptor expression in breast tumors of patients, and their usage of HER2‐targeted therapy, in a tertiary care centre in India publication-title: Indian J Cancer – volume: 18 start-page: 1437 year: 2007 end-page: 1449 article-title: Prevalence of pain in patients with cancer: a systematic review of the past 40 years publication-title: Ann Oncol – volume: 126 start-page: 2431 issue: suppl year: 2020 end-page: 2438 article-title: Can pathology diagnostics for cancer be stratified and serve global health? publication-title: Cancer – volume: 28 start-page: e165 year: 2016 end-page: e172 article-title: Outcomes following a moderately hypofractionated adjuvant radiation (START B type) schedule for breast cancer in an unscreened non‐Caucasian population publication-title: Clin Oncol (R Coll Radiol) – volume: 1 start-page: 57 year: 2015 end-page: 64 article-title: Global practice and efficiency of multidisciplinary tumor boards: results of an American Society of Clinical Oncology international survey publication-title: J Glob Oncol – volume: 21 start-page: 1389 year: 2018 end-page: 1397 article-title: White paper for global palliative care advocacy: recommendations from a PAL‐LIFE expert advisory group of the Pontifical Academy for Life, Vatican City publication-title: J Palliat Med – volume: 66 start-page: 307 year: 2013 end-page: 311 article-title: Breast cancer diagnosis in a resource poor environment through a collaborative multidisciplinary approach: the Kenyan experience publication-title: J Clin Pathol – volume: 34 start-page: 69 year: 2016 end-page: 75 article-title: Proposing essential medicines to treat cancer: methodologies, processes, and outcomes publication-title: J Clin Oncol – year: 2019 – volume: 381 start-page: 307 year: 2019 end-page: 316 article-title: Overall survival with ribociclib plus endocrine therapy in breast cancer publication-title: N Engl J Med – volume: 45 start-page: 1094 year: 2013 end-page: 1106 article-title: Mapping levels of palliative care development: a global update publication-title: J Pain Symptom Manage – volume: 21 start-page: 878 year: 2018 end-page: 887 article-title: Pilot study assessing the direct medical cost of treating patients with cancer in Kenya; findings and implications for the future publication-title: J Med Econ – volume: 25 start-page: 1871 year: 2014 end-page: 1888 article-title: ESO‐ESMO 2nd International Consensus Guidelines for Advanced Breast Cancer (ABC2) publication-title: Ann Oncol – volume: 27 start-page: 1423 year: 2016 end-page: 1443 article-title: ESMO European Consortium Study on the availability, out‐of‐pocket costs and accessibility of antineoplastic medicines in Europe publication-title: Ann Oncol – volume: 24 start-page: 287 year: 2015 end-page: 289 article-title: The European patient advocacy perspective on specialist breast units and accreditation publication-title: Breast – volume: 28 start-page: 2633 year: 2017 end-page: 2647 article-title: ESMO International Consortium Study on the availability, out‐of‐pocket costs and accessibility of antineoplastic medicines in countries outside of Europe publication-title: Ann Oncol – volume: 22 start-page: 616 year: 2013 end-page: 627 article-title: Supportive and palliative care for metastatic breast cancer: resource allocations in low‐ and middle‐income countries. A Breast Health Global Initiative 2013 consensus statement publication-title: Breast – volume: 1 year: 2016 article-title: Back to the ‘essence’ of medical treatment in oncology: the 2015 WHO Model List of Essential Medicines publication-title: ESMO Open – volume: 113 start-page: 2315 issue: 8 suppl year: 2008 end-page: 2354 article-title: Locally advanced breast cancer: treatment guideline implementation with particular attention to low‐ and middle‐income countries publication-title: Cancer – volume: 12 start-page: S38 issue: suppl 1 year: 2006 end-page: S53 article-title: Breast cancer in limited‐resource countries: treatment and allocation of resources publication-title: Breast J – volume: 55 start-page: S67 year: 2018 end-page: S76 article-title: Palliative care in Romania publication-title: J Pain Symptom Manage – volume: 391 start-page: 1108 year: 2018 end-page: 1120 article-title: Universal health coverage and intersectoral action for health: key messages from , 3rd edition publication-title: Lancet – volume: 4 start-page: 41s issue: suppl 3 year: 2018 article-title: Review of quality measures for breast cancer care by country income level publication-title: J Glob Oncol – volume: 94 start-page: 735 year: 2016 end-page: 742 article-title: Essential medicines for cancer: WHO recommendations and national priorities publication-title: Bull World Health Organ – volume: 126 start-page: 2416 issue: Suppl year: 2020 end-page: 2423 article-title: NCCN resource‐stratified and harmonized guidelines—a paradigm for optimizing global cancer care publication-title: Cancer – volume: 113 start-page: 2269 issue: 8 suppl year: 2008 end-page: 2281 article-title: Guideline implementation for breast healthcare in low‐ and middle‐income countries: treatment resource allocation publication-title: Cancer – volume: 113 start-page: 2305 issue: 8 suppl year: 2008 end-page: 2314 article-title: Breast radiation therapy guideline implementation in low‐ and middle‐income countries publication-title: Cancer – volume: 12 start-page: 13 year: 2017 article-title: An update on the management of breast cancer in Africa publication-title: Infect Agent Cancer – volume: 1 year: 2016 article-title: Biosimilars: a position paper of the European Society for Medical Oncology, with particular reference to oncology prescribers publication-title: ESMO Open – volume: 6 start-page: 116 year: 2020 end-page: 124 article-title: The effect of abemaciclib plus fulvestrant on overall survival in hormone receptor–positive, ERBB2‐negative breast cancer that progressed on endocrine therapy—MONARCH 2: a randomized clinical trial publication-title: JAMA Oncol – volume: 9 start-page: S67 issue: suppl 2 year: 2003 end-page: S74 article-title: Treatment of breast cancer in countries with limited resources publication-title: Breast J – volume: 10 year: 2017 article-title: Barriers to access to palliative care publication-title: Palliat Care – volume: 22 start-page: 606 year: 2013 end-page: 615 article-title: Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low‐ and middle‐income countries. A Breast Health Global Initiative 2013 consensus statement publication-title: Breast – volume: 362 start-page: 513 year: 2010 end-page: 520 article-title: Long‐term results of hypofractionated radiation therapy for breast cancer publication-title: N Engl J Med – volume: 353 start-page: 1119 year: 1999 end-page: 1126 article-title: Influence of delay on survival in patients with breast cancer: a systematic review publication-title: Lancet – volume: 383 start-page: 2127 year: 2014 end-page: 2135 article-title: Effect of radiotherapy after mastectomy and axillary surgery on 10‐year recurrence and 20‐year breast cancer mortality: meta‐analysis of individual patient data for 8135 women in 22 randomised trials publication-title: Lancet – volume: 347 start-page: 1227 year: 2002 end-page: 1232 article-title: Twenty‐year follow‐up of a randomized study comparing breast‐conserving surgery with radical mastectomy for early breast cancer publication-title: N Engl J Med – volume: 22 start-page: 593 year: 2013 end-page: 605 article-title: Supportive care during treatment for breast cancer: resource allocations in low‐ and middle‐income countries. A Breast Health Global Initiative 2013 consensus statement publication-title: Breast – volume: 4 start-page: 1 year: 2017 end-page: 11 article-title: Quality of breast cancer treatment at a rural cancer center in Rwanda publication-title: J Glob Oncol – volume: 23 start-page: 1508 year: 2016 end-page: 1514 article-title: Use of a magnetic tracer for sentinel lymph node detection in early‐stage breast cancer patients: a meta‐analysis publication-title: Ann Surg Oncol – volume: 94 start-page: 283 year: 2015 end-page: 288 article-title: SentiMag—the magnetic detection system of sentinel lymph nodes in breast cancer publication-title: Rozhl Chir – volume: 382 start-page: 514 year: 2020 end-page: 524 article-title: Overall survival with ribociclib plus fulvestrant in advanced breast cancer publication-title: N Engl J Med – volume: 40 start-page: 1583 year: 2016 end-page: 1589 article-title: A comparative validation of primary surgical versus post–neo‐adjuvant chemotherapy sentinel lymph node biopsy for stage III breast cancers publication-title: World J Surg – volume: 126 start-page: 2353 issue: Suppl year: 2020 end-page: 2364 article-title: Health system strengthening: integration of breast cancer care for improved outcomes publication-title: Cancer – volume: 126 start-page: 2405 issue: suppl year: 2020 end-page: 2415 article-title: Situational analysis of breast healthcare systems: context matters publication-title: Cancer – volume: 126 start-page: 2394 issue: suppl year: 2020 end-page: 2404 article-title: The role of dissemination and implementation science in global breast cancer control programs: frameworks, methods, and examples publication-title: Cancer – volume: 121 start-page: 2198 year: 2015 end-page: 2206 article-title: Health system delay and its effect on clinical stage of breast cancer: multicenter study publication-title: Cancer – volume: 14 start-page: 961 year: 2016 end-page: 969 article-title: NCCN Framework for Resource Stratification: a framework for providing and improving global quality oncology care publication-title: J Natl Compr Canc Netw – volume: 16 start-page: e137 year: 2015 end-page: e147 article-title: Optimisation of the continuum of supportive and palliative care for patients with breast cancer in low‐income and middle‐income countries: executive summary of the Breast Health Global Initiative, 2014 publication-title: Lancet Oncol – volume: 161 start-page: 173 year: 2017 end-page: 179 article-title: Breast‐cancer subtype, age, and lymph node status as predictors of local recurrence following breast‐conserving therapy publication-title: Breast Cancer Res Treat – year: 2017 – volume: 16 start-page: 628 year: 2018 end-page: 631 article-title: NCCN frameworks for resource stratification of NCCN guidelines: adult cancer pain and palliative care publication-title: J Natl Compr Canc Netw – ident: e_1_2_9_14_1 doi: 10.1002/cncr.32857 – ident: e_1_2_9_53_1 doi: 10.1089/jpm.2018.0248 – ident: e_1_2_9_48_1 – ident: e_1_2_9_58_1 doi: 10.1016/j.breast.2013.07.052 – volume: 94 start-page: 283 year: 2015 ident: e_1_2_9_21_1 article-title: SentiMag—the magnetic detection system of sentinel lymph nodes in breast cancer publication-title: Rozhl Chir – volume-title: WHO Guidelines for the Pharmacological and Radiotherapeutic Management of Cancer Pain in Adults and Adolescents year: 2018 ident: e_1_2_9_38_1 – ident: e_1_2_9_45_1 doi: 10.1093/annonc/mdw213 – ident: e_1_2_9_9_1 doi: 10.1002/cncr.23843 – ident: e_1_2_9_23_1 doi: 10.1056/NEJMoa022152 – ident: e_1_2_9_26_1 doi: 10.1001/jamaoncol.2016.3031 – ident: e_1_2_9_63_1 doi: 10.1111/j.1075-122X.2006.00202.x – ident: e_1_2_9_5_1 doi: 10.1016/S0140-6736(99)02143-1 – ident: e_1_2_9_20_1 doi: 10.1245/s10434-016-5135-1 – ident: e_1_2_9_39_1 doi: 10.1093/annonc/mdx521 – ident: e_1_2_9_71_1 doi: 10.1016/j.clon.2016.05.008 – ident: e_1_2_9_74_1 doi: 10.1200/JGO.18.10480 – ident: e_1_2_9_3_1 doi: 10.1002/cncr.32872 – ident: e_1_2_9_51_1 doi: 10.1002/cncr.32871 – ident: e_1_2_9_15_1 doi: 10.1093/annonc/mdu385 – ident: e_1_2_9_27_1 doi: 10.1016/S0140-6736(14)60488-8 – ident: e_1_2_9_50_1 doi: 10.1002/cncr.32880 – ident: e_1_2_9_60_1 – volume: 126 start-page: 2365 year: 2020 ident: e_1_2_9_2_1 article-title: Breast cancer early detection: a phased approach to implementation publication-title: Cancer doi: 10.1002/cncr.32887 – ident: e_1_2_9_52_1 – volume: 4 start-page: 1 year: 2017 ident: e_1_2_9_76_1 article-title: Quality of breast cancer treatment at a rural cancer center in Rwanda publication-title: J Glob Oncol – ident: e_1_2_9_72_1 doi: 10.1002/cncr.32899 – ident: e_1_2_9_8_1 doi: 10.1016/S1470-2045(17)30592-2 – ident: e_1_2_9_68_1 doi: 10.4103/0019-509X.92245 – volume-title: World Health Organization Model List of Essential Medicines, 21st List, 2019 year: 2019 ident: e_1_2_9_41_1 – ident: e_1_2_9_57_1 doi: 10.1016/j.breast.2013.07.049 – ident: e_1_2_9_19_1 doi: 10.1136/jclinpath-2012-201404 – ident: e_1_2_9_11_1 doi: 10.1016/j.breast.2013.07.050 – ident: e_1_2_9_24_1 doi: 10.1056/NEJMoa020989 – ident: e_1_2_9_31_1 – ident: e_1_2_9_44_1 doi: 10.1136/esmoopen-2015-000030 – ident: e_1_2_9_59_1 doi: 10.1080/13696998.2018.1484372 – ident: e_1_2_9_16_1 doi: 10.1016/j.breast.2015.01.013 – ident: e_1_2_9_75_1 doi: 10.1200/JGO.18.10130 – ident: e_1_2_9_32_1 doi: 10.1056/NEJMoa1903765 – ident: e_1_2_9_67_1 doi: 10.1016/S1470-2045(14)70117-2 – ident: e_1_2_9_33_1 doi: 10.1001/jamaoncol.2019.4782 – ident: e_1_2_9_37_1 doi: 10.1596/978-1-4648-0527-1_ch12 – volume: 4 start-page: 1 year: 2018 ident: e_1_2_9_30_1 article-title: Facing the global challenges of access to cancer medication publication-title: J Glob Oncol – ident: e_1_2_9_12_1 doi: 10.1093/annonc/mdy192 – ident: e_1_2_9_47_1 doi: 10.1200/JGO.2015.000158 – ident: e_1_2_9_70_1 doi: 10.4103/ijc.IJC_517_17 – ident: e_1_2_9_35_1 doi: 10.1186/s13027-017-0124-y – ident: e_1_2_9_40_1 doi: 10.1136/esmoopen-2016-000142 – ident: e_1_2_9_22_1 doi: 10.1002/cncr.23838 – ident: e_1_2_9_77_1 doi: 10.1002/cncr.23841 – ident: e_1_2_9_29_1 doi: 10.6004/jnccn.2016.0103 – ident: e_1_2_9_65_1 doi: 10.1007/s00268-015-3222-2 – ident: e_1_2_9_7_1 doi: 10.1002/cncr.32877 – ident: e_1_2_9_36_1 doi: 10.1093/annonc/mdm056 – volume-title: WHO List of Priority Medical Devices for Cancer Management year: 2017 ident: e_1_2_9_73_1 – ident: e_1_2_9_25_1 doi: 10.1007/s10549-016-4031-5 – ident: e_1_2_9_62_1 doi: 10.1046/j.1524-4741.9.s2.6.x – ident: e_1_2_9_46_1 doi: 10.3322/caac.21597 – ident: e_1_2_9_4_1 doi: 10.1002/cncr.29331 – ident: e_1_2_9_42_1 doi: 10.2471/BLT.15.163998 – ident: e_1_2_9_17_1 doi: 10.26719/2007.13.5.1160 – ident: e_1_2_9_55_1 doi: 10.1016/j.jpainsymman.2012.05.011 – ident: e_1_2_9_34_1 doi: 10.1056/NEJMoa1911149 – ident: e_1_2_9_66_1 doi: 10.31557/APJCP.2019.20.12.3711 – ident: e_1_2_9_13_1 doi: 10.1016/S1470-2045(14)70457-7 – ident: e_1_2_9_69_1 doi: 10.1007/s00268-013-2378-x – ident: e_1_2_9_54_1 doi: 10.1016/j.jpainsymman.2017.03.036 – ident: e_1_2_9_49_1 doi: 10.6004/jnccn.2018.0044 – ident: e_1_2_9_10_1 doi: 10.1002/cncr.23836 – ident: e_1_2_9_18_1 doi: 10.1016/j.breast.2011.02.005 – volume: 10 start-page: 117822421668888 year: 2017 ident: e_1_2_9_56_1 article-title: Barriers to access to palliative care publication-title: Palliat Care – ident: e_1_2_9_6_1 doi: 10.1016/S1470-2045(11)70031-6 – ident: e_1_2_9_43_1 doi: 10.1200/JCO.2015.61.8736 – volume: 4 start-page: 1 year: 2018 ident: e_1_2_9_64_1 article-title: Improving breast health care in the State of Sergipe, Brazil: a commentary publication-title: J Glob Oncol – ident: e_1_2_9_28_1 doi: 10.1056/NEJMoa0906260 – ident: e_1_2_9_61_1 doi: 10.1016/S0140-6736(17)32906-9
SSID	ssj0007253
Score	2.6275697
SecondaryResourceType	review_article
Snippet	Optimal treatment outcomes for breast cancer are dependent on a timely diagnosis followed by an organized, multidisciplinary approach to care. However, in many...
SourceID	proquest pubmed crossref wiley
SourceType	Aggregation Database Index Database Enrichment Source Publisher
StartPage	2365
SubjectTerms	Breast cancer cancer center of excellence Cancer therapies Case studies centralized care Check lists decentralized care Diagnosis dissemination and implementation science early diagnosis health disparities low‐ and middle‐income countries (LMICs) Medical diagnosis multidisciplinary evaluation Oncology Palliative care phased implementation Quality assessment resource-stratification supportive and palliative care treatment underserved communities
Title	Breast cancer treatment: A phased approach to implementation
URI	https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fcncr.32910 https://www.ncbi.nlm.nih.gov/pubmed/32348571 https://www.proquest.com/docview/2395778503 https://www.proquest.com/docview/2396853641
Volume	126
WOSCitedRecordID	wos000529295100004&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVWIB databaseName: Wiley Online Library Free Content customDbUrl: eissn: 1097-0142 dateEnd: 20241207 omitProxy: false ssIdentifier: ssj0007253 issn: 0008-543X databaseCode: WIN dateStart: 19960101 isFulltext: true titleUrlDefault: https://onlinelibrary.wiley.com providerName: Wiley-Blackwell – providerCode: PRVWIB databaseName: Wiley Online Library Full Collection 2020 customDbUrl: eissn: 1097-0142 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0007253 issn: 0008-543X databaseCode: DRFUL dateStart: 19960101 isFulltext: true titleUrlDefault: https://onlinelibrary.wiley.com providerName: Wiley-Blackwell
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3rSxwxEB_UivRLH2rba_VIsV8qrJfNe4tf9NqjBXuI-LhvS5LNUkH35O7s398k-xBRBOm3hUzIMpN5JJn5DcAX7yNK7xVkgjNTJIwbl2Qlc0lhwnmLMYNjbdX5kRyP1WSSHS_BflsLU-NDdBduQTOivQ4Krs18cAcaais726Mki_VVKUtD-4KLX-PODEvSQFBilXBGJx02KRncTb3vjR6EmPcj1uhyRq__72ffwKsm1EQH9d54C0uuWoe1381j-gbsH4aE9AWyQfAz1KWcf0MH6OaP924FahHH0WKKLq_bVPMgy004Hf04Hf5MmmYKiaVc4oQZoUVaYGFIqW1oLpYJW5Y-vBKa6XA1bJSTPnqV3DLLM2cKIbUw2GjptZa-g5VqWrkPgJS3Eqn1YmVSMae4oaXFVBMiC46txT342vI0tw3QeOh3cZXXEMkkD9zIIzd6sNPR3tTwGo9SbbWiyRsVm-ckvDBKxTHtwedu2CtHePHQlZveRhrh4xHB0h68r0XaLUMJZYpLP7IbJffE-vlwPDyJXx-fQ_wJXpJwOg9Yr3wLVhazW7cNq_bv4nI-68OynKg-vPh-Mjo76se9-w8c1OyN
linkProvider	Wiley-Blackwell
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3da9swED9GOtq-dN-dt27V6F428Kro0x57yUJDwhIzRujyZixZpoXOKam7v38623EIHYPRN4NOyOh0up90p98BvPc-ovBeQYc0NnkopHFhXAgX5gbPW0IYWr-tOp_qJIkWi_h7m5uDb2Eafojuwg0to96v0cDxQvp0wxpqS7v6xFmMD6x2hEcaWLnh5yTpNmLNWhJKGoVS8EXHTspON323_dEdkLmNWWunM3p0z999DAct2iSDZnk8gQeufAq7szae_gy-fMWc9IpY1P2KdFnnn8mAXF94B5eTNek4qZbk8tc62xzV-Rzmo7P5cBy29RRCy6WmoTAqU_2cKsOKzGJ9sVjZovAIS2Uiw9thEzntAayWVlgZO5MrnSlDTaa94fIX0CuXpXsJJPIbRd96zQodCRdJwwtLecaYziW1lgbwYT2pqW25xrHkxVXasCSzFGcjrWcjgJNO9rph2Pir1NFaN2lrZTcpwyCjjiTlAbzrmr19YNAjK93ytpZRHpIo0Q_gsNFpNwxnXERS-5aPter-MX46TIY_6q9X_yN8DHvj-WyaTifJt9ewz_CwjtSv8gh61erWvYGH9nd1ebN6Wy_dP-5Q7iM
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3da9swED9KUspe1nbd1qxpq9K9bOBV0add-pKlCxvNQinZyJuxZJkWNic4Sf_-6mzHpWwMRt8MOiGj031Id_c7gPfeRmTeKuiARiYNhDQuiDLhgtTgfUsIQ8vaqp8jPR6H02l0XefmYC1MhQ_RPLihZJT6GgXczdPs7BE11Oa2-MRZhAVWbYFdZFrQvrwZ_hg1qlizGoaShoEUfNrgk7Kzx9lPLdIfbuZTr7U0O8PtZ_7wDrys_U3Srw7ILmy4_BVsfa8j6ntw8Rmz0pfEIvcL0uSdn5M-md96E5eSNew4Wc7I3e91vjky9DVMhl8mg69B3VEhsFxqGgijEtVLqTIsSyx2GIuUzTLvY6lEJPg-bEKnvQurpRVWRs6kSifKUJNoL7r8DbTyWe72gYReVfSs563QoXChNDyzlCeM6VRSa2kHPqw3NbY12jg2vfgVVzjJLMbdiMvd6MBpQzuvMDb-StVd8yau5WwRMwwz6lBS3oGTZthLCIY9ktzNViWN8k6JEr0OvK142izDGReh1H7kY8m6f6wfD8aDm_Lr3f8QH8PW9eUwHn0bXx3AC4a3dcR-lV1oLYuVO4RNe7-8WxRH9dl9AGLn7sw
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Breast+cancer+treatment%3A+A+phased+approach+to+implementation&rft.jtitle=Cancer&rft.au=Mutebi%2C+Miriam&rft.au=Anderson%2C+Benjamin+O&rft.au=Duggan%2C+Catherine&rft.au=Adebamowo%2C+Clement&rft.date=2020-05-15&rft.pub=Wiley+Subscription+Services%2C+Inc&rft.issn=0008-543X&rft.eissn=1097-0142&rft.volume=126&rft.issue=S10&rft.spage=2365&rft.epage=2378&rft_id=info:doi/10.1002%2Fcncr.32910&rft.externalDBID=NO_FULL_TEXT
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0008-543X&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0008-543X&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0008-543X&client=summon