Breast cancer early detection: A phased approach to implementation

When breast cancer is detected and treated early, the chances of survival are very high. However, women in many settings face complex barriers to early detection, including social, economic, geographic, and other interrelated factors, which can limit their access to timely, affordable, and effective...

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Veröffentlicht in:Cancer Jg. 126; H. S10; S. 2379 - 2393
Hauptverfasser: Ginsburg, Ophira, Yip, Cheng‐Har, Brooks, Ari, Cabanes, Anna, Caleffi, Maira, Dunstan Yataco, Jorge Antonio, Gyawali, Bishal, McCormack, Valerie, McLaughlin de Anderson, Myrna, Mehrotra, Ravi, Mohar, Alejandro, Murillo, Raul, Pace, Lydia E., Paskett, Electra D., Romanoff, Anya, Rositch, Anne F., Scheel, John R., Schneidman, Miriam, Unger‐Saldaña, Karla, Vanderpuye, Verna, Wu, Tsu‐Yin, Yuma, Safina, Dvaladze, Allison, Duggan, Catherine, Anderson, Benjamin O.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Wiley Subscription Services, Inc 15.05.2020
Schlagworte:
Breast cancer
breast cancer early detection
Breast Neoplasms - diagnosis
Consensus
Delivery of Health Care
Developing Countries
Diagnosis
Early Detection of Cancer - economics
Early Detection of Cancer - methods
Female
Global Health
Health Plan Implementation - economics
Health Plan Implementation - methods
Humans
metrics
Oncology
phased implementation
Physical training
Practice Guidelines as Topic
resource stratification
Socioeconomic Factors
breast cancer
metrics
phased implementation
breast cancer early detection
resource stratification
ISSN:0008-543X, 1097-0142, 1097-0142
Online-Zugang:Volltext
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Zusammenfassung:When breast cancer is detected and treated early, the chances of survival are very high. However, women in many settings face complex barriers to early detection, including social, economic, geographic, and other interrelated factors, which can limit their access to timely, affordable, and effective breast health care services. Previously, the Breast Health Global Initiative (BHGI) developed resource‐stratified guidelines for the early detection and diagnosis of breast cancer. In this consensus article from the sixth BHGI Global Summit held in October 2018, the authors describe phases of early detection program development, beginning with management strategies required for the diagnosis of clinically detectable disease based on awareness education and technical training, history and physical examination, and accurate tissue diagnosis. The core issues address include finance and governance, which pertain to successful planning, implementation, and the iterative process of program improvement and are needed for a breast cancer early detection program to succeed in any resource setting. Examples are presented of implementation, process, and clinical outcome metrics that assist in program implementation monitoring. Country case examples are presented to highlight the challenges and opportunities of implementing successful breast cancer early detection programs, and the complex interplay of barriers and facilitators to achieving early detection for breast cancer in real‐world settings are considered. Women in many settings face complex barriers to early detection, including social, economic, geographic, and other interrelated factors, which can limit her access to timely, affordable, and effective breast health care services. In this consensus manuscript, phases of an early detection program development are described, beginning with management strategies required for the diagnosis of clinically detectable disease, and core issues are described pertaining to successful planning, implementation, and the iterative process of program improvement needed for a breast cancer early detection program to succeed in any resource setting.
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Author Contributions: Conceptualisation: Ophira Ginsburg, Cheng-Har Yip, Allison Dvaladze, Catherine Duggan, and Benjamin O. Anderson. Supervision & Project Administration: Ophira Ginsburg, Cheng-Har Yip, Allison Dvaladze, Catherine Duggan, and Benjamin O. Anderson. Writing, review and revision of the manuscript: Ophira Ginsburg, Cheng-Har Yip, Ari Brooks, Anna Cabanes, Maira Caleffi, Jorge Dunstan Y, Bishal Gyawali, Valerie McCormack, Myrna McLaughlin de Anderson, Ravi Mehrotra, Alejandro Mohar, Raul Murillo, Lydia E. Pace, Electra D. Paskett, Anya Romanoff, Anne F. Rositch, John Scheel, Miriam Schneidman, Karla Unger-Saldana, Verna Vanderpuye, Tsu-Yin Wu, Safina Yuma, Allison Dvaladze, Catherine Duggan, and Benjamin O. Anderson.
ISSN:0008-543X
1097-0142
1097-0142
DOI:10.1002/cncr.32887