scholarly journals Scoping the literature on patient travel abroad for cancer screening, diagnosis and treatment

Author(s):  
Neil Lunt ◽  
Ka‐wo Fung
Author(s):  
Anya Plutynski

The general assumption behind cancer screening has been that early diagnosis and treatment is effective at reducing cancer-related mortality; this is broadly speaking true, for some cancer screening efforts, in some age groups. However, screening may in some cases do more harm than good. One source of harm is overdiagnosis and overtreatment, the diagnosis and treatment of indolent or slow-growing disease that may never lead to morbidity or mortality in the lifetime of the patient. Precaution in cancer screening is thus a double-edged sword: early diagnosis and treatment has clear benefits; but it is also true that some percentage of patients is unnecessarily treated. This chapter will examine how inductive risk and values come into play in debates about mammography screening.


2019 ◽  
Vol 56 (3) ◽  
pp. 222 ◽  
Author(s):  
NeethuAmbali Parambil ◽  
Sairu Philip ◽  
JayaPrasad Tripathy ◽  
PhinseM Philip ◽  
Karthickeyan Duraisamy ◽  
...  

2017 ◽  
Vol 63 (5) ◽  
pp. 466-474 ◽  
Author(s):  
René Aloisio da Costa Vieira ◽  
Alessandro Formenton ◽  
Silvia Regina Bertolini

Summary Objective: Identify factors related to the health system that lead to a late diagnosis of breast cancer in Brazil. Method: We performed a systematic review in the PubMed and LILACS databases using as keywords "Breast cancer," "system of health" and "Brazil or Brasil." We evaluated the content of the articles using the PRISMA methodology based on PICTOS. The final date was 12/16/2015. We were able to identify 94 publications in PubMed and 43 publications in LILACS. After assessing the title and summary, and excluding 21 repeated publications, we selected 51 publications for full evaluation. At this stage, we excluded 21 articles, with 30 publications remaining for study. Results: The population coverage is low, and there are problems related to the quality of mammography. Patients with lower income, nonwhite and less educated are more vulnerable. We observed punctual and initial experiences in breast cancer screening. Diagnosis and treatment flows must be improved. The inequality in mortality reflects the differences related to screening structure and treatment. Better results are observed in well-structured services. Conclusion: There are several barriers in the health system leading to advanced stage at diagnosis and limiting the survival outcomes. The establishment of a rapid and effective order for diagnosis and treatment, based on hierarchical flow, are important steps to be improved in the public health context.


2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Liat Shavit Grievink ◽  
Moshe Hoshen ◽  
Becca Feldman ◽  
Ran Balicer ◽  
Jack Baniel ◽  
...  

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