UICC meeting on breast-cancer screening in pre-menopausal women in developed countries. Geneva, 29 September-1 October 1993

2007 ◽  
Vol 56 (1) ◽  
pp. 1-5 ◽  
Author(s):  
S. Eckhardt ◽  
F. Badellino ◽  
G. P. Murphy
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Developed Countries ◽  
Menopausal Women

Effect of a breast navigation programme in a teaching hospital in Africa

2017 ◽  
Vol 1 ◽  
pp. 6
Author(s):  
Bahaty Riogi ◽  
Ronald Wasike ◽  
Hassan Saidi
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Patient Navigation ◽  
Developed Countries ◽  
University Hospital ◽  
Positive Effects ◽  
Examination Finding ◽  
Before And After ◽  
Clinical Breast

<strong>Background:</strong> Breast cancer screening programmes have been developed in few developing countries to aid curb the increasing burden. However, breast cancer is still being detected in late stage, attributed to barriers in health care. Patient navigation programmes have been implemented in developed countries to help patients overcome these barriers, and they have been associated with early detection and timely diagnosis. Despite the consistent positive effects of breast navigation programmes, there are no studies conducted to show its effect in Africa where the needs are enormous.<br /><strong>Aim:</strong> To evaluate the effect of patient navigation programme on patient return after an abnormal clinical breast cancer screening examination finding at Aga Khan University Hospital, Nairobi(AKUH-N).<br /><strong>Setting:</strong> Women presenting for breast screening.<br /><strong>Methods:</strong> This was a before-and-after study conducted on 76 patients before and after the implementation of the navigation programme. They were followed up for 30 days. Measures included proportion of patient return and time to return.<br /><strong>Results:</strong> The proportion of return of patients in the navigated and non-navigated group was 57.9% and 23.7%, respectively (odds ratio [OR]: 4.43 [95% confidence interval, CI: 1.54– 12.78]; <em>p</em> = 0.0026).The proportion of timely return in the navigated group was 90.1% and 77.8% for the non-navigated group (OR: 2.85 [95% CI: 0.34–24.30], <em>p</em> = 0.34). The mean time to return in the non-navigated and navigated group was 7.33 days and 8.33 days, respectively (<em>p</em> = 0.67).<br /><strong>Conclusion:</strong> There was an increase in the proportion of patients who returned for follow-up following abnormal clinical breast examination finding after implementation of the breast navigation programme at AKUH-N.

Breast Cancer Screening in Older Women—Current Evidence and Future Perspectives

2015 ◽  
Vol 11 (01) ◽  
pp. 34
Author(s):  
Nienke A de Glas ◽  
Gerrit-Jan Liefers ◽  
◽  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Older Women ◽  
Breast Cancer Screening ◽  
Early Stage ◽  
Developed Countries ◽  
Population Based ◽  
Current Data ◽  
Current Evidence ◽  
Strong Increase

As populations of developed countries are aging, the number of older women with breast cancer will strongly increase. Randomized controlled trials in breast cancer screening rarely included patients over the age of 68. As a consequence, there is no solid evidence for beneficial effects of breast cancer screening in older women. In a recent observational study, we showed that the implementation of screening in women aged 70–75 in the Netherlands resulted in a strong increase of the incidence of early-stage breast cancer, while the incidence of advanced stage breast cancer barely decreased. Hence, current data do not support population-based screening in women over the age of 70.

scholarly journals Ethical Concerns Regarding Breast Cancer Screening

2020 ◽  
Author(s):  
Rodrigo Goncalves ◽  
Maria Carolina Formigoni ◽  
José Maria Soares ◽  
Edmund Chada Baracat ◽  
José Roberto Filassi
Keyword(s):  
Breast Cancer ◽  
Social Justice ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Patient Flow ◽  
Developed Countries ◽  
Screening Programs ◽  
Incidence And Mortality ◽  
Advanced Stages ◽  
Timely Treatment

The incidence and mortality of breast cancer are rising in the whole world in the past few decades, adding up to a total of around two million new cases and 620,000 deaths in 2018. Unlike what occurs in developed countries, most of the cases diagnosed in the developing world are already in advanced stages and also in women younger than 50 years old. As most screening programs suggest annual mammograms starting at the age of 50, we can infer that a considerable portion of the new breast cancer cases is missed with this strategy. Here, we will propose the adoption of an alternative hierarchical patient flow, with the creation of a diagnostic fast track with referral to timely treatment, promoting better resources reallocation favoring the least advantaged strata of the population, which is not only ethically acceptable but also a way of promoting social justice.

scholarly journals Evaluation of Different Breast Cancer Screening Strategies for High-Risk Women in Beijing, China: A Real-World Population-Based Study

2021 ◽  
Vol 11 ◽  
Author(s):  
Xi Zhang ◽  
Lei Yang ◽  
Shuo Liu ◽  
Huichao Li ◽  
Qingyu Li ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
High Risk ◽  
Breast Cancer Screening ◽  
Screening Program ◽  
Developed Countries ◽  
Population Based ◽  
Urban China ◽  
World Population ◽  
Primary Screening

BackgroundMammography-based breast cancer screening has been widely implemented in many developed countries. Evidence was needed on participation and diagnostic performance of population-based breast cancer screening using ultrasound in China.MethodsWe used data from the Cancer Screening Program in Urban China in Beijing from 2014 to 2019 and was followed up until July 2020 by matching with the Beijing Cancer Registry database. Eligible women between the ages of 45 and 69 years were recruited from six districts and assessed their risk of breast cancer through an established risk scoring system. Women evaluated to be at high risk of breast cancer were invited to undergo both ultrasound and mammography. Participation rates were calculated, and their associated factors were explored. In addition, the performance of five different breast cancer screening modalities was evaluated in this study.ResultsA total of 49,161 eligible women were recruited in this study. Among them, 15,550 women were assessed as high risk for breast cancer, and 7,500 women underwent ultrasound and/or mammography as recommended, with a participation rate of 48.2%. The sensitivity of mammography alone, ultrasound alone, combined of ultrasound and mammography, ultrasound for primary screening followed by mammography for triage, and mammography for preliminary screening followed by ultrasound for triage were19.2%, 38.5%, 50.0%, 46.2%, and 19.2%, and the specificity were 96.1%, 98.6%, 94.7%, 97.6%, 95.7%, respectively. The sensitivity of combined ultrasound and mammography, ultrasound for primary screening followed by mammography for triage, was significantly higher than mammography alone (p=0.008 and p=0.039). Additionally, ultrasound alone (48,323 RMB ($7,550)) and ultrasound for primary screening followed by mammography for triage (55,927 RMB ($8,739)) were the most cost-effective methods for breast cancer screening than other modalities.ConclusionsUltrasound alone and ultrasound for primary screening and mammography are superior to mammography for breast cancer screening in high-risk Chinese women.

scholarly journals The Relationship among Indonesian Women Self-Esteem with Breast Cancer Beliefs Screening: Attitude, Knowledge, and Barriers to Mammographic

2020 ◽  
Vol 3 (4) ◽  
pp. 31-38
Author(s):  
Achmad Sholeh ◽  
Nurul Hidayah ◽  
Winda Sri Harianti
Keyword(s):  
Breast Cancer ◽  
Data Analysis ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Developed Countries ◽  
Self Esteem ◽  
Mammographic Screening ◽  
Screening Practices ◽  
Cancer Beliefs ◽  
The Relationship

Breast cancer is one of the prevalent non-communicable diseases in developed and under-developed countries, especially Indonesia. It’s necessary to promote and aware breast cancer screening practices for early detection of breast cancer. This study aims to analyze relationship between self-esteem and breast cancer beliefs screening among Indonesian women. This study was conducted with a quantitative approach and performed in Indonesia. Participants of this study were 209 women. Measurement of self-esteem was done by using Rosenberg’s Self-Esteem Scale by Rosenberg, and breast cancer beliefs screening was measured using adaptation of Breast Cancer Screening Beliefs Questionnaire by Kwok, et al. The Results of data analysis showed that self-esteem has positive correlation with knowledge (r = .131, p = .029) and negative correlation with barriers to mammographic screening (r = -.128, p = .039) but, there is no correlation with attitude (r = .091, p = .096). From the results, it can be concluded that Indonesian women with high self-esteem has more knowledge and has little barriers to mammographic screening.

scholarly journals The Influence of Sociodemographic Factors on Women’s Breast Cancer Screening in Accra, Ghana

2021 ◽  
Vol 20 (3) ◽  
pp. 756-777
Author(s):  
Margaret Amenuke-Edusei ◽  
Charles M. S. Birore
Keyword(s):  
Breast Cancer ◽  
Social Work ◽  
Cancer Screening ◽  
Social Workers ◽  
Breast Cancer Screening ◽  
Cultural Beliefs ◽  
Healthcare Providers ◽  
Developed Countries ◽  
Institutional Review Boards ◽  
Convenience Sample

Ghana has a relatively low incidence rate of women’s breast cancer compared to more developed countries. However, the breast cancer’s mortality rate is higher in the former compared to the latter. In Ghana, the role of social work in health care is limited or is not recognized. The purpose of this study was to explore the influence of sociodemographic characteristics, access to healthcare providers, and physicians’ recommendations on Ghanaian women’s breast cancer screening practices. A cross-sectional survey and convenience sample were used to collect data from 194 Ghanaian women after approval was obtained from two Institutional Review Boards, authors of instruments used, and the participants. Univariate, chi-square, and logistic regression statistics were used to analyze data. Seventy-one percent of the participants reported practicing breast self-examination (BSE) and 14% reported mammogram screening. While educational level and employment were positively associated with BSE, a regular visit to healthcare providers was negatively associated with BSE. Income and physicians’ recommendations were positively associated with mammogram screening. Ghanaian women’s low level of mammogram screening calls for first, increasing breast cancer awareness and education to counteract negative personal and cultural beliefs relating to breast cancer and screening. Second, social workers in collaboration with health professionals and social justice agencies should advocate and lobby for health insurance legislation which mandates coverage of mammogram screening services. Finally, introducing oncology social work to the curriculum of social work educational programs in Ghana is needed to prepare social workers to address psychosocial challenges relating to breast cancer.

Sign in / Sign up

Export Citation Format

Share Document