scholarly journals Global Breast Cancer: The Lessons to Bring Home

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Silvia C. Formenti ◽  
Alan A. Arslan ◽  
Susan M. Love
Keyword(s):  
Breast Cancer ◽  
Developed Countries ◽  
Effective Management ◽  
Middle Income ◽  
Western Countries ◽  
Middle Income Countries ◽  
Common Cancer ◽  
The Us ◽  
Low And Middle Income

Breast cancer is the most common cancer affecting women globally. This paper discusses the current progress in breast cancer in Western countries and focuses on important differences of this disease in low- and middle-income countries (LMCs). It introduces several arguments for applying caution before globalizing some of the US-adopted practices in the screening and management of the disease. Finally, it suggests that studies of breast cancer in LMCs might offer important insights for a more effective management of the problem both in developing as well as developed countries.

scholarly journals Breast Cancer in Low- and Middle-Income Countries: An Emerging and Challenging Epidemic

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Arafat Tfayli ◽  
Sally Temraz ◽  
Rachel Abou Mrad ◽  
Ali Shamseddine
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Low Income ◽  
Therapeutic Interventions ◽  
Low Income Countries ◽  
Middle Income ◽  
Major Health ◽  
Middle Income Countries ◽  
Low And Middle Income

Breast cancer is a major health care problem that affects more than one million women yearly. While it is traditionally thought of as a disease of the industrialized world, around 45% of breast cancer cases and 55% of breast cancer deaths occur in low and middle income countries. Managing breast cancer in low income countries poses a different set of challenges including access to screening, stage at presentation, adequacy of management and availability of therapeutic interventions. In this paper, we will review the challenges faced in the management of breast cancer in low and middle income countries.

scholarly journals Breast Cancer in Low- and Middle-Income Countries

2018 ◽  
Vol 38 (1) ◽  
pp. 161-173 ◽  
Author(s):  
Yehoda M. Martei ◽  
Lydia E. Pace ◽  
Jane E. Brock ◽  
Lawrence N. Shulman
Keyword(s):  
Breast Cancer ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Developing a Breast Cancer Screening Program in Nigeria: Evaluating Current Practices, Perceptions, and Possible Barriers

2017 ◽  
Vol 3 (5) ◽  
pp. 490-496 ◽  
Author(s):  
Olalekan Olasehinde ◽  
Carla Boutin-Foster ◽  
Olusegun I. Alatise ◽  
Adewale O. Adisa ◽  
Oladejo O. Lawal ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Low Income ◽  
Screening Program ◽  
Cross Sectional Survey ◽  
Middle Income ◽  
Screening Programs ◽  
Middle Income Countries ◽  
Low And Middle Income

Purpose In low- and middle-income countries like Nigeria, women present with advanced breast cancer at an earlier age. Given the limited resources, development of screening programs that parallel resource capabilities of low- and middle-income countries is imperative. The objective of this study was to evaluate the perceptions, practices, and barriers regarding clinical breast examination (CBE) screening in a low-income community in Nigeria. Materials and Methods A cross-sectional survey of women age 40 years or older in Ife, Nigeria, using multistaged sampling was performed. Information on sociodemographics, knowledge of breast cancer, screening practices, and willingness to participate in CBE screening was obtained using an interviewer-administered questionnaire. Results A total of 1,169 women whose ages ranged from 40 to 86 years (mean age, 47.7 years; standard deviation, 8.79 years) were interviewed. The majority of women (94%) knew about breast cancer, whereas 27.5% knew someone who had had breast cancer, the majority of whom (64.5%) had died of the disease. Of the 36% of women who had breast screening recommended to them, only 19.7% had an actual CBE. Of these, only 6% had it in the last year. The majority of women (65.4%) were willing to have regular CBEs and did not care about the sex of the examiner in most instances. Lack of perceived need was the reason cited by women unwilling to participate. Conclusion The majority of women were aware of breast cancer and knew it as a fatal disease. With the relatively encouraging number of those willing to be examined, a carefully designed CBE program coupled with advocacy to correct uneducated beliefs seems promising.

Opportunities and Challenges for Implementing Neurotrauma Prevention Program: A Practical Perspective for Developing Countries

2019 ◽  
Vol 16 (02/03) ◽  
pp. 077-081
Author(s):  
Amrita Ghosh ◽  
Ranabir Pal ◽  
Luis Rafael Moscote-Salazar ◽  
Huber Said Padilla-Zambrano ◽  
Harsh Deora ◽  
...  
Keyword(s):  
Public Health ◽  
Traumatic Brain Injury ◽  
Developed Countries ◽  
Public Health Issue ◽  
Evidence Based ◽  
Middle Income ◽  
Literature Research ◽  
Middle Income Countries ◽  
Literature Searches ◽  
Low And Middle Income

AbstractNeurotrauma is an underestimated and less understood public health issue in low- and middle-income countries for which we need system-based approach to prevention plans. This study was initiated to find rationale of effective plan with projectile vision of neurotrauma prevention. In search of innovative ideas of neurotrauma prevention evidence was explored from the published literature research on traumatic brain injury. Evidence-based global guidelines on recommended content and scheduling on prevention of neurotrauma literature searches data were also synthesized and summarized from research in developed countries. Our study noted that a considerable number of victims of neurotrauma with death and disabilities put mammoth costs to the already compromised health systems of the low- and middle-income countries. We need systems-based four-pronged approach incorporating neurotrauma registry, neurotrauma surveillance, translational research programs, and current approved process for development of clinical guidelines for prevention.

scholarly journals Breast Oncoplasty Surgery in Low- and Middle-Income Countries: Lessons From India

2018 ◽  
Vol 4 (Supplement 3) ◽  
pp. 22s-22s
Author(s):  
Chaitanyanand B. Koppiker ◽  
Santosh Dixit ◽  
Aijaz Ul Noor ◽  
Laleh Busheri ◽  
Gail Lebovic ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Degree Program ◽  
Health Clinic ◽  
Middle Income ◽  
Middle Income Countries ◽  
Patient Reported ◽  
Hospitalization Costs ◽  
Hands On ◽  
Low And Middle Income

Purpose Breast cancer is the most common cancer in India, affecting all socio-economic strata. Despite its growing global acceptance, Breast Oncoplasty Surgery (BOS) remains nascent in India, necessitating local context-specific innovative delivery models for clinicians and the general public. Here, we present experiences from Orchids Breast Health Clinic (OBHC; Pune, India) with the implementation of BOS clinical services, training, and research and community outreach. Methods OBHC, a dedicated breast unit, has established the first dedicated BOS clinic in India, conducted hands-on training workshops for trainee surgeons, developed an MCh degree program in breast oncoplasty with the University of East Anglia (Norwich, United Kingdom), undertaken BOS research in Indian patients, and created outreach programs to popularize BOS. Results A cost-effective one surgeon–dual role concept wherein the same surgeon performs onco- and plastic surgery and one-stage implant-based breast reconstruction has been adopted. Since 2013, BOS cases included BCS (n = 440), breast reconstruction (n = 210), and therapeutic mammoplasty (n = 135). The unavailability of acellular dermal matrices has prompted the innovation of a surgical technique, termed Advanced Autologous Dermal Sling, which uses vascularized local tissue as implant cover. Significant improvement in postsurgery outcomes and protection against radiation complications has been observed. BOS hospitalization costs have been reduced by 50% thereby, which has led to high rates of acceptance (80%) of BOS in patients at OBHC. Young breast surgeons from across India and South Asian Association for Regional Cooperation countries have enrolled in the MCh degree program, which involves an embedded curriculum with online didactic modules and hands-on training workshops in Pune, India. Longitudinal follow-up after 1, 3, and 5 years postsurgery in the study cohorts is undertaken for post-BOS outcomes using clinical assessment (Bakers scale) and patient-reported outcomes measures (BREAST-Q questionnaire). Multiple research projects are undergoing peer-review before publication. To increase awareness of BOS among Indian women, community awareness campaigns with the theme of Losing Is Not an Option are underway via public talks, symposia, marathon, and op-eds in electronic and print media. Conclusion The OBHC model of Affordable Excellence in BOS, developed in the Indian context, can be extrapolated to benefit patients with breast cancer from other low- and middle-income countries. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/site/ifc . No COIs from the authors.

Changing characteristics and improved outcome of early breast cancer in low- and middle-income countries.

2011 ◽  
Vol 29 (15_suppl) ◽  
pp. e11044-e11044
Author(s):  
N. S. El-Saghir ◽  
H. Mikdachi ◽  
Z. Nachef ◽  
N. El Asmar ◽  
H. Sibai ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Breast Cancer ◽  
Middle Income ◽  
Middle Income Countries ◽  
Improved Outcome ◽  
Low And Middle Income

Improving Outcomes in Breast Cancer for Low and Middle Income Countries

2014 ◽  
Vol 39 (3) ◽  
pp. 686-692 ◽  
Author(s):  
C. H. Yip ◽  
I. Buccimazza ◽  
M. Hartman ◽  
S. V. S. Deo ◽  
P. S. Y. Cheung
Keyword(s):  
Breast Cancer ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals A New Standards-based Grammar for Linking Aggregate Datasets

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Derek Ritz ◽  
Bob Jolliffe ◽  
Xenophon Santas ◽  
James Kariuki
Keyword(s):  
Data Exchange ◽  
The Philippines ◽  
Use Cases ◽  
Middle Income ◽  
Middle Income Countries ◽  
Integrating The Healthcare Enterprise ◽  
Hands On ◽  
The Us ◽  
Low And Middle Income

The theme of this session is the linking and cross-referencing of disparate aggregate datasets that need to be combined for pruporses of reporting and/or analysis. The session leverages, as a global case study, the US Government's President's Emergency Plan for AIDS Relief (PEPFAR) programme. PEPFAR is a $7 billion per year programme supporting the delivery of HIV-related services, medicines, and commodities in 58 low and middle-income countries (www.pepfar.gov). PEPFAR has an immense datastore of monitoring, evaluation and reporting (MER) indicators that have been collected from all its supported countries over the course of its 15 years of operations. The goal of the session is to describe for attendees a newly-developed, standards-based grammar for describing interoperable aggregate data exchange and the message schemas needed to support it. The session facilitators are the primary authors of this new standard. Using the PEPFAR case study as a working example, the session explores how disparate HIV data elements and indicators from PEPFAR-supported countries are cross-referenced to each other and collected into a single central datastore to support analysis, management and reporting across the global programme. The specific HIV example will be elaborated upon to illustrate generalizable techniques that can be applied to linking aggregate datasets in other use cases (e.g. reporting to the annual WHO global health observatory, multiple provinces reporting to a federal health data institute, etc.). The session will be facilitated by Xenophon Santas and James Kariuki of the US CDC, Bob Jolliffe of the University of Oslo's Health Information Systems Programme (HISP) and Derek Ritz of ecGroup Inc (a Canadian health informatics consultancy). All four facilitators are members of the Quality, Research and Publich Health (QRPH) technical committee of the international digital health standards body, Integrating the Healthcare Enterprise (IHE; www.ihe.net). The session's content and examples will leverage the facilitators' first-hand experience working on HIV-related projects in low and middle-income countries (e.g. South Africa, Rwanda, Kenya, Malawi, Zimbabwe, Uganda, Sierre Leone, Vietnam, the Philippines and elsewhere). It is intended that the session will be conducted using an interactive workshop style. Attendees who wish it will have an opportunity to engage in participative (hands-on) learning. To get started, information will be provided about the standards-based grammar and how it works. Then, results from the facilitators' efforts leveraging this method to link multiple disparate HIV-related datasets will be presented. As a hands-on activity, attendees who have notebook computers will be able to connect to an open source software solution (www.dhis2.org) and "play in a sandbox" to try for themselves some of the techniques that have been described. As learning objectives, it is expected that attendees will: Be introduced to data linking use cases outside of their everyday experience Learn about a new technique for expressing aggregate content schema that supports interoperable data exhange Apply new skills in a hands-on, worked example.

scholarly journals The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Grace Kusi ◽  
Adwoa Bemah Boamah Mensah ◽  
Kofi Boamah Mensah ◽  
Veronica Millicent Dzomeku ◽  
Felix Apiribu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Cancer Patients ◽  
Family Caregivers ◽  
Breast Cancer Patients ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income
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