Comprehensive Reproductive System Care Program- Clinical Breast Care Project (CRSCP-CBCP)

2014 ◽  
Author(s):  
Craig D. Shriver ◽  
Lee Bronfman
Keyword(s):  
Reproductive System ◽  
Care Program ◽  
Care Project ◽  
Clinical Breast ◽  
Breast Care

scholarly journals Implementation of a Single-Visit Approach to Breast Care in Zambia

2017 ◽  
Vol 3 (2_suppl) ◽  
pp. 7s-8s
Author(s):  
Leeya F. Pinder ◽  
Aaron Shibemba ◽  
Victor Kusweje ◽  
Jean-Baptiste Nzayisenga ◽  
Hector Chiboola ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Cancer Prevention ◽  
Clinical Breast Examination ◽  
Cervical Cancer Prevention ◽  
Ultrasound Guided ◽  
Single Visit ◽  
Breast Examination ◽  
Clinical Breast ◽  
Breast Care

Abstract 11 Background: System-level barriers to care and low levels of awareness lead to late-stage presentation of breast disorders in resource-constrained environments. Simulating Zambia’s successful screen and treat approach to cervical cancer prevention, we designed and implemented an algorithm to improve breast care efficiency. Methods: In collaboration with the Zambian Ministry of Health and with support from the Susan G. Komen Breast Cancer Foundation, we initially expanded breast care capacity in Zambia through on-site training of mid- and high-level health care providers by international experts. By using this cadre of local experts, we then implemented a rural breast care camp of 1-week duration, during which breast self-awareness, psychosocial counseling, clinical breast examination, breast ultrasound, ultrasound-guided breast biopsy, histologic analysis of biopsy specimens, and treatment were offered to participants in a single-visit format. Results: Four hundred seventy-five women were evaluated during the camp. The mean age of participants was 34.5 (± 13.0) years. The majority of women were multiparous (81.9%), breast-fed (78.5%), and reported hormone use (54.1%). Abnormalities were detected on clinical breast examination in 33 women, 27 of which required ultrasound. Lesions were confirmed in 17 and evaluated by using ultrasound-guided core needle biopsy (12) or fine-needle aspiration (five). On-site imprint cytology was performed on all specimens and later confirmed by histology, with a concordance of 100%. Two cancers were detected. Three women with benign lesions underwent same-day surgery after histologic confirmation. Conclusion: Similar to the see-and-treat approach for cervical cancer prevention, the single-visit algorithm has the potential to vastly improve breast care efficiency in low-resource environments ( Fig 1 ). [Figure: see text] Funding: Susan G. Komen Breast Cancer Foundation. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST Leeya F. Pinder No relationship to disclose Aaron Shibemba No relationship to disclose Victor Kusweje No relationship to disclose Jean-Baptiste Nzayisenga No relationship to disclose Hector Chiboola No relationship to disclose Mary Amuyunzu-Nyamongo No relationship to disclose Catherine Mwaba Research Funding: Mylan (Inst) Travel, Accommodations, Expenses: Fresenius Susan Citonje Msadabwe Travel, Accommodations, Expenses: AstraZeneca Pavlo Lermontov No relationship to disclose Edgar Chikontwe No relationship to disclose Groesbeck P. Parham No relationship to disclose

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