Two‐Stage Breast Cancer Screening in the Developing World

Batsis, Charalambos

doi:10.1007/s00268-010-0808-6

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…The results of the above pilots have been varied due to the different combinations of screening modalities and varying compliance rates, with the most effective results being observed in studies where some degree of community penetration was possible, such as in Egypt with home visits by social workers [61] or via mobile units in Brazil [62] . Results from Taiwan and Egypt were most promising with the use of a twophase screening, starting with CBE and continuing with mammography [56,63] . In fact some of the earliest evidence regarding combining various screening modalities come from the breast screening trial set within the Health Insurance Plan of New York where mammography was combined with CBE and almost 70% effect was estimated to be due to CBE [64] .…”

Section: Status Of Cbe and Bse In Lmicsmentioning

confidence: 99%

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Dey¹

2014

WJCO

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To review the present status of breast cancer (BC) screening/early detection in low-and middle-income countries (LMICs) and identify the way forward, an open focused search for articles was undertaken in PubMed, Google Scholar and Google, and using a snowball technique, further articles were obtained from the reference list of initial search results. In addition, a query was put up on ResearchGate to obtain more references and find out the general opinion of experts on the topic. Experts were also personally contacted for their opinion. Breast cancer (BC) is the most common cancer in women in the world. The rise in incidence is highest in LMICs where the incidence has often been much lower than high-income countries. In spite of more women dying of cancer than pregnancy or childbirth related causes in LMICs, most of the focus and resources are devoted to maternal health. Also, the majority of women in LMICs present at late stages to a hospital to initiate treatment. A number of trials have been conducted in various LMICs regarding the use of clinical breast examination and mammography in various combinations to understand the best ways of implementing a population level screening/early detection of BC; nevertheless, more research in this area is badly needed for different LMIC specific contexts. Notably, very few LMICs have national level programs for BC prevention via screening/early detection and even stage reduction is not on the public health agenda. This is in addition to other barriers such as lack of awareness among women regarding BC and the presence of stigma, inappropriate attitudes and lack of following proper screening behavior, such as conducting breast self-examinations. The above is mixed with the apathy and lack of awareness of policy makers regarding the fact that BC prevention is much more cost-effective and humane than BC treatment. Implementation of population level programs for screening/early detection of BC, along with use of ways to improve awareness of women regarding BC, can prove critical in stemming the increasing burden of BC in LMICs. Use of newer modalities such as ultrasonography which is more suited to LMIC populations and use of mHealth for awareness creation and increasing screening compliance are much needed extra additions to the overall agenda of LMICs in preventing BC.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Breast cancer; Screening; Early detection; Mammography; Clinical breast examination; Breast self examination; Ultrasonography; Awareness; Developing countries; Low-and middle-income countries Core tip: Implementation of population level breast cancer (BC) screening/early detection programs will prove to be most cost-effective for low-and middleincome countries (LMICs). Accompanying awareness creation regarding BC among women, more research and change in policy are also necessary to reduce the burden of BC in LMICs.Dey S. Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal.

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Section: Status Of Cbe and Bse In Lmicsmentioning

confidence: 99%

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Dey¹

2014

WJCO

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“…Plans are afoot to establish mammographic screening in 'resource-enhanced' settings in the developing world, including in northern African countries such as Tunisia [2] and Egypt. [3,4] We present an analysis of the first mammographic screening pilot programme in sub-Saharan Africa.…”

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confidence: 99%

Results of a pilot programme of mammographic breast cancer screening in the Western Cape

et al. 2014

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Mammographic breast cancer screening has reduced the mortality from breast cancer in the screened population by up to 65%. [1] Most First-World countries have therefore introduced mammographic screening programmes. Plans are afoot to establish mammographic screening in 'resource-enhanced' settings in the developing world, including in northern African countries such as Tunisia [2] and Egypt. [3,4] We present an analysis of the first mammographic screening pilot programme in sub-Saharan Africa.

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Cultural Barriers to Breast Cancer Screening in Arab Women

Alatrash¹

2021

Handbook of Healthcare in the Arab World

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Two‐Stage Breast Cancer Screening in the Developing World

Cited by 5 publications

References 19 publications

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Preventing breast cancer in LMICs via screening and/or early detection: The real and the surreal

Results of a pilot programme of mammographic breast cancer screening in the Western Cape

Cultural Barriers to Breast Cancer Screening in Arab Women

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