Untreated breast masses: A cross-sectional countrywide survey of Nepal

Gupta, Shailvi; Ghimire, Pranita; Shrestha, Sunil; Ranjit, Anju; Kingham, T. Peter; Groen, Reinou S.; Kushner, Adam L.; Nwomeh, Benedict C.

doi:10.1016/j.surg.2014.10.002

Cited by 2 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 31 Furthermore, breast cancer was most common in women of 55-59 years age followed by 60-64 years and 65-69 years, in contrast to the findings of other previous studies in Nepal where 41-50 years was found to be the commonest age group for breast cancer. 32 , 33 These findings will be important to plan breast cancer early-detection policies on the basis of the risk stratification. 34 …”

Section: Discussionmentioning

confidence: 96%

Epidemiologic Pattern of Cancer in Kathmandu Valley, Nepal: Findings of Population-Based Cancer Registry, 2018

Subedi

Dhimal

Budukh

et al. 2021

JCO Global Oncology

View full text Add to dashboard Cite

PURPOSE Although cancer is an important and growing public health issue in Nepal, the country lacked any population-based cancer registry (PBCR) until 2018. In this study, we describe the establishment of the PBCR for the first time in Nepal and use the registry data to understand incidence, mortality, and patterns of cancer in the Kathmandu Valley (consisting of Kathmandu, Lalitpur, and Bhaktapur districts), which comprises 10.5% of the estimated 29 million population of Nepal in 2018. MATERIALS AND METHODS The PBCR collects information from facilities and communities through the active process. The facilities include cancer or general hospitals, pathology laboratories, hospice, and Ayurvedic centers. In the communities, the field enumerators or female community health volunteers collected the data from the households. In addition, the Social Security and Nursing Division under the Department of Health Services, which provides subsidy for cancer treatment of underprivileged patients, was another major source of data. The collected data were verified for residence, accuracy, and completeness and then entered and analyzed using CanReg5 software. RESULTS In the Kathmandu Valley, the PBCR registered 2,156 new cancer cases with overall age-adjusted incidence rate for all cancers of 95.7 per 100,000 population (95.3 for males and 98.1 for females). The age-adjusted mortality rate for males was 36.3 (n = 365) and for females 27.0 (n = 305) per 100,000 population. We found that the commonest cancers in males were lung and stomach, whereas in females, they were breast and lung cancer. Gallbladder cancer was among the top five common cancers in both sex. CONCLUSION These findings provide a milestone to understand the cancer burden in the country for the first time using the PBCR and will be helpful to develop and prioritize cancer control strategies.

show abstract

Section: Discussionmentioning

confidence: 96%

Epidemiologic Pattern of Cancer in Kathmandu Valley, Nepal: Findings of Population-Based Cancer Registry, 2018

Subedi

Dhimal

Budukh

et al. 2021

JCO Global Oncology

View full text Add to dashboard Cite

show abstract

“…Twenty-seven (71%) studies focused on CC (Baral et al 2020;Bhatta et al 2020;Darj et al 2019;Ghimire and Pathak 2020;Andersen et al 2020;Gyenwali et al 2013;Johnson et al 2014;Joy et al 2011;Khadka et al 2017;Maharjan et al 2020;Pandey and Karmacharya 2017;Poudel and Sumi 2019;Rachana and Giri 2019;Ranabhat et al 2014;Ranjit et al 2016;Satyal 2013;Shakya et al 2016;Sherpa 2007;Sherpa et al 2020;Shrestha et al 2013;Shrestha 2014;Shrestha and Dhakal 2017;Shrestha et al 2020;Shrestha et al 2021a;Thapa 2018;Thapa et al 2018;). Ten studies (26%) concerned BC (Bhandari et al 2016;Bhandari et al 2021;Bhatt et al 2011;Braun and Itano 2011;Gupta et al 2015;Narasingrao et al 2013;Parajuli and Mandal 2010;Sathian et al 2014;Shrestha 2012;). One study evaluated knowledge, attitude and screening practice for both cancers (Shah et al 2010).…”

Section: Search Resultsmentioning

confidence: 99%

“…Poor knowledge about BC impacts treatment-seeking behaviours. Gupta et al (2015) noted in a study using a population-based survey of surgical needs that 33% did not receive surgical care for BC. Reasons cited were believing there to be no need for surgery, fear or lack of trust, and not having the financial assets for surgical care.…”

Section: Impact Of Poor Knowledge On Screening Behavioursmentioning

confidence: 99%

Knowledge, awareness, attitudes and screening practices towards breast and cervical cancer among women in Nepal: a scoping review

Rademaker

Bhandary

Harder

2021

J Public Health (Berl.)

View full text Add to dashboard Cite

Aim Breast and cervical cancers have emerged as major global health challenges and disproportionately affect women in low- and middle-income countries, including Nepal. This scoping review aimed to map the knowledge, attitudes and screening practices for these cancers among Nepali women to improve cancer outcomes and reduce inequality. Methods Five electronic databases (CINAHL, Embase, Global Health, PsycINFO and PubMed), grey literature, and reference and citation lists were searched for articles published in English up to June 2021. Articles were screened against inclusion/exclusion criteria, and data from eligible studies were extracted. Results were summarised narratively. Results The search yielded 615 articles, 38 of which were included in this scoping review (27 cervical cancer, 10 breast cancer, 1 both cancers). Levels of knowledge regarding breast and cervical varied widely. The main knowledge gaps were misconceptions about symptoms and risk factors, and poor understanding of screening behaviours. Screening practices were mostly inadequate due to socio-cultural, geographical or financial barriers. Positive attitudes towards cervical screening were associated with higher education and increased knowledge of screening modalities. Higher levels of knowledge, (health) literacy and participation in awareness campaigns facilitated breast cancer screening. Conclusion Knowledge and screening practices for breast and cervical cancer among Nepali women were poor and highlight the need for awareness and education programmes. Future research should explore community health worker-led awareness and screening interventions for cervical cancer, and programmes to increase the practice of breast self-examination and clinical breast examinations to support early diagnosis of breast cancer.

show abstract

Untreated breast masses: A cross-sectional countrywide survey of Nepal

Cited by 2 publications

References 5 publications

Epidemiologic Pattern of Cancer in Kathmandu Valley, Nepal: Findings of Population-Based Cancer Registry, 2018

Epidemiologic Pattern of Cancer in Kathmandu Valley, Nepal: Findings of Population-Based Cancer Registry, 2018

Knowledge, awareness, attitudes and screening practices towards breast and cervical cancer among women in Nepal: a scoping review

Contact Info

Product

Resources

About