Breast cancer in limited-resource countries: Early detection and access to care

Robert A. Smith, Maira Caleffi, Ute Susann Albert, Tony H H Chen, Stephen W. Duffy, Dido Franceschi, Lennarth Nyström

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

Although incidence, mortality, and survival rates vary fourfold in the world's regions, in the world as a whole, the incidence of breast cancer is increasing, and in regions without early detection programs, mortality is also increasing. The growing burden of breast cancer in low-resource countries demands adaptive strategies that can improve on the too common pattern of disease presentation at a stage when prognosis is very poor. In January 2005, the Breast Health Global Initiative (BHGI) held its second summit in Bethesda, MD. The Early Detection and Access to Care Panel reaffirmed the core principle that a requirement at all resource levels is that women should be supported in seeking care and should have access to appropriate, affordable diagnostic tests and treatment. In terms of earlier diagnosis, the panel recommended that breast health awareness should be promoted to all women. Enhancements to basic facilities might include the following, in order of resources: effective training of relevant staff in clinical breast examination (CBE) both for symptomatic and asymptomatic women; opportunistic screening with CBE; demonstration projects or trials of organized screening using CBE or breast self-examination; and finally, feasibility studies of mammographic screening. Ideally, for complete evaluation, such projects require notification of deaths among breast cancer cases and staging of diagnosed tumors.

Original languageEnglish
JournalBreast Journal
Volume12
Issue numberSUPPL. 1
DOIs
StatePublished - Jan 1 2006

Fingerprint

Breast
Breast Neoplasms
Breast Self-Examination
Mortality
Neoplasm Staging
Incidence
Feasibility Studies
Routine Diagnostic Tests
Early Diagnosis
Survival Rate
Health
Neoplasms
Therapeutics

Keywords

  • Breast awareness
  • Breast cancer
  • Clinical breast examination
  • Developing countries
  • Diagnosis
  • Imaging
  • Mammography
  • Screening

ASJC Scopus subject areas

  • Internal Medicine
  • Oncology

Cite this

Smith, R. A., Caleffi, M., Albert, U. S., Chen, T. H. H., Duffy, S. W., Franceschi, D., & Nyström, L. (2006). Breast cancer in limited-resource countries: Early detection and access to care. Breast Journal, 12(SUPPL. 1). https://doi.org/10.1111/j.1075-122X.2006.00200.x

Breast cancer in limited-resource countries : Early detection and access to care. / Smith, Robert A.; Caleffi, Maira; Albert, Ute Susann; Chen, Tony H H; Duffy, Stephen W.; Franceschi, Dido; Nyström, Lennarth.

In: Breast Journal, Vol. 12, No. SUPPL. 1, 01.01.2006.

Research output: Contribution to journalArticle

Smith, RA, Caleffi, M, Albert, US, Chen, THH, Duffy, SW, Franceschi, D & Nyström, L 2006, 'Breast cancer in limited-resource countries: Early detection and access to care', Breast Journal, vol. 12, no. SUPPL. 1. https://doi.org/10.1111/j.1075-122X.2006.00200.x
Smith, Robert A. ; Caleffi, Maira ; Albert, Ute Susann ; Chen, Tony H H ; Duffy, Stephen W. ; Franceschi, Dido ; Nyström, Lennarth. / Breast cancer in limited-resource countries : Early detection and access to care. In: Breast Journal. 2006 ; Vol. 12, No. SUPPL. 1.
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