Global uptake of BHGI guidelines for breast cancer

Echavarría, María Isabel; Anderson, Benjamin O.; Duggan, Catherine; Thompson, Beti

doi:10.1016/s1470-2045(14)71102-7

Cited by 23 publications

(21 citation statements)

References 5 publications

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“…Because CBE may be pragmatic and cost-effective for low-resource settings like Malawi [3, 7], we conducted a pilot study evaluating feasibility and acceptability of CBE screening performed by laywomen [8]. We found that laywomen could be successfully trained to provide breast cancer education and competently perform CBE [9].…”

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions regarding clinical breast exam screening by trained laywomen in Malawi

Kohler

Miller

Gutnik

et al. 2017

Cancer Causes Control

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Purpose Despite the increasing burden, breast cancer control in sub-Saharan Africa is insufficient. Late diagnosis and lack of early detection and screening services contribute to high mortality. Clinical breast exam (CBE) screening can be valuable in low-income countries, including use of community health workers and non-health professionals to conduct exams. We assessed experiences of women who underwent CBE screening by trained laywomen in Lilongwe, Malawi, as part of a pilot program. Methods The pilot study invited women attending urban health clinics to a breast cancer educational talk followed by CBE screening by trained laywomen. We purposively sampled participants from the pilot study and interviewed them about the screening experience and future cancer education programs and services. Results Overall participants had positive experiences and were willing to undergo CBE screening by trained laywomen. Participants were motivated by the educational talk, shared newly acquired cancer knowledge with their social networks, and encouraged others to seek screening. Screened women suggested strategies for future interventions including combining breast and cervical cancer screening, using female providers, partnering with community leaders to increase uptake, and expanding services into the community. Conclusions Asymptomatic Malawian women accepted CBE screening by trained laywomen and considered breast cancer an important health issue. Women appreciated combined education and screening services and proposed further linkage of breast and cervical cancer screening. Based on our results, training laywomen to educate the public on breast cancer and conduct CBE is a feasible breast cancer control strategy in sub-Saharan Africa.

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Section: Introductionmentioning

confidence: 99%

Experiences and perceptions regarding clinical breast exam screening by trained laywomen in Malawi

Kohler

Miller

Gutnik

et al. 2017

Cancer Causes Control

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“…Breast cancer is the most common cause of cancer deaths for women worldwide (Echavarria et al, 2014). In China, the overall crude incidence rate for breast cancer was 32.43 per 100,000, ranking first and accounting for 16.20% of all cancer cases in women, and the overall crude mortality rate was 8.65 per 100,000, ranking fifth and accounting for 7.90% of all cancer deaths in women (Zeng et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Correlation Study of Knowledge and Behavior Regarding Breast Care among Female Undergraduate Students in China

Liu

Geng³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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Background: This study aimed to understand the relationship between knowledge level and behavior on breast care in Chinese students, so as to provide strategies for improving the health education of breast care and subsequently for aiding in breast cancer prevention. Materials and Methods: A self-designed questionnaire was used to evaluate breast care knowledge level and characterize related behavior. Correlation analysis was conducted for the knowledge level and behavior. The study was carried out using 597 female undergraduate students in medical and non-medical colleges in Wuhu, China. Results: The average score of breast care knowledge was 5.32±1.68 (5.62±1.68 and 5.00±1.68 for medical and non-medical students, respectively), with a greater score value for sophomores (5.59±1.72) than freshmen (5.18±1.65). The average score of breast care behavior was 2.21±1.13, again with a greater value in sophomores (2.37±1.15) than freshmen (2.21±1.13). A significant positive correlation (r=0.231, p<0.01) between knowledge scores and behavior scores was observed. In addition, various factors, including paying attention to breast care information, receiving breast self-examination guidance, TV program and Internet, were found to influence breast care knowledge. Conclusions: In general, female undergraduate students lack of self-awareness of breast care with a low rate of breast self-examination. It is necessary to carry out health education to improve early detection of breast cancer.

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“…17 A systematic literature review and citation analysis performed in 2013 showed that of the 552 unique articles citing the BHGI guidelines, 359 (65%) referenced either the guidelines’ overviews (200 [36%]) or the early detection guidelines (159 [29%]) and the remaining guideline topics with decreasing frequently: breast cancer diagnosis (52 [9%]), treatment (84 [15%]), and the changes needed to the health care systems (48 [9%]). The BHGI health care system guidelines have been increasingly referenced over time, and by 2011, exceeded the articles referencing diagnostic guidelines.…”

Section: To the Editormentioning

confidence: 99%