Guideline implementation for breast healthcare in low- and middle-income countries

Yip, Cheng Har; Smith, Robert A.; Anderson, Benjamin O.; Miller, Anthony B.; Thomas, David B.; Ang, Eng Suan; Caffarella, Rosemary S.; Corbex, Marilys; Kreps, Gary L.; McTiernan, Anne

doi:10.1002/cncr.23842

Cited by 230 publications

(173 citation statements)

References 56 publications

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“…Unfortunately, more than a third of these women presented late and it is the leading cause of cancer death in Malaysian women (Yip et al, 2006;Omar and Tamin 2007;Taib et al, 2007). It has been reported that good knowledge about breast cancer and positive beliefs in screening is associated with mammography uptake (Champion, 1999;Yip et al, 2008;Anderson et al, 2011). In Malaysia, 99.2% women were aware of breast cancer as a leading disease among them.…”

Section: Introductionmentioning

confidence: 99%

Awareness and Prevalence of Mammography Screening and its Predictors - A Cross Sectional Study in a Primary Care Clinic in Malaysia

Yusof

Chia²,

Hasni³

2014

Asian Pacific Journal of Cancer Prevention

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Background: Worldwide, over half a million women died of breast cancer in 2011 alone. Mammography screening is associated with a reduction of 20 to 35% in breast cancer mortality. The aim of this study was to determine the awareness and practice of mammography screening and predictors of its uptake in Malaysian women attending a primary care clinic. Materials and Methods: A cross-sectional study was carried out among women aged 40 to 74 years attending a primary care clinic in Selangor, Malaysia. An assisted structured questionnaire included questions on socio-demography, source of information and level of knowledge. An adapted version of the revised Champion Health Belief Model Scale plus other associated factors for mammography screening up-take were also included as part of the questionnaire. Predictors for mammography screening uptake were only determined in those who were aware about mammography screening. Significant predictors were determined by logistic regression. Results: 447 women were recruited for this study; 99.1% of them (n: 411) were aware about breast cancer. Only 50.1% (n: 206) had knowledge about mammography screening. Prevalence of clinical breast-examination (CBE) was 23.3% (n: 104) and mammography screening up-take was 13.2% (n: 59). The predictors for the latter were those who have had clinical breast-examination (aOR=17.58, 95%CI: 7.68-39.82) and those aged between 50 to 59 years (aOR=3.94, 95%CI: 1.61-9.66) as well as those aged 60 years and above (aOR=6.91, 95%CI: 2.28-20.94). Good knowledge and positive beliefs about mammography screening were not associated with mammography screening uptake. Conclusions: Half of our Malaysian women were aware about mammography screening. However, the uptake of mammography was low. Previous CBE and older age were significant predictors of mammography screening uptake. Increasing CBE services may increase compliance with guidelines.

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Section: Introductionmentioning

confidence: 99%

Awareness and Prevalence of Mammography Screening and its Predictors - A Cross Sectional Study in a Primary Care Clinic in Malaysia

Yusof

Chia²,

Hasni³

2014

Asian Pacific Journal of Cancer Prevention

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“…Awareness and education on breast health issues have been identified as a key component of early detection, down staging symptomatic disease and initiation of early intervention of breast cancer (Yip et al, 2008). In a developing country of wide socio-cultural differences, women tend to have a lack of understanding and various misconceptions on breast cancer and its treatment (Leong et al, 2007) which contributes to late presentation.…”

Section: Introductionmentioning

confidence: 99%

“…According to Leong et al (2007), in Sabah, presentation at advanced disease were associated with being a non-Chinese race, patients from rural area, those with income of less than RM1000 per month and the non-educated (Leong et al, 2007). It was also reported that the majority of those who defaulted treatment opted for traditional or alternative treatments (Yip et al, 2008;Taib et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…BSE is still recommended in Malaysia as a means of increasing awareness among women rather than as a screening tool (Ministry of Health Malaysia, 2010) as landmark studies such as the Shanghai BSE trial has rejected the ability of BSE to reduce breast cancer mortality. Unlike women in the trial who are able to detect lumps of 2cm in size, BSE is still required in Malaysia to reduce the average lump size which stands at 4 cm (Taib et al, 2007;Yip et al, 2008). A previous study among a population of school teachers in Malaysia has found that only 19% performed BSE regularly, 25% attended CBE and 13.6% had mammography screening (Parsa et al, 2008) while another study among female staff in a tertiary academic institution reported 41% performing regular BSE, 26% attending CBE in the past 3 years and 23% having a previous mammogram screen (Dahlui et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Breast Cancer Screening Uptake: A Pre Intervention Community Survey in Malaysia

Dahlui¹,

Gan²,

Taib³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Introduction: Despite health education efforts to educate women on breast cancer and breast cancer screening modalities, the incidence of breast cancer and presentation at an advanced stage are still a problem in Malaysia. Objectives: To determine factors associated with the uptake of breast cancer screening among women in the general population. Methods: This pre-intervention survey was conducted in a suburban district. All households were approached and women aged 20 to 60 years old were interviewed with pre-tested guided questionnaires. Variables collected included socio-demographic characteristics, knowledge on breast cancer and screening practice of breast cancer. Univariate and multivariate analysis were performed. Results: 41.5% of a total of 381 respondents scored above average; the mean knowledge score on causes and risks factors of breast cancer was 3.41 out of 5 (SD1.609). 58.5% had ever practiced BSE with half of them performing it at regular monthly intervals. Uptake of CBE by nurses and by doctors was 40.7% and 37.3%, respectively.

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“…The Breast Health Global Initiative and Asian Oncology Summit stratified different countries according to resources into the following four levels: basic, limited, enhanced and maximal. In the basic and limited levels, there are no recommendations for HER-2 diagnosis in breast cancer, but in the other two levels, IHC and ISH tests are recommended (Yip et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of HER-2-Positive Invasive Breast Cancer: A Systematic Review from Iran

Keyhani

Muhammadnejad²,

Karimlou³

2012

Asian Pacific Journal of Cancer Prevention

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Guideline implementation for breast healthcare in low- and middle-income countries

Abstract: Complete financial disclosures are presented at the end of this article.We especially thank Raul Murillo, MD, MPH; Lennarth Nystr€ om, PhD; and Vahit € Ozmen, MD, FACS for writing and editing.

Cited by 230 publications

References 56 publications

Awareness and Prevalence of Mammography Screening and its Predictors - A Cross Sectional Study in a Primary Care Clinic in Malaysia

Awareness and Prevalence of Mammography Screening and its Predictors - A Cross Sectional Study in a Primary Care Clinic in Malaysia

Predictors of Breast Cancer Screening Uptake: A Pre Intervention Community Survey in Malaysia

Prevalence of HER-2-Positive Invasive Breast Cancer: A Systematic Review from Iran

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