Pilot Implementation of Breast Cancer Early Detection Programs in Colombia

Murillo, Raúl; Díaz, Sandra; Sánchez, Oswaldo; Perry, Fernando; Piñeros, Marion; Poveda, César; Salguero, Édgar; Osorio, Dimelza

doi:10.1159/000114446

Cited by 20 publications

(11 citation statements)

References 9 publications

(7 reference statements)

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“…35 Nevertheless, breast cancer mortality in Colombia is also higher among women with general health care plans, unlike mortality observed for cervical cancer. 36 The main reasons for patient delay found in this study were either that women did not believe symptoms to be important or that the lump did not hurt. These findings, together with late stage at diagnosis, point towards women ignoring the seriousness of a painless lump, an observation made in several other studies in developing countries.…”

mentioning

confidence: 67%

Patient delay among Colombian women with breast cancer

Piñeros¹,

Pedraza²,

Cendales³

et al. 2009

Salud pública Méx

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ResumenObjetivo. Caracterizar el diagnóstico y tratamiento de mujeres con cáncer de mama en Bogotá, Colombia; establecer la demora de pacientes en la asistencia a consulta y los factores relacionados. Material y Métodos. A través de una aproximación censal se identificaron 1 106 mujeres con cáncer de mama. La recolección de información se hizo mediante entrevistas y revisión de historias clínicas. Se consideró demora de la paciente el tiempo entre la percepción del síntoma y la primera consulta. Resultados. Más de 80% de las mujeres consultaron por síntomas; la mayoría eran estados avanzados. Los factores que se relacionaron con la demora fueron una mayor edad, no tener afiliación al sistema de salud y la enfermedad avanzada. Una mayor educación se relacionó con menor demora. Discusión. Las mujeres no reconocen los síntomas del cáncer de mama; es necesario diseñar estrategias de comunicación y educación para estimular el reconocimiento de los síntomas y la oportunidad de consulta.

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mentioning

confidence: 67%

Patient delay among Colombian women with breast cancer

Piñeros¹,

Pedraza²,

Cendales³

et al. 2009

Salud pública Méx

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“…As a consequence, a number of attempts have been made in various LMICs for determining a BC screening solution. Numerous evaluations of such pilot studies or national programs exist in countries such as India [50] , Egypt [51] , Colombia [52] , Lebanon [53] , Palestine [54] , Philippines [55] , Taiwan [56] , Mexico [57] , Brazil [58] , Pakistan [59] and Nepal [60] . 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] .…”

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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“…54 This resource stratification model for guideline development has been successfully used in a diverse spectrum of countries around the world. [55][56][57][58] The guidelines provide a tool for policy makers on how to identify deficits in resources and to inform management plans based on the status of existing services. 15 This approach has been used in other cancer types, improving health system coordination.…”

Section: Case Study: Breast Health Global Initiativementioning

confidence: 99%

Global Cancer Consortiums: Moving from Consensus to Practice

Ilbawi

Anderson

2015

Ann Surg Oncol

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Implementation research should inform consensus formation, program delivery, and outcome monitoring to achieve the goals articulated by GCCs. Fundamental steps to successful implementation are: (1) to adopt an integrated, multisectoral plan with local involvement; (2) to define shared implementation priorities by establishing care pathways that avoid prescriptive but suboptimal health care delivery; (3) to build capacity through education, technology transfer, and surveillance of outcomes; and (4) to promote equity and balanced collaboration. GCCs can bridge the gap between what is known and what is done, translating normative sharing of clinical expertise into tangible improvements in patient care.

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Pilot Implementation of Breast Cancer Early Detection Programs in Colombia

Cited by 20 publications

References 9 publications

Patient delay among Colombian women with breast cancer

Patient delay among Colombian women with breast cancer

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

Global Cancer Consortiums: Moving from Consensus to Practice

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