Breast cancer early detection: A phased approach to implementation
Breast cancer early detection: A phased approach to implementation
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DOI：
10.1002/cncr.32887
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发表时间：
2020-05-15
期刊：
影响因子：
6.2
通讯作者：
Anderson, Benjamin O.
中科院分区：
文献类型：
--
作者：
Ginsburg, Ophira;Yip, Cheng-Har;Anderson, Benjamin O.
当乳腺癌被发现并及早治疗时，生存的机会非常高。然而，在许多环境下，女性在早期发现方面面临着复杂的障碍，包括社会、经济、地理和其他相关因素，这些因素可能限制她们获得及时、负担得起和有效的乳腺保健服务。此前，乳腺健康全球倡议 (BHGI) 为乳腺癌的早期检测和诊断制定了资源分层指南。在 2018 年 10 月举行的第六届 BHGI 全球峰会的这篇共识文章中，作者描述了早期检测计划开发的阶段，首先是基于意识教育和技术培训、病史和体检以及准确的组织诊断诊断临床可检测疾病所需的管理策略。解决的核心问题包括财务和治理，它们涉及成功的规划、实施和项目改进的迭代过程，并且是乳腺癌早期检测项目在任何资源环境下取得成功所必需的。提供了有助于项目实施监控的实施、过程和临床结果指标的示例。介绍了国家案例，以强调成功实施乳腺癌早期检测计划的挑战和机遇，并考虑了在现实环境中实现乳腺癌早期检测的障碍和促进因素之间复杂的相互作用。
When breast cancer is detected and treated early, the chances of survival are very high. However, women in many settings face complex barriers to early detection, including social, economic, geographic, and other interrelated factors, which can limit their access to timely, affordable, and effective breast health care services. Previously, the Breast Health Global Initiative (BHGI) developed resource-stratified guidelines for the early detection and diagnosis of breast cancer. In this consensus article from the sixth BHGI Global Summit held in October 2018, the authors describe phases of early detection program development, beginning with management strategies required for the diagnosis of clinically detectable disease based on awareness education and technical training, history and physical examination, and accurate tissue diagnosis. The core issues address include finance and governance, which pertain to successful planning, implementation, and the iterative process of program improvement and are needed for a breast cancer early detection program to succeed in any resource setting. Examples are presented of implementation, process, and clinical outcome metrics that assist in program implementation monitoring. Country case examples are presented to highlight the challenges and opportunities of implementing successful breast cancer early detection programs, and the complex interplay of barriers and facilitators to achieving early detection for breast cancer in real-world settings are considered.