Guideline Implementation for Breast Healthcare in Low- and Middle-income Countries Early Detection Resource Allocation
Guideline Implementation for Breast Healthcare in Low- and Middle-income Countries Early Detection Resource Allocation
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DOI：
10.1002/cncr.23842
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发表时间：
2008-10-15
期刊：
影响因子：
6.2
通讯作者：
Shastri, Surendra
中科院分区：
文献类型：
--
作者：
Yip, Cheng-Har;Smith, Robert A.;Shastri, Surendra
在任何人群中，乳腺癌结果的一个关键决定因素是癌症在疾病早期阶段被检测到的程度。早期发现癌症的人群乳腺癌死亡率较低。乳腺健康全球倡议 (BHGI) 于 2007 年 10 月在匈牙利布达佩斯举行了第三届全球峰会，汇聚了国际公认的专家，讨论在低收入和中等收入国家 (LMC) 实施早期检测、诊断和治疗的乳腺保健指南。多学科专家小组专门讨论了 BHGI 疾病早期检测指南的实施，因为它们涉及公共教育和意识的资源分配、癌症检测方法和评估目标。公众教育和意识是关键的第一步，因为如果公众不了解早期检测的价值，早期检测计划就不可能成功。专家组在资源可用性和基于人群的需求的背景下审查了筛查方式的有效性和效率，包括筛查乳房X光检查、临床乳房检查（CBE）和乳房自我检查。在制定早期检测计划时，应考虑社会和文化障碍，并且早期检测计划的评估应包括使用完善的、方法上合理的过程指标来确定计划实施的有效性。任何筛查计划的方法和范围将决定任何早期检测计划的成功（以诊断时的癌症阶段为衡量标准），并将推动计划实施所需资源分配的广度。癌症 2008；113（8 增刊）：2244-56。 (C) 2008 美国癌症协会
A key determinant of breast cancer outcome in any population is the degree to which cancers are detected at early stages of disease. Populations in which cancers are detected at earlier stages have lower breast cancer mortality rates. The Breast Health Global Initiative (BHGI) held its third Global Summit in Budapest, Hungary in October 2007, bringing together internationally recognized experts to address the implementation of breast healthcare guidelines for early detection, diagnosis, and treatment in low- and middle-income countries (LMCs). A Multidisciplinary panel of experts specifically addressed the implementation of BHGI guidelines for the early detection of disease as they related to resource allocation for public education and awareness, cancer detection methods, and evaluation goals. Public education and awareness are the key first steps, because early detection programs cannot be Successful if the public is unaware of the value of early detection. The effectiveness and efficiency of screening modalities, including screening mammography, clinical breast examination (CBE), and breast self-examination, were reviewed in the context of resource availability and population-based need by the panel. Social and Cultural barriers should be considered when early, detection programs are being established, and the evaluation of early detection programs should include the use of well developed, methodologically sound process metrics to determine the effectiveness of program implementation. The approach and scope of any screening program will determine the Sucess of any early detection program as measured by cancer stage at diagnosis and will drive the breadth of resource allocation needed for program implementation. Cancer 2008;113(8 suppl):2244-56. (C) 2008 American Cancer Society