Delays in Breast Cancer Detection and Treatment in Developing Countries.
Delays in Breast Cancer Detection and Treatment in Developing Countries.
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DOI：
10.1177/1178223417752677
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Leon-Rodriguez E
中科院分区：
文献类型：
--
作者：
Rivera-Franco MM;Leon-Rodriguez E
乳腺癌是发达国家和发展中国家妇女中最常见的癌症，也是世界上第二大常见癌症。发展中国家越来越多地采用西方的生活方式，如改变饮食习惯、推迟初次分娩、低胎次和缩短母乳喂养时间，这些都是这些地区乳腺癌发病率较高的重要决定因素。低收入和中等收入国家代表了死亡率最高的大多数国家，从40%到60%不等。此外，发展中国家的生存数据很少，而现有的少数数据与观察到的发病率和死亡率差异相吻合。与美国和瑞典相比，巴西、印度和阿尔及利亚等中低收入国家的乳腺癌五年生存率要差得多。早期检测方案的缺乏解释了这些低存活率的原因，这导致很高比例的妇女出现晚期疾病，同时缺乏适当的诊断和治疗设施。迫切需要强调健康教育，以促进乳腺癌的早期诊断，强调建立更多提供治疗的公共设施的重要性，这是改善发展中国家乳腺癌护理的关键组成部分。
Breast cancer is the most common cancer in women in both developed and developing countries and the second most common cancer in the world. Developing countries are increasingly adopting a Western lifestyle, such as changes in diet and delayed first childbirth, lower parity, and shorter periods of breastfeeding, which are important determinants of a higher incidence of breast cancer among those regions. Low- and middle-income countries (LMICs) represent most of the countries with the highest mortality rates, ranging from 40% to 60%. Furthermore, developing countries account for scarce survival data, and the few data available coincide with the observed incidence and mortality differences. Five-year survival rates for breast cancer are much worse for LMICs countries such as Brazil, India, and Algeria in comparison with the United States and Sweden. Paucity of early detection programs explain these poor survival rates, which results in a high proportion of women presenting with late-stage disease, along with lack of adequate diagnosis and treatment facilities. Emphasis is urgently needed on health education, to promote early diagnosis of breast cancer, highlighting the importance of creating more public facilities that provide treatment, which are key components for the improvement in breast cancer care in developing countries.
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影响因子：
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通讯作者：
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影响因子：
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