Breast cancer screening in developing countries.
Breast cancer screening in developing countries.
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DOI：
10.6061/clinics/2017(04)09
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发表时间：
2017-04
期刊：
影响因子：
--
通讯作者：
Curado MP
中科院分区：
文献类型：
--
作者：
da Costa Vieira RA;Biller G;Uemura G;Ruiz CA;Curado MP
发展中国家的医疗资源有限，使用不同的策略来诊断乳腺癌。大多数人依赖公共医疗系统，这影响了肿瘤的诊断。因此，在发达国家观察到的指标不能与在发展中国家观察到的指标直接比较，因为发展中国家的保健基础设施不足。本研究的目的是评估发展中国家的乳腺癌筛查策略和指标。进行了系统性回顾和人群、干预、比较、结局、时间和设置方法，以确定诊断时可能的表现指标和发展中国家使用的方法。我们在PubMed中检索了“乳腺癌”或“乳腺癌筛查”以及“发展中国家”或“发展中国家”。共检索到1，149篇文章。在这些文章中，选择了45篇完整的文章，使我们能够确定与流行病学，诊断干预（诊断策略，诊断基础设施，接受乳房X光检查的妇女百分比），干预质量（诊断时的症状表现，诊断时间，早期疾病），比较（趋势曲线，风险亚群）和不同国家之间的生存率相关的指标。这些指标的确定将改进发展中国家所用方法的报告，并使我们能够评估与乳腺癌有关的公共卫生的改善情况。
Developing countries have limited healthcare resources and use different strategies to diagnose breast cancer. Most of the population depends on the public healthcare system, which affects the diagnosis of the tumor. Thus, the indicators observed in developed countries cannot be directly compared with those observed in developing countries because the healthcare infrastructures in developing countries are deficient. The aim of this study was to evaluate breast cancer screening strategies and indicators in developing countries. A systematic review and the Population, Intervention, Comparison, Outcomes, Timing, and Setting methodology were performed to identify possible indicators of presentation at diagnosis and the methodologies used in developing countries. We searched PubMed for the terms “Breast Cancer” or “Breast Cancer Screening” and “Developing Country” or “Developing Countries”. In all, 1,149 articles were identified. Of these articles, 45 full articles were selected, which allowed us to identify indicators related to epidemiology, diagnostic intervention (diagnostic strategy, diagnostic infrastructure, percentage of women undergoing mammography), quality of intervention (presentation of symptoms at diagnosis, time to diagnosis, early stage disease), comparisons (trend curves, subpopulations at risk) and survival among different countries. The identification of these indicators will improve the reporting of methodologies used in developing countries and will allow us to evaluate improvements in public health related to breast cancer.
DOI：
10.11604/pamj.2014.18.89.3237
发表时间：
2014
期刊：
The Pan African medical journal
影响因子：
--
作者：
Kiguli-Malwadde E;Mubuuke RG;Bugeza S;Mutungi B
通讯作者：
Mutungi B