A situational analysis of breast cancer early detection services in Trinidad and Tobago

被引：4

作者：

Badal, Kimberly ^{[1
,2
]}

Rampersad, Fidel ^{[3
,4
]}

Warner, Wayne A. ^{[4
]}

Toriola, Adetunji T. ^{[5
]}

Mohammed, Hamish ^{[6
]}

Scheffel, Harold-Alexis ^{[7
]}

Ali, Rehanna ^{[1
,2
]}

Moosoodeen, Murrie ^{[8
]}

Konduru, Siva ^{[9
]}

Russel, Adaila ^{[2
]}

Haraksingh, Rajini ^{[1
,2
]}

机构：

[1] Caribbean Canc Res Initiat, San Fernando, Trinidad Tobago

[2] Univ West Indies, Fac Sci & Technol, Dept Life Sci, St Augustine, Trinidad Tobago

[3] Univ West Indies, Fac Med Sci, St Augustine, Trinidad Tobago

[4] Washington Univ, Sch Med, Dept Cell Biol & Physiol, Med Oncol,Siteman Canc Ctr, St Louis, MO 63110 USA

[5] Washington Univ, Sch Med, Div Publ Hlth Sci, St Louis, MO USA

[6] Publ Hlth England, Natl Infect Serv, Dept HIV & STIs, London, England

[7] York Univ, Dept Geog, Toronto, ON, Canada

[8] San Fernando Gen Hosp, San Fernando, Trinidad Tobago

[9] Sangre Grande Gen Hosp, Sangre Grande, Trinidad Tobago

来源：

CANCER CAUSES & CONTROL | 2018年 / 29卷 / 01期

关键词：

Breast cancer; Trinidad and Tobago; Screening; Early detection; Health service evaluation; Situational analysis; Primary prevention; MIDDLE-INCOME COUNTRIES; HIGH-RISK; HEALTH-CARE; MAMMOGRAPHY; MORTALITY; WOMEN; OVERDIAGNOSIS; METAANALYSIS; SONOGRAPHY; OUTCOMES;

D O I：

10.1007/s10552-017-0937-4

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose A situational analysis of breast cancer (BC) early detection services was carried out to investigate whether Trinidad and Tobago (T&T) has the framework for successful organized national screening. Methods An online survey was designed to assess the availability, accessibility, quality control and assurance (QC&A), and monitoring and evaluation (M&E) mechanisms for public and private BC early detection. A focus group with local radiologists (n=3) was held to identify unaddressed challenges and make recommendations for improvement. Results Major public hospitals offer free detection services with wait times of 1-6 months for an appointment. Private institutions offer mammograms for TTD$ 240 (USD$ 37) at minimum with same day service. Both sectors report a lack of trained staff. Using 1.2 mammograms per 10,000 women >= 40 years as sufficient, the public sector's rate of 0.19 mammograms per 10,000 women >= 40 years for screening and diagnosis is inadequate. Program M&E mechanisms, QC&A guidelines for machinery use, delays in receipt of pathology reports, and unreliable drug access are further unaddressed challenges. Conclusion T&T must first strengthen its human and physical resources, implement M&E and QC&A measures, strengthen cancer care, and address other impediments to BC early detection before investing in nationally organized BC screening.

引用

页码：33 / 42

页数：10