Breast cancer in Latin America: Experts perceptions compared with medical care standards

被引：9

作者：

Cazap, E. ^{[1
]}

Buzaid, A. ^{[2
]}

Garbino, C. ^{[3
]}

de la Garza, J.

Orlandi, F. ^{[4
]}

Schwartsmann, G. ^{[5
]}

Vallejos, C. ^{[6
]}

Guercovich, A. ^{[1
]}

Breitbart, G. ^{[1
]}

机构：

[1] SLACOM, Buenos Aires, DF, Argentina

[2] Hosp Sirio Libanes, Ctr Oncol, Sao Paulo, Brazil

[3] Grp Oncol Uruguay, Montevideo, Uruguay

[4] Clin Santa Maria, Santiago, Chile

[5] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil

[6] INEN, Lima, Peru

来源：

BREAST | 2010年 / 19卷 / 01期

关键词：

Breast cancer; Medical care standards; Developing countries; Latin America; Expert survey;

D O I：

10.1016/j.breast.2009.10.011

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: The BCRF 11 study presents a systematic review of the norms, recommendations and guidelines that are considered medical care standards (MCS) for breast cancer in 12 Latin American and Caribbean countries. Three key questions from the BCRF I survey data on early detection and diagnosis are presented to identify implementation practice patterns related to MCS. Methods: Information related to MCS was requested from governmental health authorities, cancer institutes, and national scientific and professional societies in 12 Latin American and Caribbean countries. Documents received were reviewed by breast cancer experts from each respective country. Three key survey questions from the BCRF I survey on early detection and diagnosis were reprocessed to provide information related to implementation practice of existing MCS. Results: All countries included in the BCRF 11 study had medical care standards (MCS) whether published by governmental authorities, national professional or scientific associations, cancer institutes, or adoption of international MCS. Experts reported different practice patterns at a Country level versus a Center level. Overall, 85% of the experts reported that less than 50% of the women with no symptoms undergo a mammography at the Country level compared to 43% at the Center level. For diagnostic Suspicion of breast cancer, 80% of experts considered the diagnostic suspicion at a Country level to come from the patient compared to 50% at a Center level. About 30% of patients waited for more than 3 months for a diagnosis at the Country level compared to 7% at the Center level. Conclusion: All the Latin America and Caribbean countries in the study reported the use of similar MCS for breast cancer care. The reported difference between care practiced at a Country level versus a Center level suggests the challenge is not in generating new MCS, but in implementing policies and control mechanisms for compliance with existing MCS. guaranteeing their applicability to all populations. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：50 / 54

页数：5

共 14 条

[1] Guideline Implementation for Breast Healthcare in Low-income and Middle-income Countries Overview of the Breast Health Global Initiative Global Summit 2007 [J].