tailieunhanh - Breast Cancer in Limited-Resource Countries: Early Detection and Access to Care

The data items to be collected by a registry are dictated by the purpose for which the registry has been established, by the method of data collection used and by the resources available to the registry. However, the emphasis should be on the quality of the data collected rather than on the quantity. It is advisable that registries in developing countries should start by attempting to collect only information on the basic items listed in . A unique registration number (cancer registry number) is assigned by the registry to each patient. If a patient has more than one primary tumour, the same number is given to each. | BREAST HEALTH GLOBAL INITIATIVE Breast Cancer in Limited-Resource Countries Early Detection and Access to Care Robert A. Smith PhD Maira Caleffi MD PhD t Ute-Susann Albert MD MIAC Tony H. H. Chen MSc PhD Stephen W. Duffy MSc Cstat Dido Franceschi MD A and Lennarth Nystrom PhD for the Global Summit Early Detection and Access to Care Panel American Cancer Society Atlanta Georgia USA Hospital Moinhos de Vento Em Porto Alegre and Breast Institute of Rio Grande do Sul Porto Alegre Brazil Philipps-University Marburg Marburg Germany College of Public Health National Taiwan University Taipei Taiwan Cancer Research UK Center for Epidemiology Mathematics Statistics Wolfson Institute of Preventive Medicine London United Kingdom A University of Miami Miami Florida and eUmea University Umeả Sweden Abstract Although incidence mortality and survival rates vary fourfold in the world s regions in the world as a whole the incidence of breast cancer is increasing and in regions without early detection programs mortality is also increasing. The growing burden of breast cancer in low-resource countries demands adaptive strategies that can improve on the too common pattern of disease presentation at a stage when prognosis is very poor. In January 2005 the Breast Health Global Initiative BHGI held its second summit in Bethesda MD. The Early Detection and Access to Care Panel reaffirmed the core principle that a requirement at all resource levels is that women should be supported in seeking care and should have access to appropriate affordable diagnostic tests and treatment. In terms of earlier diagnosis the panel recommended that breast health awareness should be promoted to all women. Enhancements to basic facilities might include the following in order of resources effective training of relevant staff in clinical breast examination CBE both for symptomatic and asymptomatic women opportunistic screening with CBE demonstration projects or trials of organized screening using CBE or breast