Cargando…

Opportunistic Breast Cancer Education and Screening in Rural Honduras

PURPOSE: In Honduras, the breast cancer burden is high, and access to women’s health services is low. This project tested the connection of community-based breast cancer detection with clinical diagnosis and treatment in a tightly linked and quickly facilitated format. METHODS: The Norris Cotton Can...

Descripción completa

Detalles Bibliográficos
Autores principales: Kennedy, Linda S., Bejarano, Suyapa A., Onega, Tracy L., Stenquist, Derek S., Chamberlin, Mary D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society of Clinical Oncology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497619/
https://www.ncbi.nlm.nih.gov/pubmed/28717699
http://dx.doi.org/10.1200/JGO.2015.001107
_version_ 1783248180606926848
author Kennedy, Linda S.
Bejarano, Suyapa A.
Onega, Tracy L.
Stenquist, Derek S.
Chamberlin, Mary D.
author_facet Kennedy, Linda S.
Bejarano, Suyapa A.
Onega, Tracy L.
Stenquist, Derek S.
Chamberlin, Mary D.
author_sort Kennedy, Linda S.
collection PubMed
description PURPOSE: In Honduras, the breast cancer burden is high, and access to women’s health services is low. This project tested the connection of community-based breast cancer detection with clinical diagnosis and treatment in a tightly linked and quickly facilitated format. METHODS: The Norris Cotton Cancer Center at Dartmouth College partnered with the Honduran cancer hospital La Liga Contra el Cancer to expand a cervical cancer screening program, which included self-breast exam (SBE) education and clinical breast exams (CBEs), to assess patient attitudes about and uptake of breast cancer education and screening services. The cervical cancer screening event was held in Honduras in 2013; 476 women from 31 villages attended. RESULTS: Half of the women attending elected to receive a CBE; most had concerns about lactation. Clinicians referred 12 women with abnormal CBEs to La Liga Contra el Cancer for additional evaluation at no cost. All referred patients were compliant with the recommendation and received follow-up care. One abnormal follow-up mammogram/ultrasound result was negative on biopsy. One woman with an aggressive phyllodes tumor had a mastectomy within 60 days. Multimodal education about breast cancer screening maximized delivery of women’s health services in a low-tech rural setting. CONCLUSION: The addition of opportunistic breast cancer education and screening to a cervical cancer screening event resulted in high uptake of services at low additional cost to program sponsors. Such novel strategies to maximize delivery of women’s health services in low-resource settings, where there is no access to mammography, may result in earlier detection of breast cancer. Close follow-up of positive results with referral to appropriate treatment is essential.
format Online
Article
Text
id pubmed-5497619
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher American Society of Clinical Oncology
record_format MEDLINE/PubMed
spelling pubmed-54976192017-07-17 Opportunistic Breast Cancer Education and Screening in Rural Honduras Kennedy, Linda S. Bejarano, Suyapa A. Onega, Tracy L. Stenquist, Derek S. Chamberlin, Mary D. J Glob Oncol Original Reports PURPOSE: In Honduras, the breast cancer burden is high, and access to women’s health services is low. This project tested the connection of community-based breast cancer detection with clinical diagnosis and treatment in a tightly linked and quickly facilitated format. METHODS: The Norris Cotton Cancer Center at Dartmouth College partnered with the Honduran cancer hospital La Liga Contra el Cancer to expand a cervical cancer screening program, which included self-breast exam (SBE) education and clinical breast exams (CBEs), to assess patient attitudes about and uptake of breast cancer education and screening services. The cervical cancer screening event was held in Honduras in 2013; 476 women from 31 villages attended. RESULTS: Half of the women attending elected to receive a CBE; most had concerns about lactation. Clinicians referred 12 women with abnormal CBEs to La Liga Contra el Cancer for additional evaluation at no cost. All referred patients were compliant with the recommendation and received follow-up care. One abnormal follow-up mammogram/ultrasound result was negative on biopsy. One woman with an aggressive phyllodes tumor had a mastectomy within 60 days. Multimodal education about breast cancer screening maximized delivery of women’s health services in a low-tech rural setting. CONCLUSION: The addition of opportunistic breast cancer education and screening to a cervical cancer screening event resulted in high uptake of services at low additional cost to program sponsors. Such novel strategies to maximize delivery of women’s health services in low-resource settings, where there is no access to mammography, may result in earlier detection of breast cancer. Close follow-up of positive results with referral to appropriate treatment is essential. American Society of Clinical Oncology 2016-03-09 /pmc/articles/PMC5497619/ /pubmed/28717699 http://dx.doi.org/10.1200/JGO.2015.001107 Text en © 2016 by American Society of Clinical Oncology http://creativecommons.org/licenses/by-nc-nd/4.0/ Licensed under the Creative Commons Attribution 4.0 License: http://creativecommons.org/licenses/by-nc-nd/4.0/.
spellingShingle Original Reports
Kennedy, Linda S.
Bejarano, Suyapa A.
Onega, Tracy L.
Stenquist, Derek S.
Chamberlin, Mary D.
Opportunistic Breast Cancer Education and Screening in Rural Honduras
title Opportunistic Breast Cancer Education and Screening in Rural Honduras
title_full Opportunistic Breast Cancer Education and Screening in Rural Honduras
title_fullStr Opportunistic Breast Cancer Education and Screening in Rural Honduras
title_full_unstemmed Opportunistic Breast Cancer Education and Screening in Rural Honduras
title_short Opportunistic Breast Cancer Education and Screening in Rural Honduras
title_sort opportunistic breast cancer education and screening in rural honduras
topic Original Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497619/
https://www.ncbi.nlm.nih.gov/pubmed/28717699
http://dx.doi.org/10.1200/JGO.2015.001107
work_keys_str_mv AT kennedylindas opportunisticbreastcancereducationandscreeninginruralhonduras
AT bejaranosuyapaa opportunisticbreastcancereducationandscreeninginruralhonduras
AT onegatracyl opportunisticbreastcancereducationandscreeninginruralhonduras
AT stenquistdereks opportunisticbreastcancereducationandscreeninginruralhonduras
AT chamberlinmaryd opportunisticbreastcancereducationandscreeninginruralhonduras