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Cited by 533

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

Guideline implementation for breast healthcare in low-income and middle-income countries: Overview of the Breast Health Global Initiative Global Summit 2007

Open access
Anderson, Benjamin O., Yip, Cheng-Har, Smith, Robert A., Shyyan, Roman, Sener, Stephen F., Eniu, Alexandru, Carlson, Robert W., Azavedo, Edward, Harford, Joe·2008·Cancer

Abstract

Breast cancer outcomes in low- and middle-income countries (LMCs) correlate with the degree to which 1) cancers are detected at early stages, 2) newly detected cancers can be diagnosed correctly, and 3) appropriately selected multimodality treatment can be provided properly in a timely fashion. The Breast Health Global Initiative (BHGI) invited international experts to review and revise previously developed BHGI resource-stratified guideline tables for early detection, diagnosis, treatment, and healthcare systems. Focus groups addressed specific issues in breast pathology, radiation therapy, and management of locally advanced disease. Process metrics were developed based on the priorities established in the guideline stratification. The groups indicated that cancer prevention through health behavior modification could influence breast cancer incidence in LMCs. Diagnosing breast cancer at earlier stages will reduce breast cancer mortality. Programs to promote breast self-awareness and clinical breast examination and resource-adapted mammographic screening are important early detection steps. Breast imaging, initially with ultrasound and, at higher resource levels with diagnostic mammography, improves preoperative diagnostic assessment and permits image-guided needle sampling. Multimodality therapy includes surgery, radiation, and systemic therapies. Government intervention is needed to address drug-delivery problems relating to high cost and poor access. Guideline dissemination and implementation research plays a crucial role in improving care. Adaptation of technology is needed in LMCs, especially for breast imaging, pathology, radiation therapy, and systemic treatment. Curricula for education and training in LMCs should be developed, applied, and studied in LMC-based learning laboratories to aid information transfer of evidence-based BHGI guidelines.

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Crossref · 10.1002/cncr.23844

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Metadata

Authors
Anderson, B. O., Yip, C.-H., Smith, R. A., Shyyan, R., Sener, S. F., Eniu, A., Carlson, R. W., Azavedo, E., & Harford, J.
Venue
Cancer
Publisher
Wiley
Published
2008-10-15
Volume
113
Issue
S8
Pages
2221-2243
ISSN
  • 0008-543X (ISSN-L)
  • 1097-0142
OpenAlex
W3000617624
Cited by
533
References
63
FWCI
11.09
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Guideline implementation for breast healthcare in low-income and middle-income countries: Overview of the Breast Health Global Initiative Global Summit 2007. https://app.cochat.ai/papers/10.1002/cncr.23844
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Anderson, B. O., Yip, C.-H., Smith, R. A., Shyyan, R., Sener, S. F., Eniu, A., Carlson, R. W., Azavedo, E., & Harford, J. (2008). Guideline implementation for breast healthcare in low-income and middle-income countries: Overview of the Breast Health Global Initiative Global Summit 2007. Cancer. https://doi.org/10.1002/cncr.23844

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