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Cited by 12Women's cancer prevention and managementGlobal Cancer Incidence and ScreeningBreast Lesions and Carcinomas

The DOI matches its Crossref record; 16 of the 17 references it cites were found in a registry or an index.

Opportunistic Breast Cancer Education and Screening in Rural Honduras

Open access
Kennedy, Linda S., Bejarano, Suyapa A., Onega, Tracy L., Stenquist, Derek S., Chamberlin, Mary D.·2016·Journal of Global Oncology
DOI 10.1200/jgo.2015.001107PMC PMC5497619
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Abstract

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.

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Crossref · 10.1200/jgo.2015.001107

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Figures

Fig 1 Local men harvested and milled wood to make the structures of the exam cubicles that were clothed with bedsheets.
Fig 1 Local men harvested and milled wood to make the structures of the exam cubicles that were clothed with bedsheets.CC BY-NC-ND · PubMed Central
Fig 2 Lemons are stand-ins for breasts, and Spanish language captions describe potential problems (used with permission of Corrine Ellsworth Beaumont22).
Fig 2 Lemons are stand-ins for breasts, and Spanish language captions describe potential problems (used with permission of Corrine Ellsworth Beaumont22).CC BY-NC-ND · PubMed Central
Fig 3 A village leader used prepared materials to illustrate potential problems in breast health and to encourage women to inspect their breasts.
Fig 3 A village leader used prepared materials to illustrate potential problems in breast health and to encourage women to inspect their breasts.CC BY-NC-ND · PubMed Central
Fig 4 Clinical breast exam (CBE) participation and results. CCS, cervical cancer screening (results published elsewhere); LLC, La Liga Cancer Center.
Fig 4 Clinical breast exam (CBE) participation and results. CCS, cervical cancer screening (results published elsewhere); LLC, La Liga Cancer Center.CC BY-NC-ND · PubMed Central

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Cites

Research works printed but not linked: 3

  1. Vorobiof DA, 2001, J Clin Oncol, 19, 125S
  2. Semiglazov VF, 1999, Vopr Onkol, 45, 265
  3. Leung J, 2014, Rural Remote Health, 14, 2730

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Metadata

Authors
Kennedy, L. S., Bejarano, S. A., Onega, T. L., Stenquist, D. S., & Chamberlin, M. D.
Affiliations
Dartmouth College (US)
Corresponding author
Chamberlin, Mary D.
ORCID
Venue
Journal of Global Oncology
Publisher
American Society of Clinical Oncology (ASCO)
Published
2016-08
Volume
2
Issue
4
Pages
174-180
ISSN
2378-9506 (ISSN-L)
DOI
10.1200/jgo.2015.001107
PMC
PMC5497619
OpenAlex
W2341060139
Cited by
12
References
17
Citations by year
2026: 1 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 2
FWCI
1.65
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Global Oncology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
  • Dartmouth College
  • Norris Cotton Cancer Center
  • Audrey and Theodor Geisel School of Medicine at Dartmouth
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
Keywords
breast cancer screening, rural Honduras, cervical cancer screening, breast self-examination, clinical breast examination, breast cancer education, resource-limited settings, phyllodes tumor, mammography, ultrasound

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