scholarly journals Detecção precoce do câncer de mama: o direito da mulher à mamografi a

2019 ◽  
Vol 77 (15) ◽  
Author(s):  
Ana Gabriella Bastos Oliveira ◽  
Flavia Fulgencio Farias ◽  
Adilson da Costa Filho ◽  
Márcia Ribeiro Braz ◽  
Carlos Marcelo Balbino ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Methodological Approach ◽  
Screening Mammography ◽  
Health Policies ◽  
Cáncer De Mama ◽  
Ministry Of Health ◽  
Breast Cancer Early Detection ◽  
Cancer Early Detection ◽  
Age Range

O Ministério da Saúde publicou a Portaria 1.253, na qual prioriza a faixa etária dos 50 aos 69 anos para a realizaçãodo exame de mamografi a de rastreamento para detecção precoce do câncer de mama. O estudo objetiva apontar onúmero de mamografi as com BI-RADS sugestivos de câncer de mama, em mulheres valencianas que estão fora dafaixa etária preconizada pelo Ministério da Saúde e suscitar a discussão na atenção básica. Método: A abordagemmetodológica utilizada foi documental, exploratória, retrospectiva e de abordagem quantitativa. As informaçõesanalisadas foram: faixa etária, ano de realização do exame, categorização BI-RADS. Os resultados apontam paraum número signifi cativo de mulheres valencianas que realizaram mamografi a de rastreamento, predominando acategoria BI-RADS® 4, entre os anos de 2009 e 2014, e se encontravam fora da faixa etária preconizada peloMS. Conclusões: Os resultados deste estudo poderão contribuir para sanar as difi culdades quanto à inclusão deinformações necessárias para um bom funcionamento do sistema, bem como para a conscientização dos profi ssionaisque o abastecem além de auxiliar no direcionamento das políticas públicas e recursos para a região.Palavras-chave: Câncer de mama; Detecção precoce; Políticas de Saúde, BI-RADS. ABSTRACTThe Ministry of Health published the Decree 1,253, which prioritizes the age range of 50 to 69 years for thecompletion of the examination of screening mammography for early detection of breast cancer. The study aimsat pointing out the number of mammograms with BI-RADS suggestive of breast cancer in women valencian,which are outside the age range recommended by the Ministry of Health and to stimulate the discussion on basiccare. Method: The methodological approach used was documentary, exploratory, retrospective and quantitativeapproach. The information analyzed were: age, year of completion of the examination, categorization BI-RADS.The results point to a signifi cant number of Valencian women who underwent screening mammography,predominantly of the BI-RADS® category 4, between the years of 2009 and 2014, and they were outside the agerange recommended by MS. Conclusions: The results of this study may help to remedy the diffi culties regardingthe inclusion of information necessary for a proper functioning of the system, as well as to raise the awareness ofprofessionals that the supply, as well as to help in the channeling of public policies and resources for the region.Keywords: Breast cancer; Early detection; Health policies, BI-RADS.

scholarly journals Quality of Breast Cancer Early Detection Services Conducted by Well Woman Clinics in the District of Gampaha, Sri Lanka

2013 ◽  
Vol 14 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Palatiyana Vithanage Sajeewanie Chiranthika Vithana ◽  
M.A.Y. Ariyaratne ◽  
P.L. Jayawardana
Keyword(s):  
Breast Cancer ◽  
Sri Lanka ◽  
Early Detection ◽  
Breast Cancer Early Detection ◽  
Cancer Early Detection

scholarly journals Assessment and Improvement Strategies for a Breast Cancer Early Detection Program in Rural South Africa

2018 ◽  
pp. 1-12 ◽  
Author(s):  
Megan Hadley ◽  
Lisa A. Mullen ◽  
Lindsay Dickerson ◽  
Susan C. Harvey
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Documentation System ◽  
Rural South ◽  
Breast Cancer Early Detection ◽  
Cancer Early Detection ◽  
Detection Program ◽  
Early Detection Program ◽  
Rural South Africa

Purpose To assess and develop solutions for an ultrasound-based breast cancer early detection program in rural South Africa 1 year after implementation. Methods A WHO-endorsed RAD-AID Radiology Readiness Assessment was used to evaluate clinic resources. In addition, 5 weeks of observation identified resource deficiencies and reviewed existing documentation methods. On the basis of stakeholders’ input and the BI-RADS, we developed new documentation systems. Training was followed by a survey that assessed feasibility and provider acceptance. Results Resource limitations included lack of computers, unpredictable electrical supply, and inconsistent Internet. The assessment revealed incomplete documentation of breast clinical examinations and history, breast lesions, and follow-up. Furthermore, limitations negatively affected communication among providers. Three solutions were developed: a paper patient history form, a paper clinical findings form, and a computerized patient-tracking data base compliant with BI-RADS. Three nurses, three nursing assistants, and one counselor completed the survey. Seventy-one percent indicated positive general attitudes, and 100% agreed that the documentation system is easy and useful and improves overall quality of care, follow-up, decision making; access to clinical information; and communication between clinicians and patients. Five of the seven providers reported that the system increased visit time, but three of those five believed that the process was valuable. Conclusion Implementation of a breast cancer early detection program in resource-limited regions is challenging, and continual assessment is essential. As a result of identified needs, we developed a documentation system that was broadly accepted. Future steps should focus on increasing efficiency, evaluation of provider attitudes long term, and clinical effect.

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