scholarly journals A Systematic Review Protocol: Barriers and Facilitators of Breast Cancer Screening Among Women in Sub-Saharan Africa.

Author(s):  
Vida Nyagre Yakong ◽  
Agani Afaya ◽  
Robert Kaba Alhassan ◽  
Somin Sang ◽  
Salia Solomon Mohammed ◽  
...  

Abstract Introduction: According to statistics released by the International Agency for Research on Cancer (IARC) in December 2020, female breast cancer (BC) has overtaken lung cancer as the world's most commonly diagnosed cancer. It is estimated that by 2050 the prevalence rate of breast cancer in SSA will double. Breast cancer screening aims to reduce mortalities related to cancer, and morbidity associated with advanced stages of the disease, through early detection in asymptomatic women. This study aims to review and analyze empirical and grey literature on barriers and facilitators to breast cancer screening among women in SSA.Methods: PubMed, Web of Science, EMBASE, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) including Google scholar will be searched to identify published studies on barriers and facilitators to breast cancer screening from January 2010 to 2021. Two reviewers independently assessed the quality of all the included studies using the Mixed Methods Appraisal Tool (MMAT) version 2018.Conclusion: We envisage that this review will adduce evidence on common barriers and facilitators to BC screening in SSA. Identifying these barriers and facilitators will help guide the initialization of effective interventions that will improve BC screening uptake among women in SSA. This review will also guide future research in developing, implementing, and evaluating appropriate interventions tailored towards increasing BC screening uptake.Systematic review registration: Open Science Framework (OSF) registration DOI: 10.17605/OSF.IO/KY3PF

2019 ◽  
Vol 1 (2) ◽  
pp. 92-98 ◽  
Author(s):  
Nanxi Zha ◽  
Mostafa Alabousi ◽  
Peri Abdullah ◽  
Vivianne Freitas ◽  
Rhys Linthorst ◽  
...  

Abstract There are currently no clear guidelines for high-risk breast cancer screening during the pregnancy and breastfeeding periods. The objective of this systematic review (SR) was to assess the available evidence pertaining to breast cancer screening recommendations in this population with the aim of supporting future guidelines. We performed a SR of the literature using the electronic databases MEDLINE and Embase. Predetermined inclusion and exclusion criteria were used during the abstract screening and full-text data extraction phases. We retrieved 2,274 abstracts after removal of duplicates, from which 16 studies were included based on predetermined eligibility criteria. Most of the studies found were narrative reviews and expert opinions. Clinical breast exam (CBE) was recommended by 12 studies during pregnancy and by 6 studies in the breastfeeding period. Mammography was recommended in the breastfeeding period by 2 studies. Magnetic resonance imaging was recommended in the breastfeeding period by 2 studies. Ultrasound was considered not appropriate for screening in this population. The information extracted from this SR is based primarily on expert opinion and anecdotal evidence, which explains the lack of standardized guidelines for high-risk breast cancer screening in this population. However, expert opinion may be a surrogate outcome for high-risk breast cancer screening recommendations in this subset of patients, and as such, may justify the clinical management to be tailored accordingly. This SR summarizes the evidence pertaining to high-risk breast cancer screening during pregnancy and breastfeeding, which could serve as a catalyst for future research on the topic.


BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005586 ◽  
Author(s):  
Ruth H Jack ◽  
Henrik Møller ◽  
Tony Robson ◽  
Elizabeth A Davies

ObjectiveTo use newly available self-assigned ethnicity information to investigate variation in breast cancer screening uptake for women from the 16 specific ethnic groups within the broad Asian, Black and White groups that previous studies report.SettingNational cancer screening programme services within London.Participants655 516 female residents aged 50–69, invited for screening between March 2006 and December 2009. Ethnicity information was available for 475 478 (72.5%). White British women were the largest group (306 689, 46.8%), followed by Indian (34 687, 5.3%), White Other (30 053, 4.6%), Black Caribbean (25 607, 3.9%), White Irish (17 271, 2.6%), Black African (17 071, 2.6%) and Asian Other (10 579, 1.6%).Outcome measuresUptake for women in different ethnic groups aged 50–52 for a first call invitation to the programme, and for women aged 50–69 for a routine recall invitation after a previous mammography. Uptake is reported (1) for London overall, adjusted using logistic regression, for age at invitation, socioeconomic deprivation and geographical screening area, and (2) for individual areas, adjusted for age and deprivation.ResultsWhite British women attended their first call (67%) and routine recall (78%) invitations most often. Indian women were more likely to attend their first (61%) or routine recall (74%) than Bangladeshi women (43% and 61%, respectively), and Black Caribbean women were more likely than Black African women to attend first call (63% vs 49%, respectively) and routine recall (74% vs 64%, respectively). There was less variation between ethnic groups in some screening areas.ConclusionsBreast cancer screening uptake in London varies by specific ethnic group for first and subsequent invitations, with White British women being more likely to attend. The variation in the uptake for women from the same ethnic groups in different geographical areas suggests that collaboration about the successful engagement of services with different communities could improve uptake for all women.


2012 ◽  
Vol 66 (Suppl 1) ◽  
pp. A50.3-A51
Author(s):  
RH Jack ◽  
H Møller ◽  
T Robson ◽  
EA Davies

2021 ◽  
pp. 106828
Author(s):  
Amish Acharya ◽  
Viknesh Sounderajah ◽  
Hutan Ashrafian ◽  
Ara Darzi ◽  
Gaby Judah

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