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The World in Medicine |

Breast Cancer in Poor Countries

M. J. Friedrich
JAMA. 2011;305(19):1953-1953. doi:10.1001/jama.2011.634
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New guidelines seek to improve the early detection, diagnosis, and treatment of breast cancer in low-income and middle-income countries (LMCs) (Anderson BO et al. Lancet Oncol. 2011;12[4]:387-398).

Late-stage disease presentation contributes to lower breast cancer survival rates in LMCs compared with high-income countries. Additionally, health care professionals in developing countries may lack sufficient training in cancer diagnosis, medical treatment, or surgical techniques for removing breast tumors.

The guidelines are based on consensus findings of the fourth Breast Health Global Initiative 2010 summit, at which more than 150 experts from 43 countries considered obstacles to breast cancer control in resource-poor countries. Recommendations include setting up cancer registries to collect data, investing in training programs for medical personnel, integrating diagnostic services and therapeutic and palliative care, and promoting public awareness that breast cancer outcomes are improved through early detection.

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