Global challenges in breast cancer detection and treatment

• Published in: Breast (Edinburgh) Vol. 62; no. Suppl 1; pp. S3 - S6
• Main Author: Barrios, Carlos H.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.03.2022; Elsevier
• Subjects: Breast cancer detection; Breast cancer treatment; Breast Neoplasms - diagnosis; Breast Neoplasms - therapy; Delivery of Health Care; Early diagnosis; Female; Healthcare discrepancies; Humans; Incidence; Low- and middle-income countries; Medically Underserved Area; Poverty; Screening; Breast cancer treatment; Breast cancer detection; Screening; Early diagnosis; Low- and middle-income countries; Healthcare discrepancies
• ISSN: 0960-9776; 1532-3080
• DOI: 10.1016/j.breast.2022.02.003

Breast cancer represents an urgent global priority. While this is a universal issue, and as the burden of the disease is increasing globally, current estimates indicate that in the next couple of decades, much of the incidence and mortality related to breast cancer will be seen in underserved populations. The fragile and ill-prepared healthcare systems in low- and middle-income countries (LMIC) need to address this challenge and find solutions with their limited resources. Significant disparities can be identified in stage at presentation as the ability to detect the disease in earlier stages is compromised in these scenarios leading to worse outcomes associated to late diagnoses. Furthermore, access to healthcare in general and to basic surgical, radiotherapy and systemic care is suboptimal additionally limiting treatment results. With a small portion of their budget allocated to healthcare, LMIC need to make the most of their resources prioritizing cost-effective strategies that could offer the best possible results. Countries that invest in women's health do develop into healthier, more educated, and importantly, more productive societies with benefits seen across generations. Finally, recognition of inequities should stimulate a concerted effort engaging all involved stakeholders to find context-adapted solutions to improve healthcare outcomes.