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NEW 2008 PUBLICATION Guidelines for International Breast Health and Cancer Control-Implementation were published as special supplement of the Oct. 15, 2008 journal Cancer for the first time detailing guidelines for low- and middle-income countries to implement breast cancer programs to detect and treat the most common disease among women worldwide. Other articles address breast pathology, radiation treatment, surgery and treatment of locally-advanced cancer. Available online:
Guidelines for International Breast Health and Cancer Control-Implementation, 2008
2006 PUBLICATION Guidelines for International Breast Health and Cancer Control, 2005, published in The Breast Journal, Volume 12, Number 1, January/February 2006 Supplement. They are summarized in resource-stratified matrices that recommend, based on the resource level, what level of care and/or service to provide and evaluation goals The 2005 Guidelines are a revision and expansion of The Breast Health Guidelines published in The Breast Journal, May/June 2003 Supplemental Issue, available for download in PDF format.
SECTION HIGHLIGHTS:
Guidelines for International Breast Health and Cancer Control-Implementation were published as special supplement of the Oct. 15, 2008 journal Cancer for the first time detailing guidelines for low- and middle-income countries to implement breast cancer programs to detect and treat the most common disease among women worldwide. Other articles address breast pathology, radiation treatment, surgery and treatment of locally-advanced cancer. Available online: www3.interscience.wiley.com/journal/28741/issueyear?year=2008
Guidelines for International Breast Health and Cancer Control, 2005, were published in The Breast Journal, Volume 12, Number 1, January/February 2006 Supplement. They are summarized in resource-stratified matrices that recommend, based on the resource level, what level of care and/or service to provide and evaluation goals
The 2005 Guidelines are a revision and expansion of The Breast Health Guidelines published in The Breast Journal, May/June 2003 Supplemental Issue, available for download in PDF format.
In October 2002 the BHGI held the first biennial Global Summit Consensus Conference on International Breast Health Care in Seattle, Washington to establish breast health Guidelines to address how care may best be provided in countries where significant gaps in health care resources exist. The guideline development followed consensus panel analysis of evidence-based breast care modeling. Based on definitions created by the World Health Organization (WHO) for national cancer programs, panels of breast cancer experts representing 17 countries and 9 world regions created guidelines to address early detection, diagnosis and treatment of breast cancer in countries with limited health care resources. The breast health care Guidelines were published in The Breast Journal as a supplement in 2003 and have been made available in an unrestricted fashion on the internet for world-wide access. At publication in 2003, they were the only written consensus guidelines that specifically addressed issues of breast care implementation in countries of limited resources. Major Points of 2002 Conference.
The BHGI Guidelines were re-examined at the second biennial Global Summit Consensus Conference on International Breast Health, held January 12-15, 2005, Bethesda, Maryland. The second iteration of this Guidelines process was hosted by the Office of International Affairs, National Cancer Institute (NCI).
Sixty-seven (67) participants from 33 developed and developing countries attended the meeting, which included health care professionals, epidemiologists, sociologists, economists, ethicists, advocates, and representatives of health organizations and health ministries. The participants re-examined and revised the 2003 international breast health care and cancer treatment Guidelines for developing countries into an expanded iteration. The Guidelines address:
The 2005 recommendations are stratified into 4 levels of resources:
The Guidelines are available in an unrestricted fashion for world-wide access on the internet, available for downloading from this website, with weblinks to Susan G. Komen for the Cure, collaborating organizations, The Breast Journal, and world health and medical organizations, some government health ministries, and patient advocacy groups.
In order to implement the Guidelines into practice, a separate but integrated effort is underway to establish a core resource for epidemiological outcomes analysis, developed in conjunction with Guideline revision and expansion.
The third biennial "Global Summit on International Breast Health Care -Implementation," held October 1-4, 2007 in Budapest, Hungary, focused on best approaches to "operationalize" the Guidelines.
The 2007 Summit hosted 100 experts from 40 countries. The published outcomes of the 2007 Global Summit, "Guidelines for International Breast Health and Cancer Control -Implementation" were published as special supplement of the Oct. 15, 2008 journal Cancer. These Consensus Statements regarding guideline implementation in LMCs were prepared by 4 expert panels: Early Detection; Diagnosis; Treatment, Health Care Systems. In addition, special focus group consensus manuscripts were prepared to address key issues in breast pathology, management of locally advanced cancer, and economic modeling. BHGI Guideline implementation systematically addresses breast health care from initial cancer identification through completion of therapy, thereby providing an outline for the development of breast care programs in LMCs.
The 2008 REPORT from the BREAST HEALTH GLOBAL INITIATIVE (PDF) on the summit, the work of the BHGI over the last six years and five-year plan for guidelines implementation, can be viewed and downloaded from: www.fhcrc.org/science/phs/bhgi/news/2008/BHGI_Report_2008.pdf.
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