Anderson Benjamin O, Ilbawi André M, El Saghir Nagi S
Breast Health Global Initiative, Fred Hutchinson Cancer Research Center, Departments of Surgery and Global Health-Medicine, University of Washington, Seattle, Washington.
Breast J. 2015 Jan-Feb;21(1):111-8. doi: 10.1111/tbj.12357. Epub 2014 Nov 29.
Cancer control planning has become a core aspect of global health, as rising rates of noncommunicable diseases in low-resource settings have fittingly propelled it into the spotlight. Comprehensive strategies for cancer control are needed to effectively manage the disease burden. As the most common cancer among women and the most likely reason a woman will die from cancer globally, breast cancer management is a necessary aspect of any comprehensive cancer control plan. Major improvements in breast cancer outcomes in high-income countries have not yet been mirrored in low-resource settings, making it a targeted priority for global health planning. Resource-stratified guidelines provide a framework and vehicle for designing programs to promote early detection, diagnosis, and treatment using existing infrastructure and renewable resources. Strategies for evaluating the current state and projecting future burden is a central aspect of developing national strategies for improving breast cancer outcomes at the national and international levels.
癌症控制规划已成为全球卫生的核心内容，因为资源匮乏地区非传染性疾病发病率的上升使其理所当然地成为关注焦点。需要采取全面的癌症控制策略来有效应对疾病负担。乳腺癌是全球女性中最常见的癌症，也是女性最有可能因癌症死亡的原因，因此乳腺癌管理是任何全面癌症控制计划的必要组成部分。高收入国家乳腺癌治疗效果有了重大改善，但资源匮乏地区尚未出现类似情况，这使其成为全球卫生规划的重点目标。资源分层指南为利用现有基础设施和可再生资源设计促进早期检测、诊断和治疗的项目提供了框架和途径。评估当前状况并预测未来负担的策略是在国家和国际层面制定改善乳腺癌治疗效果国家战略的核心内容。
