Jenkins Chris, Minh Luu Ngoc, Anh Tran Tuan, Ngan Tran Thu, Tuan Ngo Tri, Giang Kim Bao, Hoat Luu Ngoc, Lohfeld Lynne, Donnelly Michael, Van Minh Hoang, Murray Liam
a Centre for Public Health , Queen's University , Belfast , UK.
b Institute of Preventive Medicine and Public Health , Hanoi Medical University , Hanoi , Vietnam.
Glob Health Action. 2018;11(1):1435344. doi: 10.1080/16549716.2018.1435344.
Breast cancer incidence has been increasing consistently in Vietnam. Thus far, there have been no analytical reviews of research produced within this area.
We sought to analyse the nature andextent of empirical studies about breast cancer in Vietnam, identifying areas for future research and systemsstrengthening.
We undertook a scoping study using a five-stage framework to review published and grey literature in English and Vietnamese on breast cancer detection, diagnosis and treatment. We focused specifically on research discussing the health system and service provision.
Our results show that breast cancer screening is limited, with no permanent or integrated national screening activities. There is a lack of information on screening processes and on the integration of screening services with other areas of the health system. Treatment is largely centralised, and across all services there is a lack of evaluation and data collection that would be informative for recommendations seeking to improve accessibility and quality of breast cancer services.
This paper is the first scoping review of breast cancer services in Vietnam. It outlines areas for future focus for policy makers and researchers with the objective of strengthening service provision to women with breast cancer across the country while also providing a methodological example for how to conduct a collaborative scoping review.
越南乳腺癌发病率持续上升。迄今为止,该领域尚未有对相关研究的分析性综述。
我们试图分析越南乳腺癌实证研究的性质和范围,确定未来研究和加强系统的领域。
我们采用五阶段框架进行了一项范围界定研究,以回顾英文和越南文关于乳腺癌检测、诊断和治疗的已发表文献及灰色文献。我们特别关注讨论卫生系统和服务提供的研究。
我们的结果表明,乳腺癌筛查有限,没有永久性或综合性的全国筛查活动。缺乏关于筛查过程以及筛查服务与卫生系统其他领域整合的信息。治疗主要集中在中心地区,并且在所有服务中,都缺乏评估和数据收集,而这些对于旨在改善乳腺癌服务可及性和质量的建议来说是很有参考价值的。
本文是对越南乳腺癌服务的首次范围界定综述。它为政策制定者和研究人员勾勒了未来的重点领域,目标是加强全国乳腺癌女性的服务提供,同时也为如何进行协作性范围界定综述提供了一个方法示例。