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一项关于亚洲女性乳腺癌现状的范围综述,特别关注尼泊尔。

A Scoping Review on the Status of Female Breast Cancer in Asia with a Special Focus on Nepal.

作者信息

Dhakal Rojana, Noula Maria, Roupa Zoe, Yamasaki Edna N

机构信息

Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus.

Department of Nursing, School of Health and Allied Sciences, Pokhara University, Kaski, Gandaki Province, Nepal.

出版信息

Breast Cancer (Dove Med Press). 2022 Aug 26;14:229-246. doi: 10.2147/BCTT.S366530. eCollection 2022.

Abstract

This study aimed to provide updated evidence on the status of female breast cancer and cancer treatment facilities in Asia, with a special focus on Nepal. This review used search phrases that included, breast neoplasm or cancer, health status, epidemiology, breast cancer survivors, cancer care facilities, Asia, Nepal. Researchers examined databases from January 2011 to December 2020 (PubMed, PMC, Google Scholar, and the reference lists of included papers). Studies of any design and reviews, were included in the study, except for qualitative studies. The study findings are presented in a narrative synthesis format using Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews. An initial search resulted in 974 papers, and 896 were reviewed after being checked for duplication using the Zotero software. Accordingly, utilizing the inclusion and exclusion criteria, 188 publications were selected, and after review of titles and abstracts, an additional 98 papers were removed for different reasons. Finally, the study looked at 90 female breast cancer papers. Results showed that the number of cases of breast cancer is growing all around the world, including in Asia and Nepal. Age, early menarche, late menopause, nulliparity, positive family history, excessive fat consumption, alcohol, and smoking are all frequent risk factors for breast cancer found in Asian women. Breast self-examination, clinical breast examination, and mammography screening are common methods for detecting breast carcinoma. Chemotherapy, radiation, and modified mastectomy are commonly used options for treatment. The number of breast cancer survivors is growing throughout the world, indicating better clinical care. There is a paucity of survival data in many Asian countries, including Nepal. There is also a scarcity of health workforce specialized in cancer care and treatment, as well as a few health facilities that are available to treat cancer cases in many Asian countries, including Nepal.

摘要

本研究旨在提供有关亚洲女性乳腺癌现状及癌症治疗设施的最新证据,特别关注尼泊尔。本综述使用的搜索词包括乳腺肿瘤或癌症、健康状况、流行病学、乳腺癌幸存者、癌症护理设施、亚洲、尼泊尔。研究人员检索了2011年1月至2020年12月的数据库(PubMed、PMC、谷歌学术以及纳入论文的参考文献列表)。除定性研究外,任何设计的研究和综述均纳入本研究。研究结果采用系统评价和Meta分析扩展版的首选报告项目以叙述性综合形式呈现。初步检索得到974篇论文,使用Zotero软件检查重复后,对896篇进行了评审。因此,根据纳入和排除标准,选择了188篇出版物,在对标题和摘要进行评审后,又因不同原因剔除了98篇论文。最后,该研究审视了90篇女性乳腺癌论文。结果显示,包括亚洲和尼泊尔在内,世界各地的乳腺癌病例数都在增加。年龄、初潮早、绝经晚、未生育、家族史阳性、脂肪摄入过多、饮酒和吸烟都是亚洲女性中常见的乳腺癌危险因素。乳房自我检查、临床乳房检查和乳房X线摄影筛查是检测乳腺癌的常用方法。化疗、放疗和改良乳房切除术是常用的治疗选择。世界各地乳腺癌幸存者的数量在增加,这表明临床护理有所改善。包括尼泊尔在内的许多亚洲国家缺乏生存数据。在包括尼泊尔在内的许多亚洲国家,也缺乏专门从事癌症护理和治疗的卫生人力,以及可供治疗癌症病例的卫生设施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7671/9427118/48b4f4696d4d/BCTT-14-229-g0001.jpg

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