Breast cancer in Brazil: present status and future goals

Summary Breast cancer is the most common cancer in women worldwide and 70% of breast cancer deaths occur in women from low-income and middle-income countries. Latin America has about 115 000 new cases of disease every year, with about 50 000 arising in Brazil. We examined the present status of breas...

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Bibliographic Details
Published in:The lancet oncology 2012-03, Vol.13 (3), p.e95-e102
Main Authors: Lee, Brittany L, MD, Liedke, Pedro ER, MD, Barrios, Carlos H, Prof, Simon, Sergio D, Prof, Finkelstein, Dianne M, Prof, Goss, Paul E, Prof
Format: Article
Language:English
Subjects:
Aged
Antineoplastic Agents - therapeutic use
Brazil - epidemiology
Breast cancer
Breast Neoplasms - diagnosis
Breast Neoplasms - ethnology
Breast Neoplasms - mortality
Breast Neoplasms - therapy
Delivery of Health Care, Integrated - statistics & numerical data
Early Detection of Cancer
Female
Health Services Accessibility - statistics & numerical data
Healthcare Disparities - statistics & numerical data
Hematology, Oncology and Palliative Medicine
Humans
Incidence
Mammography - statistics & numerical data
Mass Screening - methods
Mass Screening - statistics & numerical data
Mastectomy - statistics & numerical data
Middle Aged
Predictive Value of Tests
Radiotherapy
Residence Characteristics
Socioeconomic Factors
Treatment Outcome
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Summary:Summary Breast cancer is the most common cancer in women worldwide and 70% of breast cancer deaths occur in women from low-income and middle-income countries. Latin America has about 115 000 new cases of disease every year, with about 50 000 arising in Brazil. We examined the present status of breast cancer in Brazil as an example of the health effects of geographical, ethnic, and socioeconomic diversities on delivery of care. Our goal was to identify deficiencies that could be responsible for disparities in survival from breast cancer. We searched the English and Portuguese published work and reviewed national databases and Brazilian publi-cations. Although the availability of publications specific to Brazil is low in general, we identified several factors that could account for disparities: delays in diagnosis due to low cancer awareness and implementation of mammography screening, unknown quality of surgery, and restricted access to radiotherapy and modern systemic therapies.
ISSN:1470-2045
1474-5488
DOI:10.1016/S1470-2045(11)70323-0