Breastcancercare for the aging population: a focus on age-related disparities in breast cancer treatment. Breast cancer is a significant health issue for women worldwide and poses unique challenges for all ages. Older women face many concerns about breast cancer treatment and outcomes. This study aims to compare breast cancer management and outcomes across various age groups within a single
Seizing the moment: The time for harnessing electronic patient-reported outcome measures for enhanced and sustainable metastatic breastcancercare is now. The sustainability of healthcare systems is under pressure. Unlike care for many other chronic diseases, cancer care has yet to empower patients in effectively self-managing both the medical and emotional consequences of their condition
Patients' and doctors' views and experiences of the patient safety trajectory of breastcancercare. Successful breast cancer outcomes can be jeopardised by adverse events. Understanding and integrating patients' and doctors' perspectives into care trajectories could improve patient safety. This study assessed their views on, and experiences of, medical error and patient safety. A cross safety views and medical error/negligence claims experiences in breastcancercare in Ireland. Experience of medical error/negligence claims had long-lasting implications for both groups. Doctors were concerned about a multitude of errors and causative factors. Failure to embed these findings is a missed opportunity to improve safety.
Can we counterbalance restricted access to innovation through specialized breastcancercare? The REAL-NOTE study. The KEYNOTE-522 (KN-522) trial showed that the addition of pembrolizumab to standard chemotherapy improved pathological complete response (pCR) and event-free survival (EFS) for patients with early triple negative breast cancer (TNBC). We analyzed results of a real-world cohort
High-value breastcancercare within resource limitations. Breastcancercare is a costly global health issue where effective management depends on early detection and treatment. A breast cancer diagnosis can result in financial catastrophe especially in low- and middle-income countries (LMIC). Large inequities in breastcancercare are observed and represent a global challenge to caregivers
Financial struggles and coping with the aftermath of breastcancercare: An ethnographic study in Vietnam. Breast cancer, the most common cancer diagnosed among women, disproportionately affects low- and middle-income countries (LMICs). Based on an ethnographic study conducted in Central Vietnam in 2019, including observation and interviews with 33 women patients, we investigate how women and their families managed the financial burden of breastcancercare. Our findings suggest that in a context where health-related risk protection is poorly organised and out-of-pocket expenses are burdensome, despite the presence of universal health coverage, patients must rely heavily on informal arrangements to finance their treatment. They proactively researched available information and undertook extensive
Accessing breastcancercare in a protracted conflict: Qualitative exploration of the perspectives of women with breast cancer in northwest Syria. Women with breast cancer in northwest Syria, an area of protracted armed conflict, face multiple intersecting challenges to accessing care which may relate to gender, social structures, and financial constraints. Our aim was to explore there have been improvements to breastcancercare in northwest Syria, stock-outs and the lack of availability of radiotherapy may still force women to travel to Turkey for further investigations or treatment. Our findings suggest increased support for women with breast cancer as well as their families is required. This work is a starting point for future research on this topic both in northwest Syria
The negative impact of the COVID-19 pandemic on breastcancercare in Brazil: a time series study in regions with different human development indices. The impact of the COVID-19 pandemic on breastcancercare across Brazilian regions with varying Human Development Index (HDI) levels remains unclear. This study evaluates the pandemic's effects on screening mammograms, tumor staging at diagnosis
A latent class assessment of healthcare access factors and disparities in breastcancercare timeliness. Delays in breast cancer diagnosis and treatment lead to worse survival and quality of life. Racial disparities in care timeliness have been reported, but few studies have examined access at multiple points along the care continuum (diagnosis, treatment initiation, treatment duration continuum, likely stemming from different types of access barriers at key junctures. Improving breastcancercare access will require intervention on multiple aspects of SES and healthcare access.
European Society of Breast Cancer Specialists/Advanced Breast Cancer Global Alliance quality indicators for metastatic breastcancercare. Improvement in the care of patients with metastatic breast cancer (MBC) can only occur if the adequate quality of care is implemented and verified, including access to multidisciplinary, specialised care given in accordance with high-quality guidelines
Was Unstable Medicaid Coverage Among Older Medicare Beneficiaries Associated With Worse Clinical Outcomes? Evidence From the Delivery of BreastCancerCare. Medicare and Medicaid dually eligible beneficiaries (duals) could experience Medicaid coverage changes without losing Medicaid. It is unknown whether health care use and clinical outcomes among elderly duals with coverage changes would
Physicians' Hierarchy of Tumor Biomarkers for Optimizing Chemotherapy in BreastCancerCare. Tumor biomarkers are regularly used to guide breast cancer treatment and clinical trial enrollment. However, there remains a lack of knowledge regarding physicians' perspectives towards biomarkers and their role in treatment optimization, where treatment intensity is reduced to minimize toxicity. Thirty
Disparity in BreastCancerCare: Current State of Access to Screening, Genetic Testing, Oncofertility, and Reconstruction. Breast cancer is the most common cancer diagnosed in women, accounting for an estimated 30% of all new women cancer diagnoses in 2022. Advances in breast cancer treatment have reduced the mortality rates over the past 25 years by up to 34% but not all groups have benefitted
Surgical Oncologists and Nurses in BreastCancerCare are Ready to Provide Pre-Test Genetic Counseling. Pre-test genetic counseling for patients with breast cancer is increasingly being provided by nongenetic healthcare professionals. We evaluated the attitudes, knowledge, and self-efficacy of surgeons, oncologists, and nurses regarding mainstream genetic testing and the feasibility training was considered useful, with a rating of 8/10. Surgical oncologists and nurses in breastcancercare feel well-equipped and motivated to provide pre-test genetic counseling after completion of an online training module.
Mini review: Breastcancercare in individuals with differences of sexual development. Disorders or differences of sexual development encompasses an important group of conditions that affects up to 1 in 5,000 live births. Many individuals living in the female gender includes Turner syndrome, congenital adrenal hyperplasia and conditions with 46XY karyotype such as gonadal dysgenesis (Swyer
Absolute Lymphocyte Count After COVID-19 Vaccination Is Associated with Vaccine-Induced Hypermetabolic Lymph Nodes on 18F-FDG PET/CT: A Focus in BreastCancerCare. We aimed to predict the presence of vaccine-induced hypermetabolic lymph nodes (v-HLNs) on F-FDG PET/CT after coronavirus disease 2019 (COVID-19) vaccination and determine their association with lymphocyte counts
Time-Driven Activity-Based Costing in BreastCancerCare Delivery. Accurate measurement of healthcare costs is required to assess and improve the value of oncology care. We aimed to determine the cost of breastcancercare provision across collaborating health care organizations. We used time-driven activity-based costing (TDABC) to calculate the complete cost of breastcancercare-initial cancercare depended on (1) treatment protocols; (2) patient choice of reconstruction; and (3) the need for ancillary services (e.g., physical therapy). Understanding the actual costs and cost drivers of breastcancercare delivery may better inform resource utilization to lower the cost and improve the quality of care.
Integration of breastcancercare in a middle-income country: learning from Suandok Breast Cancer Network (SBCN). Breast cancer incidence in Northern Thailand has shown a continuous increase since records began in 1983. In 2002 the urgency of the situation prompted Maharaj Nakorn Chiang Mai Hospital to initiate the Suandok Breast Cancer Network (SBCN). The SBCN is a not-for-profit organization in the university hospital which serves as a training and education center and provides highly specialized medical care for patients in Chiang Mai and in 5 provinces of northern Thailand, with the key mission of improving breastcancercare. The short-term goal was to overcome the barriers to engagement with breast cancer and its treatment and the long-term goal was to increase the overall survival rate of breast
Using community-engaged methods to develop a study protocol for a cost analysis of a multi-site patient navigation intervention for breastcancercare. Patient navigation is an evidence-based intervention for reducing delays in oncology care among underserved populations. In order to address the financial sustainability of this intervention, information is needed on the cost of implementing entry and uptake of breastcancercare and treatment. These methods and tools were developed in partnership with breast oncology patient navigators and supervisors using principles of stakeholder engagement, with the goal of increasing usability and feasibility in the field. This methodology can be used to strengthen cost analysis and assessment tools for other navigation programs for improving care