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Copyright ©2014 Baishideng Publishing Group Inc.
World J Clin Oncol. Aug 10, 2014; 5(3): 509-519
Published online Aug 10, 2014. doi: 10.5306/wjco.v5.i3.509
Table 1 Recommendations for breast cancer screening/early detection and public education/awareness according to the resource level of a country[46]
Level of resourcesPublic education and awarenessDetection methodsEvaluation goal
BasicDeveloping culturally sensitive and linguistically appropriate local education programs for target populations to convey value of early detection, BC risk factors and breast health awareness (education and self examination)Clinical history and CBEsBreast health awareness regarding value of early detection in improving BC outcome
LimitedCulturally and linguistically appropriate targeted outreach/education encouraging CBE for age groups at higher risk administered at district level using healthcare provider in the fieldDiagnostic breast USG and/or diagnostic mammography if CBE + Mammographic screening of high risk target groupsDownsizing of symptomatic disease
EnhancedRegional awareness programs regarding breast health related to general health and women’s health programsMammographic screening every 2 yr in women aged 50 or older Consider mammographic screening (or USG) every 12-18 mo in women aged 40-49Downsizing and/or downstaging of asymptomatic disease in highest yield target groups
MaximalNational awareness campaigns regarding breast health using mass mediaAnnual mammographic screening in women aged 40 or moreDownsizing and/or downstaging of asymptomatic disease in women in all risk groups