ArticleWorld journal of surgery2010
Cost-effectiveness of clinical breast assessment-based screening in rural Egypt.
Article in World journal of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Estimating the incidence of breast cancer in Africa: a systematic review and meta-analysis.Journal of global health · 2018Pooled it
- Economic analyses of breast cancer control in low- and middle-income countries: a systematic review.Systematic reviews · 2013Pooled it
- Clinical breast examination screening by trained laywomen in Malawi integrated with other health services.The Journal of surgical research · 2016Trial
- Advancing women's health in Egypt: an economic evaluation of the presidential initiative for nationwide breast cancer early detection and treatment.Archives of public health = Archives belges de sante publique · 2026Article
- Evaluating the Impact of a Clinical Breast Examination Screening Program within the IraPEN Project.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Article
- Breast Cancer Screening Should Embrace Precision Medicine: Evidence by Reviewing Economic Evaluations in China.Advances in therapy · 2023Review
- Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons.Cancer reports (Hoboken, N.J.) · 2022Article
- Feasibility of Fine-Needle Aspiration Biopsy and Rapid On-Site Evaluation for Immediate Triage in Breast Cancer Screening in Tanzania.JCO global oncology · 2021Article
- Costs associated with management of non-communicable diseases in the Arab Region: a scoping review.Journal of global health · 2018Article
- Breast Density and Breast Cancer Incidence in the Lebanese Population: Results from a Retrospective Multicenter Study.BioMed research international · 2017Observational
- Breast Cancer in Sub-Saharan Africa: Challenges and Opportunities to Reduce Mortality.The oncologist · 2016Review
- Breast Cancer Screening in Low- and Middle-Income Countries: A Perspective From Malawi.Journal of global oncology · 2016Article
- Locally advanced breast cancer - strategies for developing nations.Frontiers in oncology · 2015Review
- Cancer screening and prevention in low-resource settings.Nature reviews. Cancer · 2014Article
- Breast cancer screening: review of benefits and harms, and recommendations for developing and low-income countries.Medical oncology (Northwood, London, England) · 2013Review
- Hormone receptors and age distribution in breast cancer patients at a university hospital in northern egypt.Breast cancer : basic and clinical research · 2013Article
- Two-stage breast cancer screening in the developing world.World journal of surgery · 2011Article
- Screening Employees of A Tertiary Care Hospital for Cancer Cervix and Cancer Breast: A Cross-Sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBreast cancer is the most common cancer in Egyptian women. However, the mean tumor size at diagnosis is 4.5 cm, and the median age is approximately 46 years. Both of these factors decrease the utility and cost-effectiveness of a mammography-based screening program typically designed for developed countries. We report the first clinical breast assessment-based screening project in an entirely rural Egyptian community.
methodsTargeted population: Women aged 25-65 years in three municipal regions of Dakahlia province, Egypt. The estimated targeted population was 57,500 and participation was voluntary. First stage was performed at primary health care points. Surgeons performed systematic clinical breast examination. All data were collected at Mansoura University. Abnormal findings in the primary examination led to an invitation to the Oncology Center--Mansoura University--where the second stage of the study took place. It comprised repeat examination, ultrasonography, and/or mammography. Therapeutic interventions were performed at the governmentally funded Mansoura Oncology Center.
resultsVoluntary participation reached 10.2% of the target group and abnormal clinical examination represented 3.2% (191/5,900). The screen-detected cancers were (18/5,900) of examined population, and thus the cancer detection rate of clinical breast assessment-based screening was 30.5 per 100,000 of participating women during 2 years. The tumor size was 1.5 cm (median) and 1.3 cm (mean). The cost of screening per cancer case detected was approximately 415 US$, and the overall cost of treating a screen-detected cancer was 1,015-1,215 US$.
conclusionsClinical breast assessment-based screening with selective mammography is an effective modality, which improves the results of breast cancer management in Egypt.
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