ArticleAsian Pacific journal of cancer prevention : APJCP2019
Difficult Access and Poor Productivity: Mammography Screening in Brazil.
Article in Asian Pacific journal of cancer prevention : APJCP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health care accessibility and mobility in breast cancer: a Latin American perspective.BMC health services research · 2024Pooled it
- Contrast-enhanced mammography in low- and middle-income countries: opportunities and challenges.Annals of medicine and surgery (2012) · 2026Article
- Disparities in breast cancer screening, stage at diagnosis, and treatment in Brazil: a warning of the need to change public policies.BMC public health · 2026Article
- Cracking the code: Pioneering early detection and management of breast cancer in the Brazilian public healthcare system.Dialogues in health · 2025Review
- Is axillary surgery still justified in DCIS diagnosed via vacuum-assisted biopsy?World journal of surgical oncology · 2025Article
- Barriers and facilitators of the implementation of mammography screening in the Brazilian public health system: scoping review.BMC public health · 2025Article
- Risk Factors Contributing to Disparities in Medical Treatment and Lower Survival Rates among Patients with Non-Small Cell Lung Cancer Induced by Residential Areas.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Comparative Analysis of Mortality due to Breast Cancer and Mammography Uptake in the Federative Units of Brazil-2015 to 2021.Asian Pacific journal of cancer prevention : APJCP · 2023Article
- Critical assessment of resource waste in staging and follow-up of breast cancer.Revista da Associacao Medica Brasileira (1992) · 2023Article
- Impacts of Sociodemographic Factors, Screening, and Organization of Health Services on Breast Cancer Mortality in Brazil: An Ecological Study of 20 Years.International journal of breast cancer · 2023Article
- COVID-19 and Breast Cancer in Brazil.International journal of public health · 2023Article
- 10-year opportunistic mammographic screening scenario in Brazil and its impact on breast cancer early detection: a nationwide population-based study.Journal of global health · 2022Article
- Impact of coronavirus disease 2019 pandemic on breast cancer screening and detection of high-risk mammographic findings.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Predictors and Trend in Attendance for Breast Cancer Screening in Lithuania, 2006-2014.International journal of environmental research and public health · 2019Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Factors that may hamper access to mammographic screening in any given region include socioeconomic limitations and the geographical distribution and quality of the mammography machines. This study evaluated access to breast cancer screening within the Brazilian National Health Service (SUS), the geographical distribution of mammography equipment and the number of mammograms performed in Brazil. Methods: This ecological study evaluated the availability of mammography machines within the SUS, those available for Brazil as a whole, its macroregions, states and the Federal District in 2016. The number of mammography machines required for breast cancer screening was calculated and compared to the number of machines available. The expected number of mammograms was compared with the actual number performed. Machines were georeferenced based on their location and the municipal seat, according to healthcare region, with 60 km being defined as the maximum distance for an individual to travel for a mammogram. Results: In 2016, there were 4,628 mammography machines in Brazil. Of these, 4,492 were in use and 2,113 (47%) were available to the SUS. Considering the number of mammograms required as a function of the number clinically indicated, 2,068 machines would be required for breast cancer screening in Brazil. The network of machines available would be capable of producing 14,279,654 exams; however, only 4,073,079 exams were performed, representing 29% of the total capacity of production in the country in 2016. Regarding the maximum distance of 60 km to access a mammogram, only relatively small areas of Brazil were found not to meet this indicator. Conclusion: These results suggest that the difficulty of the Brazilian population in accessing breast cancer screening through the SUS is not associated with the number of machines available or with the geographical location of the equipment but rather with the insufficient number of mammograms performed.
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