Evidence map›Paper›PMID 32348566›Full record

ArticleCancer2020

Breast cancer early detection: A phased approach to implementation.

Ophira Ginsburg, Cheng-Har Yip, Ari Brooks, Anna Cabanes, Maira Caleffi, Jorge Antonio Dunstan Yataco, Bishal Gyawali, Valerie McCormack, Myrna McLaughlin de Anderson, Ravi Mehrotra and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 306 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
306citing papers in PubMed, 8 pooled it
26.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

306 citing papers in PubMed, 8 syntheses or guidelines pooled it, 685 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Pooled it
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  9. Trial
  10. Trial
  11. Article
  12. The Increasing Importance of Breast Cancer in the United Arab Emirates.Asia-Pacific journal of clinical oncology · 2026
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Validation Of CAM Questionnaire To Access Literacy About Breast Cancer in Brazilian Population - QuIC-Mama.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  19. Article
  20. Article

246 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 20 institutions in 11 countries.

Ophira GinsburgPerlmutter Cancer Center, Section for Global Health, Division of Health and Behavior, Department of Population Health, New York University Langone Health, New York, New York.ORCID 0000-0002-1384-2675
Cheng-Har YipDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0002-6507-9675
Ari BrooksDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-4328-7307
Anna CabanesThe Susan G. Komen Foundation, Washington, District of Columbia.
Maira CaleffiBreast Center, Moinhos de Vento Hospital, Porto Alegre, Brazil.ORCID 0000-0001-7108-5935
Jorge Antonio Dunstan YatacoDepartment of Breast, Skin, and Soft Tissue Sarcomas Surgery, National Institute of Neoplastic Diseases, Lima, Peru.ORCID 0000-0002-4148-6858
Bishal GyawaliDepartment of Oncology, Department of Public Health Sciences and Division of Cancer Care and Epidemiology, Queen's University, Kingston, Ontario, Canada.ORCID 0000-0001-7444-8594
Valerie McCormackInternational Agency for Research on Cancer, Lyon, France.
Myrna McLaughlin de AndersonDepartment of Nursing, University of Panama, Panama City, Panama.
Ravi MehrotraIndia Cancer Research Consortium, Delhi, India.ORCID 0000-0001-9453-1408
Alejandro MoharUnit for Biomedical Cancer Research, National Cancer Institute, National Autonomous University of Mexico, Mexico City, Mexico.
Raul MurilloXavierian University Oncology Center, San Ignacio University Hospital, Bogota, Colombia.ORCID 0000-0001-7187-9946
Lydia E PaceDivision of Women's Health, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-5378-0296
Electra D PaskettDepartment of Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio.ORCID 0000-0002-0720-938X
Anya RomanoffBreast Surgery, Dubin Breast Center, The Icahn School of Medicine at The Mount Sinai Hospital, New York, New York.
Anne F RositchDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0002-0403-8482
John R ScheelDepartment of Radiology, University of Washington, Seattle, Washington.ORCID 0000-0002-0998-0098
Miriam SchneidmanHealth, Nutrition, and Population Global Practice, The World Bank Group, Washington, District of Columbia.
Karla Unger-SaldañaCONACYT Fellow, National Cancer Institute, Mexico City, Mexico.ORCID 0000-0002-9689-498X
Verna VanderpuyeNational Center for Oncology, Radiotherapy, and Nuclear Medicine, Accra, Ghana.ORCID 0000-0003-3656-6965
Tsu-Yin WuCenter for Health Disparities Innovation and Studies, Eastern Michigan University, Ypsilanti, Michigan.ORCID 0000-0003-0751-8884
Safina YumaReproductive and Child Health Section, Ministry of Health, Community, Ministry of Health, Community Development, Development Gender, Elderly, and Children Dodoma, Children Dodoma, Tanzania.
Allison DvaladzeBreast Health Global Initiative, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Catherine DugganBreast Health Global Initiative, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0001-7369-4021
Benjamin O AndersonDepartment of Global Health, University of Washington, Seattle, Washington.ORCID 0000-0001-7217-7428
University of Washington · USBrigham and Women's Hospital · USCentre international de recherche sur le cancer · FREastern Michigan University · USFred Hutch Cancer Center · USHCG NCHRI Cancer Centre · INHospital Moinhos de Vento · BRInstituto Nacional de Cancerología · MXJohns Hopkins University · USMinistry of Health, Community Development, Gender, Elderly and Children · TZNYU Langone Health · USPontificia Universidad Javeriana · COQueen's University · CASecretaría de Ciencia, Humanidades, Tecnología e Innovación · MXSusan G. Komen Breast Cancer Foundation · USThe Mount · GBThe Ohio State University · USUniversidad de Panamá · PAUniversity of Malaya · MYUniversity of Pennsylvania · US

Funding

Resource stratified phased implementation frameworks to improve breast healthcareR13CA224776 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, BENJAMIN OLNEY · 2018 to 2018
$50k
NCI NIH HHS 1R13CA224776-01A1NCI NIH HHS R13 CA224776Susan G. Komen GSP18BHGI001Susan G. Komen SAC170082World Health Organization 001
6 · The paper itself

Abstract

When breast cancer is detected and treated early, the chances of survival are very high. However, women in many settings face complex barriers to early detection, including social, economic, geographic, and other interrelated factors, which can limit their access to timely, affordable, and effective breast health care services. Previously, the Breast Health Global Initiative (BHGI) developed resource-stratified guidelines for the early detection and diagnosis of breast cancer. In this consensus article from the sixth BHGI Global Summit held in October 2018, the authors describe phases of early detection program development, beginning with management strategies required for the diagnosis of clinically detectable disease based on awareness education and technical training, history and physical examination, and accurate tissue diagnosis. The core issues address include finance and governance, which pertain to successful planning, implementation, and the iterative process of program improvement and are needed for a breast cancer early detection program to succeed in any resource setting. Examples are presented of implementation, process, and clinical outcome metrics that assist in program implementation monitoring. Country case examples are presented to highlight the challenges and opportunities of implementing successful breast cancer early detection programs, and the complex interplay of barriers and facilitators to achieving early detection for breast cancer in real-world settings are considered.

Indexed as

Breast NeoplasmsConsensusDelivery of Health CareDeveloping CountriesEarly Detection of CancerFemaleGlobal HealthHealth Plan ImplementationHumansPractice Guidelines as TopicSocioeconomic Factorsbreast cancerbreast cancer early detectionmetricsphased implementationresource stratification

Identifiers

PMID32348566
PMCPMC7237065
OpenAlexW3020578014

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.