Evidence map›Paper›PMID 32348573›Full record

ArticleCancer2020

The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation: Methods and overview.

Catherine Duggan, Allison Dvaladze, Anne F Rositch, Ophira Ginsburg, Cheng-Har Yip, Susan Horton, Rolando Camacho Rodriguez, Alexandru Eniu, Miriam Mutebi, Jean-Marc Bourque and 6 more

Abstract 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 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

59 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Navigating challenges in resource-stratification of supportive care clinical guidelines for cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Review
  7. Article
  8. DEGRO practical guidelines: radiotherapy of breast cancer-Regional nodal irradiation.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  9. Review
  10. Pharmaceuticals (Basel, Switzerland) · 2026
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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

16 authors.

Catherine DugganDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0001-7369-4021
Allison DvaladzeDepartment of Medicine, University of Washington, Seattle, Washington.
Anne F RositchDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Ophira GinsburgSection for Global Health, Division of Health and Behavior, Department of Population Health, Perlmutter Cancer Center, New York University Langone Health, New York, New York.
Cheng-Har YipDepartment of Surgery, University of Malaya, Kuala Lumpur, Malaysia.
Susan HortonSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
Rolando Camacho RodriguezCity Cancer Challenge Foundation, Geneva, Switzerland.
Alexandru EniuCancer Interdisciplinary Service, Riviera Chablais Hospital, Vaud-Valais, Rennaz, Switzerland.ORCID 0000-0001-6666-5599
Miriam MutebiBreast Surgical Oncology, Aga Khan University Hospital, Nairobi, Kenya.
Jean-Marc BourqueDepartment of Radiation Oncology, University of Ottawa, Ottawa, Ontario, Canada.
Shahla MasoodUniversity of Florida Health Jacksonville Breast Center, Jacksonville, Florida.
Karla Unger-SaldañaEpidemiology Unit, Instituto Nacional de Cancerología - México, Mexico City, Mexico.
Anna CabanesThe Susan G. Komen Foundation, Dallas, Texas.
Robert W CarlsonNational Comprehensive Cancer Network, Plymouth Meeting, Pennsylvania.ORCID 0000-0003-2011-6695
Julie R GralowDepartment of Medicine, University of Washington, Seattle, Washington.
Benjamin O AndersonDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0001-7217-7428

Funding

Resource stratified phased implementation frameworks to improve breast healthcareR13CA224776 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ANDERSON, BENJAMIN OLNEY · 2018 to 2018
$50k
American Society of Clinical OncologyAmerican Society of Clinical PathologyCepheidFred Hutchinson Cancer Research CenterGE HealthcareJournal of Global OncologyNational Breast Cancer FoundationNational Comprehensive Cancer NetworkNCI NIH HHS 1R13CA224776-01A1NCI NIH HHS R13 CA224776NovartisPfizerpH TrustSeattle Cancer Care AllianceSusan G. Komen GSP18BHGI001Susan G. Komen SAC170082UE LifeSciencesUnion for International Cancer ControlUniversity of Washington
6 · The paper itself

Abstract

backgroundThe Breast Health Global Initiative (BHGI) established a series of resource-stratified, evidence-based guidelines to address breast cancer control in the context of available resources. Here, the authors describe methodologies and health system prerequisites to support the translation and implementation of these guidelines into practice.

methodsIn October 2018, the BHGI convened the Sixth Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation. The purpose of the summit was to define a stepwise methodology (phased implementation) for guiding the translation of resource-appropriate breast cancer control guidelines into real-world practice. Three expert consensus panels developed stepwise, resource-appropriate recommendations for implementing these guidelines in low-income and middle-income countries as well as underserved communities in high-income countries. Each panel focused on 1 of 3 specific aspects of breast cancer care: 1) early detection, 2) treatment, and 3) health system strengthening.

resultsKey findings from the summit and subsequent article preparation included the identification of phased-implementation prerequisites that were explored during consensus debates. These core issues and concepts are key components for implementing breast health care that consider real-world resource constraints. Communication and engagement across all levels of care is vital to any effectively operating health care system, including effective communication with ministries of health and of finance, to demonstrate needs, outcomes, and cost benefits.

conclusionsUnderserved communities at all economic levels require effective strategies to deploy scarce resources to ensure access to timely, effective, and affordable health care. Systematically strategic approaches translating guidelines into practice are needed to build health system capacity to meet the current and anticipated global breast cancer burden.

Indexed as

Breast NeoplasmsConsensusEvidence-Based MedicineFemaleGlobal HealthHumansPractice Guidelines as TopicSocioeconomic FactorsWomen's Health Servicesbreast cancerclinical breast assessmentclinical breast examinationdissemination and implementation scienceearly diagnosishealth care systemshealth disparitieslow-income and middle-income countriesmultidisciplinary evaluationphased implementationresource-stratificationsupportive and palliative caretreatmentunderserved communities

Identifiers

PMID32348573
PMCPMC7482869

What OpenQuestion holds

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Registered trials

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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.