Evidence map›Paper›PMID 37507731›Full record

ArticleInternational journal for equity in health2023

Implementing and monitoring the right to health in breast cancer: selection of indicators using a Delphi process.

Lisa Montel, Michel P Coleman, Therese Murphy, Dina Balabanova, Raffaele Ciula, Dabney P Evans, Claire Lougarre, Didier Verhoeven, Claudia Allemani

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Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

9 authors.

Lisa MontelLondon School of Hygiene and Tropical Medicine, Cancer Survival Group, Faculty of Epidemiology and Population Health, Keppel Street, London, WC1E 7HT, UK. lisa.montel@lshtm.ac.uk.
Michel P ColemanLondon School of Hygiene and Tropical Medicine, Cancer Survival Group, Faculty of Epidemiology and Population Health, Keppel Street, London, WC1E 7HT, UK.
Therese MurphyQueen's University Belfast, Belfast, UK.
Dina BalabanovaLondon School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, London, UK.
Raffaele CiulaSapienza University of Rome, Rome, Italy.
Dabney P EvansHubert Department of Global Health, Emory University, Atlanta, GA, USA.
Claire LougarreUlster University, Belfast, UK.
Didier VerhoevenUniversity of Antwerp, Antwerp, Belgium.
Claudia AllemaniLondon School of Hygiene and Tropical Medicine, Cancer Survival Group, Faculty of Epidemiology and Population Health, Keppel Street, London, WC1E 7HT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen with breast cancer have different chances of surviving their disease, depending on where they live. Variations in survival may stem from unequal access to prompt diagnosis, treatment and care. Implementation of the right to health may help remedy such inequalities. The right to health is enshrined in international human rights law, notably Article 12 of the International Covenant on Economic, Social and Cultural Rights. A human rights-based approach to health requires a robust, just and efficient health system, with access to adequate health services and medicines on a non-discriminatory basis. However, it may prove challenging for health policymakers and cancer management specialists to implement and monitor this right in national health systems.

methodThis article presents the results of a Delphi study designed to select indicators of implementation of the right to health to inform breast cancer care and management. In a systematic process, 13 experts examined an initial list of 151 indicators.

resultsAfter two rounds, 54 indicators were selected by consensus, three were rejected, three were added, and 97 remained open for debate. For breast cancer, right-to-health features selected as worth implementing and monitoring included the formal recognition of the right to health in breast cancer strategies; a population-based screening programme, prompt diagnosis, strong referral systems and limited waiting times; the provision of palliative, survivorship and end-of-life care; the availability, accessibility, acceptability and quality (AAAQ) of breast cancer services and medicines; the provision of a system of accountability; and the collection of anonymised individual data to target patterns of discrimination.

conclusionWe propose a set of indicators as a guide for health policy experts seeking to design national cancer plans that are based on a human rights-based approach to health, and for cancer specialists aiming to implement principles of the right to health in their practice. The 54 indicators selected may be used in High-Income Countries, or member states of the OECD who also have signed the International Covenant on Economic, Social and Cultural Rights to monitor progress towards implementation of the right to health for women with breast cancer.

Indexed as

Breast NeoplasmsRight to HealthFemaleHuman RightsHumansBreast cancerCancer controlHuman rights-based approach to healthMonitoringPeople-centred health systemRight to health

Identifiers

PMID37507731
PMCPMC10386607

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LicenceCC BY
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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.