Evidence map›Paper›PMID 37768035›Full record

ArticleCancer medicine2023

Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework.

Isabel Mosquera, Clara B Barajas, Li Zhang, Eric Lucas, Sara Benitez Majano, Mauricio Maza, Silvana Luciani, Partha Basu, Andre L Carvalho

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Network-Based Asynchronous Research Training in Breast Imaging: A Multinational Pre-Post Evaluation for Cancer Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  4. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 3 countries.

Isabel MosqueraEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0001-8886-6244
Clara B BarajasPan American Health Organization, Washington, DC, USA.
Li ZhangEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Eric LucasEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Sara Benitez MajanoPan American Health Organization, Washington, DC, USA.
Mauricio MazaPan American Health Organization, Washington, DC, USA.
Silvana LucianiPan American Health Organization, Washington, DC, USA.
Partha BasuEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.ORCID 0000-0003-0124-4050
Andre L CarvalhoEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer, Lyon, France.
Centre international de recherche sur le cancer · FRWorld Health Organization Regional Office for the Americas · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn the Community of Latin American and Caribbean States (CELAC), breast cancer and cervical cancer are the first and third causes of cancer death among females. The objectives are to assess the characteristics of the cervical and breast cancer screening programmes in CELAC, their level of organization, and the association of screening organization and coverage of essential health services.

methodsRepresentatives of the Ministries of Health of 33 countries were invited to the CanScreen5 project. Twenty-seven countries participated in a "Train The Trainers" programme on cancer screening, and 26 submitted data using standardized questionnaires. Data were discussed and validated. The level of organization of the screening programmes was examined adapting the list of essential elements of organized screening programmes identified in a recently published IARC study.

resultsTwenty-one countries reported a screening programme for cervical cancer and 15 for breast cancer. For cervical cancer, 14 countries dedicated budget for screening (66.7%), and women had to pay in 3 countries for screening (14.3%), 9 for diagnosis (42.9%) and 8 for treatment (38.1%). Only 4 countries had a system to invite women individually (19.0%). For breast cancer, 8 countries dedicated budget for screening (53.3%), and women had to pay for screening in 3 countries (20.0%), diagnosis in 7 (46.7%) and treatment in 6 (40.0%). One country (6.7%) invited women individually. There was variability in the level of organization of both cancer screening programmes. The level of organization of cervical cancer screening and coverage of essential health services were correlated.

conclusionLarge gaps were identified in the organization of cervical and breast cancer screening services. CELAC governments need pragmatic public health policies and strengthened health systems. They should guarantee sustainable funding, and universal access to cancer diagnosis and treatment. Moreover, countries should enhance their health information system and ensure adequate monitoring and evaluation.

Indexed as

Breast NeoplasmsUterine Cervical NeoplasmsCaribbean RegionEarly Detection of CancerFemaleHumansLatin AmericaMass Screeningbreast cancerCaribbeancervical cancerLatin Americascreening

Identifiers

PMID37768035
PMCPMC10587918
OpenAlexW4387115448

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.