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Review
. 2021 Mar 31;17(2):86-94.
doi: 10.4274/ejbh.galenos.2021.2021-1-1. eCollection 2021 Apr.

New Frontiers for Fairer Breast Cancer Care in a Globalized World

Didier Verhoeven  1 , Claudia Allemani  2 , Cary Kaufman  3 , Sabine Siesling  4 , Manuela Joore  5 , Etienne Brain  6 , Mauricio Magalhães Costa  7
Affiliations
Review

New Frontiers for Fairer Breast Cancer Care in a Globalized World

Didier Verhoeven et al. Eur J Breast Health. .

Abstract

In early 2020, the book "Breast cancer: Global Quality Care" was published by Oxford University Press. In the year since then, publications, interviews (by ecancer), presentations, webinars, and virtual congress have been organized to disseminate further the main message of the project: "A call for Fairer Breast Cancer Care for all Women in a Globalized World." Special attention is paid to increasing the "value-based healthcare" putting the patient in the center of the care pathway and sharing information on high-quality integrated breast cancer care. Specific recommendations are made considering the local resource facilities. The multidisciplinary breast conference is considered "the jewel in the crown" of the integrated practice unit, connecting multiple specializations and functions concerned with patients with breast cancer. Management and coordination of medical expertise, facilities, and their interfaces are highly recommended. The participation of two world-leading cancer research programs, the CONCORD program and Breast Health Global Initiative, in this project has been particularly important. The project is continuously under review with feedback from the faculty. The future plan is to arrive at an openaccess publication that is freely available to all interested people. This project is designed to help ease the burden and suffering of women with breast cancer across the globe.

Keywords: Quality; breast cancer; global health; innovation; value.

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Conflict of interest statement

Conflict of Interest: The authors disclose no potential conflicts of interest.

Figures

Figure 1
Figure 1
Breast Cancer: Global Quality Care
Figure 2
Figure 2
Participants of the virtual meeting (D. Verhoeven; M. Magalhães Costa; C. Allemani; C. Kaufman; S. Siesling; A. Paravati; E. Brain; B. Anderson; missing: M. Joore)
Figure 3
Figure 3
Breast cancer: age-standardized five-year net-survival (%) trends in European countries, 1995–2014. [Allemani et al. 2018 (4)] FRA: France; SWE: Sweden; GBR: Great Britain/United Kingdom; IRL: Ireland; ISL: Iceland; FIN: Finland; NOR: Norway; DNK: Denmark; LVA: Latvia; EST: Estonia; LTU: Lithuania; NDL: Netherlands; AUT: Austria; CHE: Switzerland; DEU: Germany; GIB: Gibraltar; PRT: Portugal; ESP: Spain; ITA: Italy; SVN: Slovenia; HRV: Croatia; POL: Poland; BGR: Bulgaria; RUS: Russia; SNK: Japan; ROU: Romania
Figure 4
Figure 4
Interaction in MBC with participation of all disciplines at the Bellingham Regional Breast Center, Seattle, US MBC: Multidisciplinary Breast Conference; US: United States
Figure 5
Figure 5
MBC in the times of COVID-19 MBC: Multidisciplinary Breast Conference; COVID-19: Coronavirus disease-2019
Figure 6
Figure 6
Definition of value-based healthcare
Figure 7
Figure 7
Direct costs of cancer in Europe (in billion) (14)
Figure 8
Figure 8
Cost in relation to health. The red and green dots show the economic evaluation of new interventions in relation to the acceptability threshold (16)
Figure 9
Figure 9
Trial population compared with real-life data. Actual users compared with the clinical trial population (Erna Beers, with permission, 20)
Figure 10
Figure 10
Understanding the difference between screening and early diagnosis (World Health Organization, reproduced from the Guide to Cancer Early Diagnosis, 2017)
Figure 11
Figure 11
The three sequential episodes of breast cancer management (21)
See this image and copyright information in PMC

References

    1. Verhoeven D, Kaufman C, Mansel R, Siesling S. editors. Breast cancer: global quality care. Oxford: Oxford University Press. 2020. - PMC - PubMed
    1. Verhoeven D, Allemani C, Kaufman C, Mansel R, Siesling S, Anderson B. Breast Cancer: global quality care optimizing care delivery with existing financial and personnel resources. ESMO Open. 2020;4(Suppl 2):e000861. - PMC - PubMed
    1. Piana R. Comprehensive overview of how to start or improve a breast cancer unit on the global stage. Available from: [Internet] https://ascopost.com/issues/june-10-2020/comprehensive-overview-of-how-t...
    1. Allemani C, Matsuda T, Di Carlo V, Harewood R, Matz M, Nikšić M, et al. Global surveillance of trend in cancer survival 2000-2014 (CONCORD-3) analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018;391:1023–1107. - PMC - PubMed
    1. Harlan L, Warren JL. Global survival patterns: potential for cancer control. Lancet. 2015;385:926–928. - PubMed

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