Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer.

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  • Additional Information
    • Publication Year:
      2019
    • Subject Terms:
    • Author-Supplied Keywords:
      Africa
      Breast cancer
      Breast tumors
      Cancer detection and diagnosis
      Cancer treatment
      Cancers and neoplasms
      Clinical medicine
      Clinical oncology
      Diagnostic medicine
      Geographical locations
      Health care
      Health care providers
      Medical doctors
      Medical personnel
      Medicine and health sciences
      Oncology
      People and places
      Physicians
      Population groupings
      Professions
      Research Article
      Surgeons
      Surgical and invasive medical procedures
      Surgical oncology
      Uganda
    • NAICS/Industry Codes:
      NAICS/Industry Codes 621111 Offices of Physicians (except Mental Health Specialists)
      621110 Offices of physicians
      621999 All Other Miscellaneous Ambulatory Health Care Services
      621493 Freestanding Ambulatory Surgical and Emergency Centers
    • Abstract:
      Background: Breast cancer is the most common cancer in women worldwide. Considerable funding and efforts are invested in breast cancer research and healthcare, but only a fraction of this reaches women and healthcare systems in low income countries. Surgical treatment is an essential part of breast cancer care, but access to surgery is in general very limited in low income countries such as Uganda. In this study, the previously unknown nationwide rate of breast cancer surgery was investigated. Methods and findings: This was a multicenter, retrospective study, investigating breast cancer surgery in the public healthcare system in Uganda. Data were collected from operating theater registries at primary, secondary and tertiary level healthcare centres throught the country, including 14 general hospitals, the 14 regional referral hospitals and the national referral hospital. Patients who underwent major surgery for breast cancer at these hospitals during 2013 and 2014 were included. The number of breast cancer procedures performed, geographical variation, level of healthcare staff performing surgery and patient characteristics were investigated. After correction for missing data, a total of 137 breast cancer procedures were performed each year within the public healthcare system, corresponding to 5.7% of the breast cancer incidence in the country at that time. Most procedures (n = 161, 59.0%) were performed at the national referral hospital by qualified surgeons. Many of the patients were young; 30.1% being less than 40 years old. The proportion of male breast cancers in the study was large (6.2%). Conclusions: The rate of breast cancer surgery in Uganda is minimal and in several parts of the country breast cancer surgery is not performed at all. More resources must be directed towards breast cancer in low income countries such as Uganda. The fact that the patients were young calls for further research, prevention and treatment specifically targeting young women in the study setting. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • ISSN:
      19326203
    • Accession Number:
      137426701
  • Citations
    • ABNT:
      EKDAHL HJELM, T. et al. Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer. PLoS ONE, [s. l.], v. 14, n. 7, p. 1, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701. Acesso em: 5 dez. 2019.
    • AMA:
      Ekdahl Hjelm T, Matovu A, Mugisha N, Löfgren J. Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer. PLoS ONE. 2019;14(7):1. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701. Accessed December 5, 2019.
    • APA:
      Ekdahl Hjelm, T., Matovu, A., Mugisha, N., & Löfgren, J. (2019). Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer. PLoS ONE, 14(7), 1. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701
    • Chicago/Turabian: Author-Date:
      Ekdahl Hjelm, Tove, Alphonsus Matovu, Noleb Mugisha, and Jenny Löfgren. 2019. “Breast Cancer Care in Uganda: A Multicenter Study on the Frequency of Breast Cancer Surgery in Relation to the Incidence of Breast Cancer.” PLoS ONE 14 (7): 1. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701.
    • Harvard:
      Ekdahl Hjelm, T. et al. (2019) ‘Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer’, PLoS ONE, 14(7), p. 1. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701 (Accessed: 5 December 2019).
    • Harvard: Australian:
      Ekdahl Hjelm, T, Matovu, A, Mugisha, N & Löfgren, J 2019, ‘Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer’, PLoS ONE, vol. 14, no. 7, p. 1, viewed 5 December 2019, .
    • MLA:
      Ekdahl Hjelm, Tove, et al. “Breast Cancer Care in Uganda: A Multicenter Study on the Frequency of Breast Cancer Surgery in Relation to the Incidence of Breast Cancer.” PLoS ONE, vol. 14, no. 7, July 2019, p. 1. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701.
    • Chicago/Turabian: Humanities:
      Ekdahl Hjelm, Tove, Alphonsus Matovu, Noleb Mugisha, and Jenny Löfgren. “Breast Cancer Care in Uganda: A Multicenter Study on the Frequency of Breast Cancer Surgery in Relation to the Incidence of Breast Cancer.” PLoS ONE 14, no. 7 (July 11, 2019): 1. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701.
    • Vancouver/ICMJE:
      Ekdahl Hjelm T, Matovu A, Mugisha N, Löfgren J. Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer. PLoS ONE [Internet]. 2019 Jul 11 [cited 2019 Dec 5];14(7):1. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=137426701