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Breast Cancer Screening in Asian Countries: Epidemiology, Screening Practices, Outcomes, Challenges, and Future
Niketa Chotai1, Rupa Renganathan2, Takayoshi Uematsu3
1Department of Radiology, RadLink Diagnostic Imaging Center and Visiting Consultant, Tan Tock Seng Hospital, Singapore, Singapore.
Breast cancer screening in Asia faces challenges due to resource limitations and underutilization of services. Tailored strategies are needed to improve early detection and reduce mortality rates in Asian women.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Globally, 2.3 million new breast cancer cases were reported in 2022, with Asia accounting for less than half.
- Despite lower incidence, Asian countries face a high mortality-to-incidence ratio for breast cancer.
- Breast cancer prevalence peaks a decade earlier in Asian women (40-50 years) compared to Western populations.
Purpose of the Study:
- To review the current breast cancer landscape in Asia, focusing on screening guidelines and outcomes.
- To identify challenges and future directions for breast cancer screening in the region.
- To understand how Asian countries implement screening in response to rising incidence.
Main Methods:
- Systematic literature review of breast cancer screening trends, guidelines, and clinical practices in Asian countries.
- Analysis of regional variations and healthcare system differences.
- Exploration of outcomes from screening examinations in Asia.
Main Results:
- Sparse literature exists on breast cancer trends and screening practices across diverse Asian healthcare systems.
- Low-income countries face resource constraints for screening, while high-income countries struggle with underutilization of preventive services.
- Significant regional variations in breast cancer screening implementation and outcomes are observed.
Conclusions:
- There is a critical need for tailored breast cancer screening strategies in Asia to address regional disparities.
- Improving early detection through enhanced screening programs can significantly reduce breast cancer mortality in Asian women.
- Further research is required to understand and overcome barriers to effective breast cancer screening across Asia.
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