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Breast Cancer Screening Patterns Following National Crises: Experience from a Lebanese Tertiary Center.
Diana Abou Ltaif1, Rim Hamideh2, Fatima Zeineddine1
1Department of Diagnostic Imaging and Interventional Therapeutics, Lebanese Hospital Geitaoui, 1100 Achrafieh, Beirut, Lebanon.
Asian Pacific Journal of Cancer Prevention : APJCP
|May 22, 2026
Summary
Breast cancer screening adherence decreased significantly following Lebanon
Area of Science:
- Oncology
- Public Health
- Radiology
Background:
- Lebanon's healthcare system faced unprecedented challenges due to economic collapse, the COVID-19 pandemic, and the Beirut Port explosion.
- These compounded crises severely impacted access to essential healthcare services, including breast cancer (BC) screening.
- This study investigates the impact of these crises on BC screening adherence and outcomes.
Purpose of the Study:
- To assess breast cancer screening adherence among women in Lebanon post-crisis.
- To evaluate the imaging outcomes associated with breast cancer screening adherence.
- To identify barriers to breast cancer screening in the context of national emergencies.
Main Methods:
- A retrospective, single-center study analyzed data from women aged 40 and above who underwent screening mammography (± ultrasound) between October 2018 and October 2019.
- Participants were categorized into 'Group Loyal' (prior screening at the institution) and 'Group New' (no prior screening).
- Data on demographics, clinical factors, imaging, and follow-up (2019-2022) were collected and analyzed; non-adherent participants were surveyed about barriers.
Main Results:
- Of 461 eligible women, 41.4% (191) underwent follow-up screening, with significantly higher adherence in Group Loyal (54.6%) versus Group New (26.2%).
- Crisis-related barriers were cited by 47% of non-adherent Group Loyal respondents.
- A cancer detection rate of 8.6 per 1,000 was observed, with one case of infiltrative ductal carcinoma diagnosed.
Conclusions:
- Breast cancer screening adherence substantially declined post-crisis, especially for women new to the screening institution.
- Consistent follow-up screening correlated with more stable imaging outcomes and earlier cancer detection.
- Public health strategies are crucial to maintain cancer prevention efforts during national crises.
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