乳腺健康意识:了解肯尼亚西部寻求健康的行为
Manisha B Bhatia1, Nicholas Kisilu2, Stephen Kiptoo3
1Indiana University School of Medicine, Indianapolis, IN, USA. manishab917@gmail.com.
Annals of surgical oncology
|December 3, 2023
概括
肯尼亚的学术模式提供医疗保健 (AMPATH) 乳腺癌和宫癌控制计划 (ABCCCP) 成功增加了乳腺癌查. 然而,随访诊断测试和重复检查的低率凸显了需要加强患者教育和资源配置的必要性.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肯尼亚的乳腺癌通常在晚期出现,导致患者的治疗结果不佳.
- 提供医疗保健的学术模式 (AMPATH) 乳腺和宫癌控制计划 (ABCCCP) 在肯尼亚西部建立,以改善早期诊断.
- 该计划旨在提高乳腺健康意识,并通过临床乳腺检查 (CBE) 促进早期检测.
研究的目的:
- 评估ABCCCP在促进乳腺健康意识和早期诊断方面的有效性.
- 为了比较在医疗机构和健康博览会上查的患者之间的患者人口统计和风险因素.
- 评估异常临床乳房检查 (CBE) 和随后的诊断程序的随访率.
主要方法:
- 一项回顾性队列研究分析了2017年至2021年期间在肯尼亚西部进行的61,812次临床乳房检查 (CBE) 的数据.
- 医疗保健工作者在当地卫生机构和计划主办的健康博览会上进行了CBE.
- 使用统计分析,包括奇平方和克鲁斯卡尔-瓦利斯测试,来比较患者组和结果.
主要成果:
- 大多数CBE (75.9%) 是在医疗机构进行的,健康博览会吸引了老年人群 (44岁与38岁相比).
- 参加健康博览会的患者表现出更高的风险因素,包括初潮早期和乳腺/卵巢癌家族病史.
- 令人震惊的是,只有27.6%的异常CBE导致了核心针活检,仅有5.2%导致了重复CBE,大多数随访发生在卫生机构.
结论:
- 虽然ABCCCP证明了CBE的成功采用,但提高乳腺健康意识 (BHA) 需要持续的努力,而不仅仅是健康展等单一活动.
- 诊断后续和重复检查的低率表明,急需改善患者对治疗途径的教育.
- 增加资源配置至关重要,以支持患者教育,并确保及时诊断和治疗乳腺癌的干预.
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