As the most common female malignancy, breast cancer is the most likely reason that a woman will die of cancer around the world. Breast cancer mortality has dropped in the U.S. by 35% since 1990 due to improved early detection and timely treatment. By contrast, most breast cancer deaths occur in low and middle income countries (LMICs). The Breast Health Global Initiative (BHGI) developed resource-stratified guidelines as a framework for breast cancer management in limited resource environments. Pilot studies from Latin America, Asia and sub-Saharan Africa use implementation research methods to demonstrate best practices that improve outcome despite resource constraints. “Phased implementation” is a novel approach to guide strategic program development to save breast cancer lives.
1. Understand why breast cancer mortality has dropped in the U.S. by 35% since 1990
2. Understand why breast cancer is the most likely reason that a woman will die of cancer around the world