Establishing Specialist Breast Care in Malawi: towards a national breast service.
Association of Breast Surgery ePoster Library. Ackroyd-Parkin B. 05/13/19; 257126; P082
Dr. Briony Ackroyd-Parkin
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Abstract
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P082
Topic: Diagnosis/ Referral
Introduction: Malawi is one of the world's poorest nations, with limited healthcare resources for a population of 18 million. Noncommunicable diseases including breast cancer are increasing. Globocan estimates 762 new cases of breast cancer in Malawi annually. Most don't receive specialist care. To address this, the Malawi Breast Group, a multidisciplinary team of government-sector clinicians involved in providing breast care was formed in March 2018.In February 2017 a triple assessment clinic, based as closely as resources allow to ABS guidelines, was established in the Southern Region of Malawi . A clinic serving the Central Region began in December 2017. These two central hospital facilities offer breast services for the majority of the country's population. Methods The models for the clinics are different according to local resources and needs. Each has surgery, pathology, imaging and oncology, but radiotherapy is not yet available in Malawi. Multidisciplinary team meetings discuss all cases weekly. Patient records are beginning to be collated into an electronic audit system. The service is being developed with the Ministry of Health, to establish nationwide policy, standards and audit. Results: To date, in the Southern Region 323 patients have been assessed, of whom 63 had confirmed breast cancer, 4 were male. The median age was 48. The majority present at an advanced stage. Conclusions: A national breast service is being successfully established in Malawi offering prompt diagnosis and treatment. Cancers are predominantly late stage, underlining the importance of raising community and clinician awareness and coherent service development.
Topic: Diagnosis/ Referral
Introduction: Malawi is one of the world's poorest nations, with limited healthcare resources for a population of 18 million. Noncommunicable diseases including breast cancer are increasing. Globocan estimates 762 new cases of breast cancer in Malawi annually. Most don't receive specialist care. To address this, the Malawi Breast Group, a multidisciplinary team of government-sector clinicians involved in providing breast care was formed in March 2018.In February 2017 a triple assessment clinic, based as closely as resources allow to ABS guidelines, was established in the Southern Region of Malawi . A clinic serving the Central Region began in December 2017. These two central hospital facilities offer breast services for the majority of the country's population. Methods The models for the clinics are different according to local resources and needs. Each has surgery, pathology, imaging and oncology, but radiotherapy is not yet available in Malawi. Multidisciplinary team meetings discuss all cases weekly. Patient records are beginning to be collated into an electronic audit system. The service is being developed with the Ministry of Health, to establish nationwide policy, standards and audit. Results: To date, in the Southern Region 323 patients have been assessed, of whom 63 had confirmed breast cancer, 4 were male. The median age was 48. The majority present at an advanced stage. Conclusions: A national breast service is being successfully established in Malawi offering prompt diagnosis and treatment. Cancers are predominantly late stage, underlining the importance of raising community and clinician awareness and coherent service development.
P082
Topic: Diagnosis/ Referral
Introduction: Malawi is one of the world's poorest nations, with limited healthcare resources for a population of 18 million. Noncommunicable diseases including breast cancer are increasing. Globocan estimates 762 new cases of breast cancer in Malawi annually. Most don't receive specialist care. To address this, the Malawi Breast Group, a multidisciplinary team of government-sector clinicians involved in providing breast care was formed in March 2018.In February 2017 a triple assessment clinic, based as closely as resources allow to ABS guidelines, was established in the Southern Region of Malawi . A clinic serving the Central Region began in December 2017. These two central hospital facilities offer breast services for the majority of the country's population. Methods The models for the clinics are different according to local resources and needs. Each has surgery, pathology, imaging and oncology, but radiotherapy is not yet available in Malawi. Multidisciplinary team meetings discuss all cases weekly. Patient records are beginning to be collated into an electronic audit system. The service is being developed with the Ministry of Health, to establish nationwide policy, standards and audit. Results: To date, in the Southern Region 323 patients have been assessed, of whom 63 had confirmed breast cancer, 4 were male. The median age was 48. The majority present at an advanced stage. Conclusions: A national breast service is being successfully established in Malawi offering prompt diagnosis and treatment. Cancers are predominantly late stage, underlining the importance of raising community and clinician awareness and coherent service development.
Topic: Diagnosis/ Referral
Introduction: Malawi is one of the world's poorest nations, with limited healthcare resources for a population of 18 million. Noncommunicable diseases including breast cancer are increasing. Globocan estimates 762 new cases of breast cancer in Malawi annually. Most don't receive specialist care. To address this, the Malawi Breast Group, a multidisciplinary team of government-sector clinicians involved in providing breast care was formed in March 2018.In February 2017 a triple assessment clinic, based as closely as resources allow to ABS guidelines, was established in the Southern Region of Malawi . A clinic serving the Central Region began in December 2017. These two central hospital facilities offer breast services for the majority of the country's population. Methods The models for the clinics are different according to local resources and needs. Each has surgery, pathology, imaging and oncology, but radiotherapy is not yet available in Malawi. Multidisciplinary team meetings discuss all cases weekly. Patient records are beginning to be collated into an electronic audit system. The service is being developed with the Ministry of Health, to establish nationwide policy, standards and audit. Results: To date, in the Southern Region 323 patients have been assessed, of whom 63 had confirmed breast cancer, 4 were male. The median age was 48. The majority present at an advanced stage. Conclusions: A national breast service is being successfully established in Malawi offering prompt diagnosis and treatment. Cancers are predominantly late stage, underlining the importance of raising community and clinician awareness and coherent service development.
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