TAILIEUCHUNG - Integration of breast cancer care in a middleincome country: Learning from Suandok Breast Cancer Network (SBCN)

Breast cancer incidence in Northern Thailand has shown a continuous increase since records began in 1983. In 2002 the urgency of the situation prompted Maharaj Nakorn Chiang Mai Hospital to initiate the Suandok Breast Cancer Network (SBCN). | Chitapanarux et al. BMC Cancer 2022 22 26 https s12885-021-09153-0 RESEARCH ARTICLE Open Access Integration of breast cancer care in a middle- income country learning from Suandok Breast Cancer Network SBCN Imjai Chitapanarux1 2 3 Wimrak Onchan1 2 Panchaporn Wongmaneerung1 4 Areewan Somwangprasert1 4 Nongnuch Bunyoo1 Chagkrit Ditsatham1 4 Kirati Watcharachan1 4 Chaiyut Charoentum1 5 Patumrat Sripan3 Ausreeya Chumachote1 and Puttachart Maneesai1 3 Abstract Background Breast cancer incidence in Northern Thailand has shown a continuous increase since records began in 1983. In 2002 the urgency of the situation prompted Maharaj Nakorn Chiang Mai Hospital to initiate the Suandok Breast Cancer Network SBCN . Methods The SBCN is a not-for-profit organization in the university hospital which serves as a training and educa- tion center and provides highly specialized medical care for patients in Chiang Mai and in 5 provinces of northern Thailand with the key mission of improving breast cancer care. The short-term goal was to overcome the barriers to engagement with breast cancer and its treatment and the long-term goal was to increase the overall survival rate of breast cancer patients in our region. Results We enrolled breast cancer patients treated at Maharaj Nakorn Chiang Mai Hospital between January 2006 and December 2015 and divided into 2 cohorts 1485 patients who were diagnosed from 2006 to 2009 cohort 1 early implementation of SBCN and 2383 patients who were diagnosed from 2010 to 2015 cohort 2 full implemen- tation of SBCN . Criteria to measure improved cancer waiting time CWT would include time to diagnosis time to surgery and time to radiotherapy. The 5-year overall survival OS of the cohort 2 was higher than that in cohort 1 at compared to p-value . Conclusions Reasons behind the success of project include the uniformity of care encouragement service net- work development and timely access to each step of breast

• Y khoa - Dược
• BMC Cancer
• Breast cancer care
• Service network
• Healthcare access
• Overall survival
• Cancer patient pathways
• Colorectal cancer
• Lung cancer
• Breast cancer
• Prostate cancer
• Ovarian cancer
• Cancer detection
• Ovarian cancer symptoms
• Ovarian cancer signs
• Ovarian cancer tests
• Cancer biomarkers
• Pediatric cancer
• Familial cancer predisposition
• Hereditary cancer syndrome
• Genetic cancer susceptibility
• Advanced cancer
• Biliary tract cancer
• Multimodal intervention
• Pancreatic cancer
• Physical activity
• Breast cancer screening
• Familial breast cancer
• Young breast cancer survivors
• High risk relatives
• Randomized trial
• Childhood cancer
• Childhood cancer survivor
• Thyroid cancer screening
• Secondary cancer
• Cancer screening
• Community awareness
• Cancer education
• Cervical cancer
• Prior cancer
• Cancer survivors
• Cancer registry
• Second cancer
• Surgical oncology
• Cancer imaging
• Radiation oncologists
• Medical oncologists
• Oesophagogastric cancer
• Liver cancer
• Hepatobiliary cancer
• Multidisciplinary rehabilitation
• EGFR mutation
• Family history of cancer
• Inherited susceptibility
• Cancer predisposition genes
• Lung cancer aetiology
• Cancer stem cells
• Oct4 overexpressing lung cancer
• Human lung cancer xenograft model
• Disease free survivals
• Cancer hallmarks
• Cancer genesis
• Defiant disease
• Mutational signature
• Cancer diagnosis
• Cancer genomics
• Molecular medicine
• Whole genome sequencing
• Cancer susceptibility gene
• Breast cancer prognosis
• Next generation sequencing
• Quality of care
• Quality indicators
• Shifting cancer care
• German cancer society
• Colorectal cancer screening
• Stomach cancer screening
• Lung cancer survivor
• Physician recommendation
• Total number of lymph nodes
• Lymph node ratio
• Left colon cancer
• Right colon cancer
• Cumulative incidence
• Esophageal cancer
• Head and neck cancer
• Metachronous cancer
• Young onset
• Reproductive cancer
• Risk factor
• Early detection of cancer
• Gastric cancer incidence
• Population based specialized registry
• Gastric cancer survival
• Gastric cancer clinical characteristics
• Gastric cancer pathological characteristics
• Lung Cancer Screening
• Racial disparities
• Lung Cancer diagnosis
• Screening adherence
• Second primary colorectal cancer
• Standardized incidence ratio
• Left sided colon cancer
• Right sided colon cancer
• Quality of cancer care
• Population based study