Breast Cancer Screening: FIGO Urges Global Action
- Breast cancer is the most frequently diagnosed cancer among women worldwide.
- Despite advancements in treatment, mortality rates remain unacceptably high, particularly in low- and middle-income countries where access to timely screening and early detection is limited.
- A recent review by the FIGO Committee on Breast Health examined national screening and early detection policies across seven diverse countries - Chile, Germany, india, mexico, the Philippines,...
Global Disparities in Breast Cancer Screening and Early detection
Table of Contents
Updated October 2,2024
The Global Burden of Breast Cancer
Breast cancer is the most frequently diagnosed cancer among women worldwide. In 2022 alone, there were over 2.3 million new diagnoses and an estimated 670,000 deaths globally, highlighting the urgent need for improved prevention and treatment strategies.
Despite advancements in treatment, mortality rates remain unacceptably high, particularly in low- and middle-income countries where access to timely screening and early detection is limited.
A Review of National Policies
A recent review by the FIGO Committee on Breast Health examined national screening and early detection policies across seven diverse countries - Chile, Germany, india, mexico, the Philippines, Senegal, and the USA – to identify challenges and potential solutions for improving outcomes.
The analysis revealed notable inequities in access to screening programs. While 96% of European countries have established organized, population-based screening initiatives, only 21% of African countries report similar programs.
Survival Rates and Barriers to Access
Women in countries with low Human Advancement Index (HDI) scores face substantially lower breast cancer survival rates, as low as 40%, compared to the 90% survival rate observed in high-income nations. This disparity underscores the critical impact of socioeconomic factors on cancer outcomes.
Key barriers to effective screening and early detection include insufficient infrastructure, limited public awareness, financial constraints, and inconsistencies in screening guidelines.
Strategies for Improvement
FIGO advocates for tailored approaches to breast cancer screening that align with available resources. in low-resource settings, clinical breast examinations can play a vital role. The organization also emphasizes the potential of innovative technologies, such as artificial intelligence (AI)-driven risk stratification and personalized screening programs, to enhance early detection efforts.
The following topics are central to improving global breast cancer outcomes:
- National population-based screening policies
- Supplemental screening guidelines
- the role of clinical breast examination
- Breast cancer risk assessment and stratification
- Addressing challenges and implementing effective solutions
Supporting the WHO Global Breast Cancer Initiative
This work aligns with the WHO Global Breast Cancer Initiative, which aims to reduce global breast cancer mortality by 2.5% annually by 2040. Achieving this goal could potentially save 2.5 million lives.
