The Breast Unit
August 20, 2010General surgery, emergency intake ¼
All breast related conditions: benign and malignant
Oncological procedures (Ca oesophagus, sarcoma, melanoma…)
Multidisciplinary approach: driven by breast surgeon
Oncology Nurse
NGO involvement: CANSA, SOCAS, BreastSens, Reach for Recovery…
Palliative care
Social worker
Community worker
Life long follow up: Breast Clinic
Increased complexity of surgery…
Mastectomy and axillary dissection
Oncoplastic techniques
Reconstructive methods: immediate and delayed
Sentinel node dissection
Breast Unit
Minimal volumes required
Staff requirements
Minimal adjuvant services
EUSOMA requirements
Immediate problems
Reduce waiting [...]
National Health Insurance Policy Proposal 22 June 2009
August 17, 2010A fundamental transformation in the South African healthcare system is essential to address the imbalances in the access and utilization of health services and health outcomes.
Many challenges exist in the current healthcare system inter alia:
Inequitable distribution of spend between two tiers namely a large private sector (60%) serving a higher [...]
Social support and cancer screening in African American, Hispanic, and Native American women.
CC Gotay, ME Wilson
Cancer Practice
Volume 6, Issue 1, pages 31–37, Jan-Feb 1998
Article first published online: 4 JAN 2002
DOI: 10.1046/j.1523-5394.1998.1998006031.x
PURPOSE: Minority women have higher rates of mortality from breast and cervical cancers and lower rates of utilization of screening tests than white women. Innovative ways to increase screening in these populations are needed urgently. [...]
Breaking the silence barrier: opportunities to address breast cancer in African-born women.
Sheppard VB, Christopher J, Nwabukwu I
.
Georgetown University, Cancer Control Program, Washington, DC 20007, USA.
Abstract
Women from Africa are a fast-growing population group in the United States; however, little is known about their breast cancer outcomes. There is minimal empirical data that describe the cancer practices, beliefs, and needs of African-born women. We conducted 2 [...]
Diagnostic and therapeutic delays among a multiethnic sample of breast and cervical cancer survivors.
Ashing-Giwa KT, Gonzalez P, Lim JW, Chung C, Paz B, Somlo G, Wakabayashi MT.
CCARE, Division of Population Sciences, City of Hope Medical Center, Duarte, California, USA. Kashing@coh.org
Abstract
BACKGROUND: Several publications reporting on health disparities document that ethnic minorities disproportionately experience delays in healthcare access, delivery, and treatment. However, few studies examine factors underlying access and receipt of healthcare [...]
