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Educating patients and families about cancer prevention and screenings for early detection of cancer is the beginning of our partnership to reduce the number of new cancer diagnoses. A flow-chart showing the process of article selection for this review. Cost of diagnosis contained the highest number of extreme outliers. The most expensive OOP elements were targeted therapy with mean cost equal to 649.5 million VND ($28,025) and chemotherapy at 36.5 million VND ($1575). BMC Health Serv Res. Furthermore, evaluations about their outcomes appeared to be absent, although the review noted a shortage of trained personnel, (a) lack of appropriate diagnostic equipment, and the lack of health insurance reimbursement for screening services [16]. Hanoi: Medical Publishing House; 2013. p. 223. Costing of services of Vietnamese hospitals: identifying costs in one central, two provincial and two district hospitals using a standard methodology. Chemotherapy (Herceptin) is estimated to cost 500 million VND per year (US$22,000) (2013 figures) [16]. Breast Surgery & Breast Care Hartford HealthCare Medical Group is a leader in breast care and the treatment of breast disease. Breast Cancer Surgery | Mount Sinai - New York Compared to stage 0/I, the proportion of patients in stage II/III that utilised mastectomy, chemotherapy, and radiotherapy was significantly higher (Fig. Breast cancer services in Vietnam: a scoping review - PMC Qual Life Res. Breast cancer services in Vietnam: a scoping review. Rubin DB. Sullivan R, Alatise OI, Anderson BO, et al. We're Located At. Tollestrup K, Frost FJ, Stidley CA, Bedrick E, McMillan G, Kunde T, et al. 1. Lumpectomy preserves the breasts exterior and shape, while removing cancerous tissue along with a thin margin of healthy tissue to help ensure cancer eradication. In comparison with higher income contexts, incidence remains quite low. Specific information on how breast cancer was defined across studies is limited and can be an important reason for variation in study results. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012, GLOBOCAN 2012: estimated cancer incidence mortality and prevalence worldwide in 2012. Our radiologists, surgeons, oncologists, nursing staff, and obstetrics and gynecology specialists work closely with your primary care physician and a breast health navigator to help guide you through your care and any potential diagnosis. Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam, c Chad Barrett Johnson M.D. Age, household monthly income, and reimbursement rate of SHI were not significantly associated with costs, similar to the previous study in Vietnam [11]. Ngan TT, Mai VQ, Minh HV, Donnelly M, O'Neill C. Health-related quality of life among breast cancer patients compared to cancer survivors and age-matched women in the general population in Vietnam. BMC Health Serv Res. Value Health Reg Issues. Ngoc Minh Luu and Tran Tuan Anh led the scoping, analysis and translation of literature and information in Vietnamese. According to Mays et al. [Cited Dec 12, 2020]. All data collected were anonymized using unique study identifiers. Liam Murray provided the direction for the project and was central to developing the relationships between Queens University Belfast and the Hanoi University of Public Health that facilitated the production of this paper. St. Francis Cancer Center | Colorado Springs | Centura - Centura Health Accepting New Patients. According to National Cancer Institute reports, 12.4 percent of women born in the United States today will develop breast cancer at some time during their lifetime. Saint Francis Health System, based in Tulsa, OK, treats breast cancer and raises community awareness about the disease to help increase survival rates. Studies should explore whether or not this is a cost-effective option for treatment in the future. Often, there are no symptoms of breast cancer, but signs can include a breast lump or an abnormal mammogram. Respondents diagnosed at stage II and stage III spent 24.5 and 54.8 million VND ($1057-2365) more, respectively, for D&T of BC compared to those diagnosed at stage 0/I. For certain drugs, only 50% of costs are reimbursed. 8600 Rockville Pike Provided by the Springer Nature SharedIt content-sharing initiative. The National Cancer Control Programme offers free screening for all women [clinical breast examination (CBE), ultrasound, and mammography in case of referral], but information was not found on either its broader coverage or strategies for scaling up existing programmes. Thus, studys results have good generalisability. An urgent access clinic has continued to operate albeit at reduced capacity for patients with symptoms highly suspicious for breast cancer in accordance with guidance from the [] 2020. Public support for breast cancer awareness and research funding has helped improve diagnosis and treatment methods. New York: John Wiley & Sons, Inc.; 1987. travel, accommodation and time) and indirect costs (lost income). It is recommended that by 45 years of age, women start having annual mammograms. Breast ultrasound is used when a mammogram shows an indistinct mass or a lump is found during an exam, with no radiation exposure. Generally, there is a need to improve our understanding about how women with breast cancer seek help and interact with the health care system. We Know Cancer. Preoperative chemotherapy has also become more widely used in Vietnam to reduce tumour size prior to surgery and breast-conserving surgery. Mays N, Roberts E, Popay J. The .gov means its official. We included a further seven articles that focused specifically on risk factors for breast cancer in order to provide contextual and demographic information including articles on NCDs, global surgery and general cancer control in Vietnam. Behavioral & Mental Health Care Breast Center Cancer Care Cardiac Services Cardiopulmonary Rehabilitation. In Vietnam, targeted therapy is optional and patients choose between usual chemotherapy or targeted therapy based on their perceived need and ability to pay. FOIA Our technologists are also specially trained in breast imaging and provide our physicians with outstanding support. Of the 68.5% who are covered by insurance, 26% of that proportion is considered poor or near poor and are in receipt of State subsidies to support their premiums [16]. The We Care For Her campaign additionally reported providing free breast screening for an estimated 4000 women across five provinces in 20132014. This study sought to address this gap in the literature by using patient-level data to assess the OOP expenses regarding diagnosis and initial treatment (D&T) of Vietnamese BC patients by stage and category of treatment. The completed-data estimations for total cost (pooled-estimations from 20 imputation sets) were 61.8 million VND ($2667) with a wide range from 9.6 to 149.9 million VND ($4146468). Public support for breast cancer awareness and research funding has helped improve diagnosis and treatment methods. 2018;18(1):797. You can access your records and more by logging in or signing up with Dignity Health. Ideally, treatment is personalised so that the optimum result with the lowest toxicity and theleast undesirable effects is achieved [12]. As a library, NLM provides access to scientific literature. Comparison of treatment costs in Vietnam with other low- and middle-income countries is not feasible due to the absence of studies with comparable methods (i.e., time horizons of costs, source of data, costing perspective). About one-third (36.4%) of the women were diagnosed between the ages of 4049years, and another 32.6% between 50 and 59years of age [27]. https://doi.org/10.1186/s12889-021-12448-3, DOI: https://doi.org/10.1186/s12889-021-12448-3. The outliers likely reflect patients having to go through multiple tests at different hospitals before reaching the definitive diagnosis of BC [21]. After diagnosis, breast cancer treatment quickly follows at the Cancer Institute at Saint Francis Medical Center. Women over 40 and who have an average risk level should get a mammogram every one to two years until age 75. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. In the UK there were 55,222 new cases recorded in 2014 [3], while across Europe there is an age-standardised rate of 94.2 per 100,000 women [4]. Cancer can develop in any area of the breast, but generally originates in two areas. 2018;14(3):16778. Household financial burden and poverty impacts of cancer treatment in Vietnam. Conclusions: This paper is the first scoping review of breast cancer services in Vietnam. 6 , 8 , 13 Our study . Breast MRI diagnoses certain breast cancers at an earlier stage. Utilisation of health services (related to breast cancer) and social health insurance. Cancer Care - Oncology Roper St. Francis | Charleston, SC Locations & Directions. Breast cancer in Vietnam: articles identified within the scoping review (not inclusive of grey literature, e.g. American College of Radiology (ACR) has designated Saint Francis Breast Care Center a Breast Imaging Center of Excellence. . Costs were presented in Vietnamese Dong (VND) and US dollars (USD) for comparative purposes. Thus far, there have been no analytical reviews of research produced within this area. A scoping review of published and grey literature was deemed the most apt methodology for this project due to the lack of analytical reviews on breast cancer services in Vietnam. Another study reported that tamoxifen was the most common hormone therapy [27] although trastuzumab has also been considered as cost-effective in combination with standard treatment for metastatic HER2-positive breast cancer women in Vietnam [32]. [7], scoping reviews can be undertaken as standalone projects in their own right, especially where an area is complex or has not been reviewed comprehensively before [and in order] to map the key concepts underpinning a research area and the main sources and types of evidence available. However, women at a higher risk of breast cancer due to familial history, genetic predisposition or other factors may need to start screenings much earlier. Saint Francis Breast Care Center 1. Implementation review for the WHO, Knowledge of breast cancer prevention in Quang Binh Province (VN). Roper St. Francis Physician Partners Breast Surgery offers patients convenient access to breast cancer care with office locations in Charleston, Mount Pleasant and Summerville. Results of a controlled trial, http://creativecommons.org/licenses/by/4.0/, http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/breast-cancer#heading-Zero, http://globocan.iarc.fr/Pages/fact_sheets_population.aspx, http://www.wpro.who.int/health_services/health_systems_framework/en/, https://data.worldbank.org/indicator/SP.URB.TOTL.IN.ZS?locations=VN, http://www.tandfonline.com/doi/full/10.3402/gha.v6i0.18872, http://sdh.hmu.edu.vn/news/cID60_Nghien-cuu-hieu-qua-hoa-tri-bo-tro-truoc-phau-thuat-phac-do-AP-trong-ung-thu-vu-giai-doan-III.html, Meeting inclusion criteria (keywords: Breast Cancer & Vietnam (English) and Breast Cancer (Vietnamese) in the title), Risk factors of female breast cancer in Vietnam: a case-control study, Significant association between breast density, menopause status, number of pregnancies, number of babies born, hormone use and levels of physical activity with breast cancer in Vietnamese women, Body mass index, lower parity, and later first childbirth all associated with breast cancer, Four or more births significantly reduced the chance of breast cancer, No significant difference between breast cancer and age at menarche, age at first parity, total months breastfeeding, oral contraceptive use, and menopause, Breast cancer is the most common cancer for women in Vietnam. Experiences of accessing and using breast cancer services in Vietnam: a descriptive qualitative study. St. Francis Hospital & Heart Center is rated . ESMO Open. Oncologists, Cancer Doctors in Milwaukee, WI Maintaining a healthy weight through proper nutrition and exercise is critical to a womans health. Being married and frequent migration were two contributing factors, with marital status strongly linked to poor treatment success rates. These include trastuzumab, which can cost between 200million and 800million VND per year for individual treatment (US$10,00040,000). These, in turn, can lead to higher OOP paymentfor patients [17, 18]. 325 Mount Pleasant, SC 29466 (843) 606-7020 VIEW FULL PROFILE Jennifer F. Beatty, DO Our Breast Health Center is fully accredited by the National Accreditation Program for Breast Centers (NAPBC) and has additional accreditations from the American College of Radiology. Columbus, GA 31904, Phone: Responsible Editor Stig Wall, Ume University, Sweden. Van Minh H, Kim Phuong NT, Saksena P, James CD, Xu K. Financial burden of household out-of pocket health expenditure in Viet Nam: findings from the National Living Standard Survey 2002-2010. Consideration should additionally be given for the creation of teams of professionals working at lower levels of the health system primarily with the responsibility of detection and referral. Cite this article. Pearlie Harris Center for Breast Health The average OOP for D&T of BC in Vietnam was 61.8 million VND ($2667) which is substantially higher than previous estimates based on costs incurred bythe government and indicates the considerable financial burden associated with BC to the patients and their families. Part of While these conditions may not exist in low- and middle-income countries, they represent a benchmark of best practice. Dignity Health and UCSF Health Discussions, Center for Advanced Gynecology and Minimally Invasive Surgery, Bay Area Center for Clinical Pastoral Education, HIPAA Notice of Privacy Practices - California, HIPAA Notice of Privacy Practices - California (Spanish). USA: https://doi.org/10.18434/M32189. You can make an appointment by calling 573-331-5111. Find a St. Francis - Emory Healthcare provider to meet your medical needs. BSGI is another one of the more advanced tools aiding in the early diagnosis of breast disease and breast cancer. Health services related to diagnosis included clinical diagnosis (e.g., clinical breast examination and medical history asking), laboratory diagnosis (e.g., mammography, ultrasound, magnetic resonance imaging-MRI, nuclear medicine imaging), and histopathological diagnosis (e.g., fine needle aspiration-FNA, core needle biopsy, vacuum-assisted breast biopsy-VABB) [12]. 2020;10(3):e035173. Butler Pavilion, Suite A-001 2300 Manchester Expressway It was approved by the Ethics Committee of Hanoi University of Public Health (No. The main parts of the female breast are lobules (glands that make breast milk), ducts (milk passages that connect the lobules and the nipple), fatty and connective tissue, blood vessels and lymph vessels. More research from the perspective of women with breast cancer is required, and clinicians and patients should be included in the planning of cancer control and treatment systems. Six of the eight English-language articles reviewed highlighted that the overwhelming pattern is for women to be diagnosed at later stages and at younger ages than in European contexts. After initial treatment, follow-up treatment including hormone therapy (for those are eligible to prevent recurrence of BC) and periodic check-up may last 510years with outpatient appointments every 36months [11, 12]. St. Francis Breast Surgery provides comprehensive breast care, including high-risk screening, breast biopsies, and breast surgeries. Centre for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam, d As the leading Lowcountry provider of breast cancer services, Roper St. Francis Cancer Care offers state of the art diagnosis and treatment to the women of the Lowcountry who develop breast cancer. 706.321.2345, 2300 Manchester Expressway, Suite A001 TTN, MD, and CON contributed to the study conception and design. World Economic Outlook Database October 2018. Butler Pavilion, Suite A001 2300 Manchester ExpresswayColumbus, Georgia 31904. All authors contributed to the revision of the manuscript and approved the final manuscript. Screening activities are not covered under National Health Insurance [16], and furthermore, the majority of programmes report screening activities in large cities, perhaps exacerbating inequality in access between rural and urban areas. Our scoping study also did not find any studies or grey literature that discussed palliation for breast cancer patients in depth. Surgery (lumpectomy, mastectomy, double mastectomy). The final step in our methodological approach involved charting all eligible documents in terms of the organisational categories of screening and detection, diagnosis and treatment. Columbus, Georgia 31904. Often patients with elevated risk of developing breast cancer may have this in conjunction with their yearly mammogram. StataCorp. In the 1990s, the most common site-cancer was cervical/uterus, Breast cancer is commonly diagnosed at later stages (Stage II=61.2%) and in women between the ages of 45 and 55, Geographical variations. We identified grey literature through an online search.