Aziz-ur-Rahman Niazi , Aziz Ahmad Jami , Ahmad Zia Shams , Ahmad Saeed Mahmoodi , Eckart Krapfl , Stephan Falk , Alexander Buia , Ernst Hanisch
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引用次数: 2
Abstract
Objective
Breast cancer is the most common cancer in women, causing significant mortality in the world, which contributed 11.7% to the overall cancer-related mortality in Afghanistan. In 2018, 3 062 new breast cancer cases were reported accounting for 29.7% of all cancers in women in the country. However, a comprehensive diagnostic and therapeutic system is lacking in Afghanistan. In this paper, we reported the implementation of a project aiming to establish a comprehensive breast cancer center in Herat province of Afghanistan.
Methods
From July 2017, a two-year-program initiated at Kimia Hospital in Herat. This first free diagnostic and therapeutic breast cancer project planned by the Afghanistan Surgeons Society – West and the Verein für Afghanistan-Förderung e. V., as well supported by three international foundations. The target populations of this project were women presenting with breast problems at Kimia Hospital in Herat and healthcare staff involved in breast cancer diagnosis and management.
Results
A group of six medical personnel chosen to represent the breast cancer core team for breast cancer diagnosis and management were trained in India. These caregivers established the breast cancer service and tumor board. During a period of 20 months, a total of 632 women with breast problems presented to Kimia Hospital of whom 44 (7.0%) were diagnosed with breast cancer. Diagnosis was established by a physical examination, ultrasonography, mammography, biopsy and histopathology. Treatment included surgery, radiotherapy and chemotherapy. Twelve seminars for 512 healthcare workers, 1 000 brochures and a movie were prepared for awareness-raising actions. For continuation of this project, potential resource providers were identified. A database was developed to record project findings.
Conclusion
Implementation of this comprehensive breast cancer project resulted in significant achievements in healthcare staff capacity building, diagnosis and management of breast cancer patients in Herat province. Data obtained in this project offer Afghan government, public health authorities, and the community the opportunity of improving diagnosis and treatment of breast cancer in Afghanistan.
目的乳腺癌是女性中最常见的癌症,在世界范围内造成的死亡率很高,占阿富汗癌症相关死亡率的11.7%。2018年,全国新增乳腺癌病例3062例,占女性癌症总数的29.7%。然而,阿富汗缺乏全面的诊断和治疗系统。在本文中,我们报告了在阿富汗赫拉特省建立一个综合性乳腺癌中心的项目的实施情况。方法自2017年7月起,在赫拉特市基米亚医院启动一项为期两年的项目。这是第一个免费的乳腺癌诊断和治疗项目,由阿富汗西部外科医生协会和 r Afghanistan-Förderung e. V协会策划,并得到三个国际基金会的支持。该项目的目标人群是在赫拉特Kimia医院出现乳房问题的妇女和参与乳腺癌诊断和管理的保健人员。结果入选乳腺癌诊断和管理核心小组的6名医务人员在印度接受了培训。这些护理人员建立了乳腺癌服务和肿瘤委员会。在20个月的时间里,共有632名患有乳房问题的妇女到Kimia医院就诊,其中44名(7.0%)被诊断患有乳腺癌。诊断是通过体格检查,超声检查,乳房x光检查,活检和组织病理学。治疗包括手术、放疗和化疗。为开展提高认识行动,为512名保健工作者举办了12次研讨会、1 000份小册子和一部电影。为了继续这个项目,确定了潜在的资源提供者。建立了一个数据库来记录项目结果。结论赫拉特省乳腺癌综合防治项目实施后,在医护人员能力建设、乳腺癌患者诊断和管理等方面取得显著成效。该项目获得的数据为阿富汗政府、公共卫生当局和社区提供了改进阿富汗乳腺癌诊断和治疗的机会。