Professional Education and Capacity Building on Breast and Cervical Cancers Prevention and Screening - PowerPoint PPT Presentation

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Professional Education and Capacity Building on Breast and Cervical Cancers Prevention and Screening

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Title: Professional Education and Capacity Building on Breast and Cervical Cancers Prevention and Screening


1
Professional Education and Capacity Building on
Breast and Cervical Cancers Prevention and
Screening Issues
Baskent University
  • Özgür Özyilkan MD
  • Baskent University Faculty of Medicine
  • Division of Medical Oncology
  • Turkey

2
J.B. Richmond M. Kotelchuck. Three-Factor
Approach to Health Policy
3
Objectives
  • To define prevention and highlight in oncology
    and its importance in global health.
  • 2. To distribute the Screening Issues to 1
    million faculty, students and professionals all
    over the world

4
Definition of Prevention
  • Actions aimed at eradicating, eliminating, or
    minimizing the impact of disease and disability.
    The concept of prevention is best defined in the
    context of levels, traditionally called primary,
    secondary, and tertiary prevention
  • A Dictionary of Epidemiology, Fourth Edition
  • Edited by John M. Last

5
Screening on Cancer
  • Primary Aim
  • Decreasing morbidity and mortality
  • There are more than 100 subtype of cancer
  • Cancer screening is recommended only in 5 of
    them.

6
  • Breast cancer
  • Carcinoma of cervix
  • Colorectal cancer
  • Prostate cancer (controversial)
  • Dermatologic cancers (controversial)

7
  • Screening tests
  • Applied to asymptomatic individiuals
  • Cheaper costs
  • Diagnostic tests
  • Applied to symptomatic individiuals
  • Expensive costs

8
Ideally Screening Tests
  • Decrease disease related mortality
  • Have fever economic costs
  • Performed easily
  • Should have high sensitivity and spesifity

9
Screening recommendations for breast cancer
  • Numerous clinical trials have evaluated the
    benefits of the three most commonly recommended
    screening tests
  • Mammography
  • Breast self-examination
  • Clinical breast examination.

Medical Organization -American Academy of
Family Physician, American College of Obstretrics
and Gynecologists, American College of Surgery,
American Medical Association, Canadian Task Force
on Preventive Health Care, National Institutes of
Health, US Preventive Services Task Force
10
Screening recommendations for cervical cancer
  • It is recommend that every woman who has ever
    been (or might have been) sexually active undergo
    Pap testing for cervical cancer.

Medical Organization -American Academy of
Family Physician, American College of Obstretrics
and Gynecologists, American College of Surgery,
American Medical Association, Canadian Task Force
on Preventive Health Care, National Institutes of
Health, US Preventive Services Task Force
11
Mortality and incidence rates in breast and
cervical cancer have declined sharply over the
past several decades!
Think pink, fight cancer
12
- Cancer is the second most common cause of death
in the European Union. - One in three Europeans
is diagnosed with cancer and the disease kills 1
in 4 people.
  • The number of Europeans with cancer will
    increase dramatically by 2015 largely due to the
    ageing population.

13
  • MEPs Against Cancer - Statement THE MAC STATEMENT
  • Over sixty Members of the European Parliament
    from all parties have joined forces to promote
    action on cancer as a priority in the European
    Union.

14
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15
  • MAC is a good example of the specific actions
    you could expect from an increasing number of
    MEPs committed to the fight against cancer.

16
MAC Recommendations(I)
  • They call upon Health Ministers to consider the
    following
  • Urgently to develop and, where existing, improve
    national plans, setting priorities and
    effectively allocating resources for improving
    cancer control and research across the European
    Union.
  • Firmly to tackle the socio-economic and
    geographic divide, which leads to inequalities in
    cancer control.
  • To make high quality and up to date prevention,
    treatment and care attainable for all cancer
    patients in each European Member State.
  • Vigorously to promote cancer awareness in the
    general public through the existing Europe
    against Cancer Code, making a special effort in
    new Member States.

17
MAC Recommendations(II)
  • To invest in cancer prevention in Member States
    through implementing the Council Recommendation
    on Cancer Screening of December 2003 and setting
    up national high quality screening programmes
  • To oppose discrimination because of age, race,
    gender and domicile in respect of the latest
    cancer treatments.
  • To set up a Cancer Task Force at European level,
    to exchange best practice and to highlight once
    again that tackling cancer is a priority and
    sending a strong political signal that immediate
    and concerted action is needed now.

18
Initiatives of the European institutions in the
fields of ?Public Health health strategy and
action program, recommendation on screening for
colon, cervical and breast cancer ?Research and
Development - framework program ? Sciences and
Technologies ?Enterprise and Industry
biotechnology and pharmacy industry.
19
0052/2007 Written declaration on the need for a
comprehensive strategy to control cancer.
  • Calls on the Council and Commission to formulate
    a comprehensive strategy addressing the four
    basic cancer control factors
  • Prevention
  • Early detection
  • Diagnosis ,treatment and follow-up
  • Palliative care

20
  • The European Parliament is one of the European
    institutions.
  • Developing efforts to put cancer high on the
    political agenda of the Council of the European
    Union is another example of activities where
    cancer patients organizations can play a role.

21
Breast Cancer and Cervical Cancer in Arab
Countries
22
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24
Education is very important in these countries
  • Patients reported on their sociodemographic
    characteristics, their attitudes and practices
    regarding prevention, and their preferences for
    physician gender.
  • Differences in beliefs of male and female
    physicians and patient preference for a female
    provider contribute independently to the higher
    rate of breast and cervical cancer screening by
    female physician

25
The Continium of Medical Education
Graduate Med Ed
Medical Practice
Premed Ed
Medical School
Specialty Training
Private Practice
Clinical Sciences and Practice
Liberal Arts
Academics
Residencies
Basic Sciences Research Opportunities
MD-PhD
Fellowships
Other
Core Sciences
Research Fellowships
CME
26
Education
  • In our country, in Middle East and also in
    Europe medical students take detailed lessons
    about cancer screening during their educations

27
  • This education contains
  • both preclinic and clinic sessions and
    different medical disciplines
  • play major role in this educational
    programme (such as department of internal
    medicine, family physician, public health,
    general surgery and obstretrics and gynecology)

28
  • At the end of their trainings students have
    sufficient knowledge about aim of screening
    tests, who should be screened and how should
    these test used cost effectively

29
  • Also we have posteducational programmes for
    general practioners and family physicians which
    are organised by local Medical Colleges and
    Ministry of Health

30
  • Oncologists have the potential to be a large and
    important group of activists for cancer
    prevention measures, and faced, as we are daily,
    with the failure of cancer prevention we have
    more incentives than many others to see them
    implemented

David J Kerr ESMO President-Elect
31
Conclusion
  • Cancer is a growing burden of disease
  • Medical societies are predicted cancer as a
    leading cause of death after 2010
  • Early detection and early medical therapies
    (interventional,drug) are key factors in
    reduction of cancer related morbidity and
    mortality

32
Breast and cervical cancer are more curable when
detected early!
  • Cancer screening plays important role in
    increased detection of early stage disease
  • Proper screening programs and professional
    medical experts are needed

33
Summary
  • Physicians play an important role in the
    information and promotion of preventive
    strategies to their patients
  • Eligible medical training is a key factor
  • Pre (Medical Faculties) and post (Conferences,
    Workshops, Rounds, and Other Traditional
    Continuing Education Activities Change Physician
    Behavior or Health Care Outcomes) graduational
    educational programs are essential for physicians
    in this purpose

34
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36
Baskent University Department of Medical Oncology
Dr.Özgür Ozyilkan (Head)) Dr. Hüseyin Abali Dr.
Umut Disel Dr. Hüseyin Mertsoylu Dr. Fatih
Köse Dr. Ahmet Sezer Dr. A.Taner Sümbül Dr.
Cemile Karadeniz
  • Nur. Ceylan Kucur
  • Nur. Songül Avci
  • Skr. Bengü Demir
  • Skr. Ayça Okyay
  • Rukiye Kusan
  • Serpil Karatas
  • Selbinaz Yavuz
  • Nilgün Marhan
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