Page 0042

GLOBAL CANCER POLICY-MAKING

provides a detailed summary of BHGI methodology, which the include oncoplastic breast surgery, which simultaneously

editors identify as a model approach for developing resource- improves oncologic and cosmetic outcome with complex cancer

sensitive guidelines that could be applied to other cancers or resections. He holds joint faculty positions in the Fred

chronic diseases for which effective treatments are available.25 Hutchinson Cancer Research Center Division of Public Health

BHGI analyses suggested that to better assess breast cancer Sciences and the UW Department of Global Health and directs

burden in poorly studied populations, countries require the Breast Health Clinic at the Seattle Cancer Care Alliance

accurate statistics regarding cancer incidence and mortality so (SCCA). From 2005–2007, Dr Anderson served as President of

that chronic diseases taking the greatest toll can be identified the American Society of Breast Disease (ASBD).

24

and targeted . To better identify health care system strengths Dr Anderson created and chairs the Breast Health Global

and weaknesses, countries require reasonable indicators of Initiative (BHGI), which developed and studies implementation

true health system quality and capacity. Using qualitative and of resource-sensitive, culturally appropriate guidelines for

quantitative research methods, countries should formulate breast cancer early detection, diagnosis and treatment in low-

cancer control strategies to identify both system inefficiencies and middle-income countries (LMIC). As private sector advisor

and patient barriers. Patient navigation programmes linked to on the US delegation to the 58th World Health Assembly in

public advocacy efforts feed and strengthen functional early Geneva, Dr Anderson contributed to the first WHO Cancer

detection and treatment programmes. Cost-effectiveness Prevention and Control Resolution passed in 2005, which

research and implementation science are tools that can guide reinforces comprehensive cancer policies and strategies for

and expand successful pilot programmes. l LMICs. Honouring his commitment to women’s health

throughout the world and his dedicated efforts to improve their

Benjamin O Anderson is Professor of Surgery and Global Health quality of care, Dr Anderson was awarded the 2011 Partners in

Medicine at the University of Washington (UW) in Seattle where Progress Award by the American Society of Clinical Oncology

his clinical practice is devoted to caring for patients with breast (ASCO). Most recently, Dr Anderson was elected to the Board of

health issues and cancers. Dr Anderson’s clinical interests Directors of the Union for International Cancer Control (UICC).

References

1.

Carlson RW, Anderson BO, Bensinger W, et al. NCCN Practice Guidelines for Breast overview of the Breast Health Global Initiative 2005 guidelines. Breast J. Jan-Feb

Cancer. Oncology (Williston Park). Nov 2000;14(11A):33-49. 2006;12 Suppl 1:S3-15.

2. 15.

Morrow M, Strom EA, Bassett LW, et al. Standard for breast conservation therapy in Anderson BO, Yip CH, Smith RA, et al. Guideline implementation for breast healthcare

the management of invasive breast carcinoma. CA Cancer J Clin. Sep-Oct in low-income and middle-income countries: overview of the Breast Health Global

2002;52(5):277-300. Initiative Global Summit 2007. Cancer. Oct 15 2008;113(8 Suppl):2221-2243.

3. 16.

Smith RA. Breast cancer screening among women younger than age 50: a current Anderson BO, Cazap E, El Saghir NS, et al. Optimisation of breast cancer management

assessment of the issues. CA Cancer J Clin. Sep-Oct 2000;50(5):312-336. in low-resource and middle-resource countries: executive summary of the Breast

4.

Executive summary of the national cancer control programmes: policies and Health Global Initiative consensus, 2010. Lancet Oncol. Apr 2011;12(4):387-398.

17.

managerial guidelines. Geneva: World Health Organization;2002. Yip CH, Smith RA, Anderson BO, et al. Guideline implementation for breast healthcare

5.

IARC. Breast Cancer Screening. In: Vainio H, Bianchini F, eds. International Agency for in low- and middle-income countries: early detection resource allocation. Cancer. Oct

Research on Cancer (IARC) Handbooks of Cancer Prevention. Vol Volume 7. Lyon, 15 2008;113(8 Suppl):2244-2256.

18.

France: IARC Press; 2002:87-117. Shyyan R, Sener SF, Anderson BO, et al. Guideline implementation for breast

6.

Parkin DM, Fernandez LM. Use of statistics to assess the global burden of breast healthcare in low- and middle-income countries: diagnosis resource allocation. Cancer.

cancer. Breast J. Jan-Feb 2006;12 Suppl 1:S70-80. Oct 15 2008;113(8 Suppl):2257-2268.

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7.

Forouzanfar MH, Foreman KJ, Delossantos AM, et al. Breast and cervical cancer in Eniu A, Carlson RW, El Saghir NS, et al. Guideline implementation for breast

187 countries between 1980 and 2010: a systematic analysis. Lancet. Oct 22 healthcare in low- and middle-income countries: treatment resource allocation.

2011;378(9801):1461-1484. Cancer. Oct 15 2008;113(8 Suppl):2269-2281.

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8.

Jemal A, Thomas A, Murray T, Thun M. Cancer statistics, 2002. CA Cancer J Clin. Jan- Harford J, Azavedo E, Fischietto M. Guideline implementation for breast healthcare in

Feb 2002;52(1):23-47. low- and middle-income countries: breast healthcare program resource allocation.

Cancer. Oct 15 2008;113(8 Suppl):2282-2296.

9.

Carlson RW, Allred DC, Anderson BO, et al. Invasive breast cancer. J Natl Compr Canc

21.

Netw. Feb 2011;9(2):136-222. Anderson BO, Braun S, Lim S, Smith RA, Taplin S, Thomas DB. Early detection of breast

cancer in countries with limited resources. Breast J. May-Jun 2003;9 Suppl 2:S51-59.

10.

Fisher B, Anderson S, Bryant J, et al. Twenty-year follow-up of a randomized trial

22.

comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the El Saghir NS, Adebamowo CA, Anderson BO, et al. Breast cancer management in low

treatment of invasive breast cancer. N Engl J Med. Oct 17 2002;347(16):1233-1241. resource countries (LRCs): consensus statement from the Breast Health Global

Initiative. Breast. Apr 2011;20 Suppl 2:S3-11.

11.

Veronesi U, Cascinelli N, Mariani L, et al. Twenty-year follow-up of a randomized study

23.

comparing breast-conserving surgery with radical mastectomy for early breast cancer. Yip CH, Cazap E, Anderson BO, et al. Breast cancer management in middle-resource

N Engl J Med. Oct 17 2002;347(16):1227-1232. countries (MRCs): consensus statement from the Breast Health Global Initiative.

Breast. Apr 2011;20 Suppl 2:S12-19.

12.

Nadkarni MS, Gupta PB, Parmar VV, Badwe RA. Breast conservation surgery without

24.

pre-operative mammography – a definite feasibility. Breast. Oct 2006;15(5):595-600. Harford JB, Otero IV, Anderson BO, et al. Problem solving for breast health care

delivery in low and middle resource countries (LMCs): consensus statement from the

13.

Anderson BO, Braun S, Carlson RW, et al. Overview of breast health care guidelines

Breast Health Global Initiative. Breast. Apr 2011;20 Suppl 2:S20-29.

for countries with limited resources. Breast J. May -Jun 2003;9 Suppl 2:S42-50.

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In: Sloan FA, Gelband H, eds. Cancer Control Opportunities in Low- and Middle-

14.

Anderson BO, Shyyan R, Eniu A, et al. Breast cancer in limited-resource countries: an

Income Countries (summary). Washington, D.C.: The National Academies Press; 2007

40 CANCER CONTROL 2013

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