Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes

Breast cancer (BC) is a significant health challenge in Africa, characterized by high incidence, morbidity, and mortality rates. This systematic review aims to identify factors delaying BC diagnosis and treatment, evaluate management outcomes, and highlight the contributing pathways.The study thorou...

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Main Authors: Roland Muyisa, Emile Watumwa, Judith Malembe, Jacques Wahangire, Ghyslaine Kalivanda, Apollinaire Saa Sita, Soly Kamwira
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Health Sciences Review
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772632025000133
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author Roland Muyisa
Emile Watumwa
Judith Malembe
Jacques Wahangire
Ghyslaine Kalivanda
Apollinaire Saa Sita
Soly Kamwira
author_facet Roland Muyisa
Emile Watumwa
Judith Malembe
Jacques Wahangire
Ghyslaine Kalivanda
Apollinaire Saa Sita
Soly Kamwira
author_sort Roland Muyisa
collection DOAJ
description Breast cancer (BC) is a significant health challenge in Africa, characterized by high incidence, morbidity, and mortality rates. This systematic review aims to identify factors delaying BC diagnosis and treatment, evaluate management outcomes, and highlight the contributing pathways.The study thoroughly searched electronic databases for articles on breast cancer in Africa, focusing on publications in English or French from the past decade. Independent reviewers screened the articles, extracting relevant data according to PRISMA guidelines.Barriers to early detection and management in Africa include poor symptom recognition, limited awareness, financial constraints, fear of diagnosis, and reliance on traditional medicine. Poor outcomes are often linked to advanced disease stages and larger tumor sizes, along with factors like the luminal B subtype and HIV status. Strategies to improve outcomes should focus on raising awareness, enhancing knowledge of hormonal tumor status, and implementing expedited referral pathways for women with concerning symptoms.Urgent measures for early detection and management are essential to address the breast cancer burden in Africa and improve patient outcomes.
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series Health Sciences Review
spelling doaj-art-650ccdf5dcfd464ba8b67bb8b29c6d282025-02-10T04:35:31ZengElsevierHealth Sciences Review2772-63202025-03-0114100221Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomesRoland Muyisa0Emile Watumwa1Judith Malembe2Jacques Wahangire3Ghyslaine Kalivanda4Apollinaire Saa Sita5Soly Kamwira6Medicine, Catholic University of Graben, Butembo, Congo; Corresponding author.Pharmacy, Catholic University of the Graben, Butembo, CongoMedicine, Catholic University of Graben, Butembo, CongoMedicine, Catholic University of Graben, Butembo, CongoPublic Health, Catholic University of the Graben, Butembo, CongoMedicine, Catholic University of Graben, Butembo, CongoPharmacy, Catholic University of the Graben, Butembo, CongoBreast cancer (BC) is a significant health challenge in Africa, characterized by high incidence, morbidity, and mortality rates. This systematic review aims to identify factors delaying BC diagnosis and treatment, evaluate management outcomes, and highlight the contributing pathways.The study thoroughly searched electronic databases for articles on breast cancer in Africa, focusing on publications in English or French from the past decade. Independent reviewers screened the articles, extracting relevant data according to PRISMA guidelines.Barriers to early detection and management in Africa include poor symptom recognition, limited awareness, financial constraints, fear of diagnosis, and reliance on traditional medicine. Poor outcomes are often linked to advanced disease stages and larger tumor sizes, along with factors like the luminal B subtype and HIV status. Strategies to improve outcomes should focus on raising awareness, enhancing knowledge of hormonal tumor status, and implementing expedited referral pathways for women with concerning symptoms.Urgent measures for early detection and management are essential to address the breast cancer burden in Africa and improve patient outcomes.http://www.sciencedirect.com/science/article/pii/S2772632025000133Breast cancerDelayed diagnosisPoor management outcomeExit routesSystematic analysis
spellingShingle Roland Muyisa
Emile Watumwa
Judith Malembe
Jacques Wahangire
Ghyslaine Kalivanda
Apollinaire Saa Sita
Soly Kamwira
Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes
Health Sciences Review
Breast cancer
Delayed diagnosis
Poor management outcome
Exit routes
Systematic analysis
title Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes
title_full Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes
title_fullStr Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes
title_full_unstemmed Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes
title_short Barriers to timely diagnosis and management of breast cancer in Africa: Implications for improved outcomes
title_sort barriers to timely diagnosis and management of breast cancer in africa implications for improved outcomes
topic Breast cancer
Delayed diagnosis
Poor management outcome
Exit routes
Systematic analysis
url http://www.sciencedirect.com/science/article/pii/S2772632025000133
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