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Luna-Abanto J, Gamarra L, Armestar DD, Condori BH, Tisoc GBM, Trujillo GF, Apumayta E, Tairo-Cerrón T, Centurión-Rodríguez C, Ruiz LG, Espinoza-Figueroa J, Garcia KTM, Yovera JN, Trujillo MU, Sarria G. Impact of cancer awareness campaigns in Peru: a 5-year Google Trends analysis. Ecancermedicalscience 2022; 16:1477. [PMID: 36819814 PMCID: PMC9934880 DOI: 10.3332/ecancer.2022.1477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Indexed: 11/25/2022] Open
Abstract
Background The aim of this research was to characterise the interest on the most frequent cancers in Peru through Google Trends, its geographic and temporal relationship with massive awareness campaigns. Methods A temporal trends analysis for the last 5 years was carried out, comparing the Relative Search Volume (RSV) with the dates of mass cancer awareness campaigns in Peru. Google Trends application was used to evaluate the interest in the topics: breast, prostate, cervical stomach and colorectal cancer between 1 January 2016 and 31 December 2020, expressed in RSV. The annual RSV for each neoplasm was compared, as well as its annual variation using the Kruskal-Wallis test. The correlation between the RSV and the estimated incidence for each province was measured using the Spearman test. Results The topics with the highest RSV were breast (median: 20, range: 6-100) and prostate cancer (median: 28, range: 9-48). The topic 'breast cancer' showed a cyclical punctual increase in October, its awareness month. Searches for cervical, stomach and colorectal cancer were smaller and did not show peaks of interest. It was observed that the RSV was variable when compared with previous years (p < 0.05 for all the evaluated topics). Geographically, different provincial configurations of interest were observed according to neoplasia. When correlating the RSV with the incidence by province, a non-significant positive correlation (p > 0.05) was found for breast, cervical and colorectal cancer. Conclusions This study suggests a positive temporal correlation between RSV and awareness cancer campaigns in Peru specially to breast cancer and, to a lesser extent, prostate cancer. Significant variations of interest were demonstrated for each neoplasm among the evaluated years. No significant correlation was found between the incidence rate and the average RSV among Peruvian provinces.
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Affiliation(s)
- Jorge Luna-Abanto
- Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,Universidad Peruana Cayetano Heredia, Lima 15102, Perú,https://orcid.org/0000-0001-8795-6635
| | - Luis Gamarra
- Departamento de Radioterapia, Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,https://orcid.org/0000-0001-5018-2904
| | | | | | - Grivette Betsy Mendoza Tisoc
- Servicio de Anatomía Patológica, Hospital Antonio Lorena, Cusco 08001, Perú,https://orcid.org/0000-0001-7807-1931
| | - Gustavo Flores Trujillo
- Universidad Privada Antenor Orrego, Trujillo 13008, Perú,https://orcid.org/0000-0002-7428-411X
| | - Elily Apumayta
- Universidad Peruana Cayetano Heredia, Lima 15102, Perú,https://orcid.org/0000-0002-1828-7009
| | - Tessy Tairo-Cerrón
- Departamento de Medicina Nuclear, Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,https://orcid.org/0000-0002-4565-9875
| | - Cesar Centurión-Rodríguez
- Departamento de Medicina Oncológica, Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,https://orcid.org/0000-0001-9169-1895
| | - Luis García Ruiz
- Universidad Peruana Cayetano Heredia, Lima 15102, Perú,Departamento de Medicina Crítica, Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,https://orcid.org/0000-0003-1832-7952
| | - Jossué Espinoza-Figueroa
- Departamento de Radiodiagnóstico, Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,https://orcid.org/0000-0002-0761-3366
| | | | - Jorge Navarro Yovera
- Universidad de San Martín de Porres, Lima 15011, Perú,https://orcid.org/0000-0002-3124-1224
| | - Milward Ubillús Trujillo
- Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,Universidad de Huánuco, Huánuco 10001, Perú,https://orcid.org/0000-0002-3684-9394
| | - Gustavo Sarria
- Instituto Nacional de Enfermedades Neoplásicas, Av. Angamos Este 2520, Lima 15000, Perú,Universidad de Huánuco, Huánuco 10001, Perú,https://orcid.org/0000-0002-7459-7730
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González Moreno IM, Trejo-Falcón J, Matsumoto MM, Huertas Moreno M, Martínez Gálvez M, Farfán Quispe GR, Chavez Pareja FY, Mollura DJ, Pollack E, Scheel JR, García Santos JM. Radiology volunteers to support a breast cancer screening program in Peru: Description of the project, preliminary results, and impressions. RADIOLOGIA 2022; 64:256-265. [PMID: 35676057 DOI: 10.1016/j.rxeng.2021.04.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 04/12/2021] [Indexed: 10/18/2022]
Abstract
Breast cancer is the second most common cancer in Peruvian women. Due to limitations in national breast cancer screening programs, especially in rural areas, more than 50% of cases of breast cancer in Peru are diagnosed in advanced stages. In collaboration with a local clinic registered as a nongovernmental organization (CerviCusco), RAD-AID International aims to create a sustainable diagnostic structure to improve breast cancer screening in Cuzco. With the support of local, national, and international partners that have collaborated in analyzing radiological resources, raising awareness in the population, acquiring equipment, training clinical staff, and building referral networks, our teams of radiologists, included in the RAD-AID team, have participated in training CerviCusco staff in breast ultrasound, thus enabling additional training for radiology residents through a regulated international collaboration.
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Affiliation(s)
- I M González Moreno
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.(a) Morales Meseguer, Murcia, Spain.
| | - J Trejo-Falcón
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.(a) Morales Meseguer, Murcia, Spain
| | - M M Matsumoto
- Pritzker Medicine, University of Chicago, Chicago, IL, United States
| | - M Huertas Moreno
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.(a) Morales Meseguer, Murcia, Spain
| | - M Martínez Gálvez
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.(a) Morales Meseguer, Murcia, Spain
| | | | | | | | - E Pollack
- RAD-AID Internacional; Department of Radiology and Medical Imaging, Denver Health and Hospital Authority, Denver, CO, United States
| | - J R Scheel
- RAD-AID Internacional; Departments of Radiology and Global Health, University of Washington, Seattle, WA, United States; Fred Hutchinson Cancer Research Center, Seattle, WA, United States
| | - J M García Santos
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.(a) Morales Meseguer, Murcia, Spain; RAD-AID Internacional
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Aklilu S, Bain C, Bansil P, de Sanjose S, Dunstan JA, Castillo V, Tsu V, Contreras I, Balassanian R, Hayes Constant TK, Scheel JR. Evaluation of diagnostic ultrasound use in a breast cancer detection strategy in Northern Peru. PLoS One 2021; 16:e0252902. [PMID: 34115775 PMCID: PMC8195385 DOI: 10.1371/journal.pone.0252902] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Accepted: 05/24/2021] [Indexed: 11/18/2022] Open
Abstract
To evaluate the diagnostic impact of point-of-care breast ultrasound by trained primary care physicians (PCPs) as part of a breast cancer detection program using clinical breast exam in an underserved region of Peru. Medical records and breast ultrasound images of symptomatic women presenting to the Breast Cancer Detection Model (BCDM) in Trujillo, Peru were collected from 2017–2018. Performance was measured against final outcomes derived from regional cancer center medical records, fine needle aspiration results, patient follow-up (sensitivity, specificity, positive, and negative predictive values), and by percent agreement with the retrospective, blinded interpretation of images by a fellowship-trained breast radiologist, and a Peruvian breast surgeon. The diagnostic impact of ultrasound, compared to clinical breast exam (CBE), was calculated for actual practice and for potential impact of two alternative reporting systems. Of the 171 women presenting for breast ultrasound, 23 had breast cancer (13.5%). Breast ultrasound used as a triage test (current practice) detected all cancer cases (including four cancers missed on confirmatory CBE). PCPs showed strong agreement with radiologist and surgeon readings regarding the final management of masses (85.4% and 80.4%, respectively). While the triage system yielded a similar number of biopsies as CBE alone, using the condensed and full BI-RADS systems would have reduced biopsies by 60% while identifying 87% of cancers immediately and deferring 13% to six-month follow-up. Point-of-care ultrasound performed by trained PCPs improves diagnostic accuracy for managing symptomatic women over CBE alone and enhances access. Greater use of BI-RADS to guide management would reduce the diagnostic burden substantially.
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Affiliation(s)
- Segen Aklilu
- Department of Radiology, University of Washington, Seattle, Washington, United States of America
| | - Carolyn Bain
- PATH, Seattle, Washington, United States of America
| | - Pooja Bansil
- PATH, Seattle, Washington, United States of America
| | | | | | | | - Vivien Tsu
- Department of Global Health, University of Washington, Seattle, Washington, United States of America
| | | | - Ronald Balassanian
- Department of Pathology, University of California San Francisco, San Francisco, California, United States of America
| | | | - John R. Scheel
- Department of Radiology, University of Washington, Seattle, Washington, United States of America
- Department of Global Health, University of Washington, Seattle, Washington, United States of America
- * E-mail:
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González Moreno IM, Trejo-Falcón J, Matsumoto MM, Huertas Moreno M, Martínez Gálvez M, Farfán Quispe GR, Chavez Pareja FY, Mollura DJ, Pollack E, Scheel JR, García Santos JM. Radiology volunteers to support a breast cancer screening program in Peru: description of the project, preliminary results, and impressions. RADIOLOGIA 2021; 64:S0033-8338(21)00089-8. [PMID: 34083079 DOI: 10.1016/j.rx.2021.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 03/31/2021] [Accepted: 04/12/2021] [Indexed: 11/20/2022]
Abstract
Breast cancer is the second most common cancer in Peruvian women. Due to limitations in national breast cancer screening programs, especially in rural areas, more than 50% of cases of breast cancer in Peru are diagnosed in advanced stages. In collaboration with a local clinic registered as a nongovernmental organization (CerviCusco), RAD-AID International aims to create a sustainable diagnostic structure to improve breast cancer screening in Cuzco. With the support of local, national, and international partners that have collaborated in analyzing radiological resources, raising awareness in the population, acquiring equipment, training clinical staff, and building referral networks, our teams of radiologists, included in the RAD-AID team, have participated in training CerviCusco staff in breast ultrasound, thus enabling additional training for radiology residents through a regulated international collaboration.
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Affiliation(s)
- I M González Moreno
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.ª Morales Meseguer, Murcia, España.
| | - J Trejo-Falcón
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.ª Morales Meseguer, Murcia, España
| | - M M Matsumoto
- Pritzker Medicine, University of Chicago, Chicago, Illinois, Estados Unidos
| | - M Huertas Moreno
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.ª Morales Meseguer, Murcia, España
| | - M Martínez Gálvez
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.ª Morales Meseguer, Murcia, España
| | | | | | | | - E Pollack
- RAD-AID Internacional; Department of Radiology and Medical Imaging, Denver Health and Hospital Authority, Denver, Colorado, Estados Unidos
| | - J R Scheel
- RAD-AID Internacional; Departments of Radiology and Global Health, University of Washington, Seattle, Washington, Estados Unidos; Fred Hutchinson Cancer Research Center, Seattle, Washington, Estados Unidos
| | - J M García Santos
- Servicio de Radiodiagnóstico, Hospital General Universitario Jose M.ª Morales Meseguer, Murcia, España; RAD-AID Internacional
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