Ethical Concerns Regarding Breast Cancer Screening

The incidence and mortality of breast cancer are rising in the whole world in the past few decades, adding up to a total of around two million new cases and 620,000 deaths in 2018. Unlike what occurs in developed countries, most of the cases diagnosed in the developing world are already in advanced...

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Bibliographic Details
Main Authors: Goncalves, Rodrigo, Formigoni, Maria Carolina, Soares, José Maria, Baracat, Edmund Chada, Filassi, José Roberto
Format: Book Chapter
Language:English
Published: IntechOpen 2020
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Online Access:https://www.intechopen.com/chapters/73577
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Summary:The incidence and mortality of breast cancer are rising in the whole world in the past few decades, adding up to a total of around two million new cases and 620,000 deaths in 2018. Unlike what occurs in developed countries, most of the cases diagnosed in the developing world are already in advanced stages and also in women younger than 50 years old. As most screening programs suggest annual mammograms starting at the age of 50, we can infer that a considerable portion of the new breast cancer cases is missed with this strategy. Here, we will propose the adoption of an alternative hierarchical patient flow, with the creation of a diagnostic fast track with referral to timely treatment, promoting better resources reallocation favoring the least advantaged strata of the population, which is not only ethically acceptable but also a way of promoting social justice.
ISBN:978-1-83881-177-8
DOI:10.5772/intechopen.94159