Evidence map›Paper›PMID 40979566›Full record

ReviewDialogues in health2025

Cracking the code: Pioneering early detection and management of breast cancer in the Brazilian public healthcare system.

Arn Migowski, Ruffo Freitas-Junior, Jose Bines, Angela Marie Jansen, Angélica Nogueira-Rodrigues, Maria Del Pilar Estevez-Diz, Mariana Rico-Restrepo, Gayatri Sanku, André Mattar

Abstract readReview
In one paragraph

Review in Dialogues in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Arn MigowskiDivision of Clinical Research and Technological Development, Research and Innovation Coordination, National Cancer Institute (INCA), Ministry of Health, Rio de Janeiro-RJ, Brazil.
Ruffo Freitas-JuniorCORA - Advanced Center for Diagnosis of Breast Diseases, Federal University of Goias, Goiania, GO, Brazil.
Jose BinesInstituto Nacional de Câncer, Rio de Janeiro, Brazil.
Angela Marie JansenAmericas Health Foundation, Washington, DC, USA.
Angélica Nogueira-RodriguesResearch Center, UFMG - Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Maria Del Pilar Estevez-DizOncologia Clínica do Instituto do Câncer do Estado de São Paulo 'Octávio Frias de Oliveira' - ICESP, São Paulo, Brazil.
Mariana Rico-RestrepoAmericas Health Foundation, Bogota, Colombia.
Gayatri SankuAmericas Health Foundation, Washington, DC, USA.
André MattarMastology, Hospital da Mulher SP, Oncoclinicas São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer (BC) remains a significant health concern in Brazil, particularly within its public healthcare system, the Unified Health System, known by its Portuguese acronym "SUS", with early detection being one of the main challenges. A review of literature and policy documents was conducted to evaluate the performance and challenges of BC screening and early diagnosis in SUS. Brazilian experts in BC early detection attended a three-day meeting to discuss the challenges of SUS's existing early detection program and provide recommendations for surmounting them. The study identified that Brazil's current opportunistic BC screening model perpetuates issues with access to screening and regional disparities, while also generating low effectiveness and inefficiency. It also highlights several causes of delays in early diagnosis and treatment. The conclusions suggest an urgent need for an organized national BC screening program, in addition to the implementation of early diagnosis strategies, with multifaceted interventions, including urgent referral guidelines for suspected cases, training of key health professionals, patient navigation, and one-stop breast clinics. Implementing these changes could alleviate the economic strain on the healthcare system while improving patient outcomes.

Indexed as

BrazilBreast cancerBreast cancer diagnosisEarly Detection of CancerEquitable accessHealth InequitiesMass screeningPolicy recommendationsPublic Health Systems ResearchRegional disparities

Identifiers

PMID40979566
PMCPMC12445605

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.