Partner: Zuzanna Chmielewska


Recent publications
1.Śniadecki M., Jaworek P., Chmielewska Z., Poniewierza P., Stasiak M., Danielkiewicz M., Stencelewski D., Brzeziński M., Boyke Zuzanna A., Wycinka E., Sunil M., Nguyen M., Klasa-Mazurkiewicz D., Koziełek K., Rak P., Wolny Y., Liro M., Guzik Paweł W., Dobruch-Sobczak K., Wydra D., Protocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecological Visits as a Chance for an Early Diagnosis and Treatment in 25 to 49-Year-Old Polish Females, Diagnostics, ISSN: 2075-4418, DOI: 10.3390/diagnostics13020227, Vol.13, No.227, pp.1-10, 2023
Abstract:

The low attendance rate for cancer screening tests in Poland is a major healthcare concern that requires specific analysis and the development of implementation recommendations for prevention, and both actions are likely to benefit culturally similar countries. Four female cancers account for approximately 20% of all cancer cases—breast cancer, cervical cancer, endometrial cancer, and ovarian cancer—suggesting that gynecologists have a significant preventative role. Of the four, breast cancer and cervical cancer are among the 10 most common malignant neoplasms globally, regardless
of gender, occur only in women and are known to have effective screening measures. Our research aims to create a screening model that combines cervical cancer and breast cancer to maximize health outcomes for women at risk of both cancers. In the study protocol, we have created a model that maximizes benefits for patients with minimal additional costs to the health care system. To achieve the set goal, instead of regular clinical breast exams as recommended by the gynecological societies, we proposed an ultrasound examination, during which palpation may also be performed (in the
absence of elastography). We present a scheme for such a protocol that takes into consideration all types of prevention in both cancers, and that emphasizes breast ultrasound as the most frequently missing element. Our study includes a discussion of the strengths and weaknesses of our strategy, and the crucial need for infrastructure and education for the successful implementation of the program. We conclude that our model merits consideration and discussion among health-care decision makers, as the screening changes we propose have significant potential benefits for the female population.

Keywords:

screening, cervical cancer, breast cancer, ultrasonography, mammography, value-based healthcare, health policy

Affiliations:
Śniadecki M.-other affiliation
Jaworek P.-other affiliation
Chmielewska Z.-other affiliation
Poniewierza P.-other affiliation
Stasiak M.-other affiliation
Danielkiewicz M.-other affiliation
Stencelewski D.-other affiliation
Brzeziński M.-other affiliation
Boyke Zuzanna A.-other affiliation
Wycinka E.-other affiliation
Sunil M.-other affiliation
Nguyen M.-other affiliation
Klasa-Mazurkiewicz D.-other affiliation
Koziełek K.-other affiliation
Rak P.-other affiliation
Wolny Y.-other affiliation
Liro M.-other affiliation
Guzik Paweł W.-other affiliation
Dobruch-Sobczak K.-IPPT PAN
Wydra D.-other affiliation