A mapping study and recommendations for a joint NGO (Think Pink) and Bahrain Government Breast Cancer project. Issue 3 (22nd August 2019)

• Record Type: Journal Article
• Authors: Sprakel, Julie; Carrara, Helio; Manzer, Bruce M.; Fedorowicz, Zbys
• Is Part Of: Journal of evidence-based medicine. Volume 12:Issue 3(2019)
• Page Start: 209
• Page End: 217
• Publication Date: 2019-08-22
• Subjects: breast cancer -- breast neoplasms -- lymphoedema -- GCC (Bahrain; Saudi Arabia; Kuwait; United Arab Emirates; Qatar; Oman; Arabian Gulf; Persian Gulf) -- private‐public partnership; Evidence-based medicine -- Periodicals; Systematic reviews (Medical research) -- Periodicals; 616.005
• DOI: 10.1111/jebm.12357
• Languages: English
• ISSNs: 1756-5383

Abstract

Abstract: Aims: Breast cancer within the region continues to present challenges to the healthcare services. Strategies to shed light on clinical gaps could better support country‐specific circumstances. The aims of the mapping study were to identify the gaps in the evidence base, for the management of breast cancer with relevance to Bahrain and the Gulf Region. In parallel, focusing on areas and directions of research, which are compatible with international and local clinical interests. It was envisaged that the mapping project would expose not only opportunities to improve support to the community but also illustrate the possible engagement of a government entity and a Nongovernment Organization in a private‐public partnership. Method: An extensive literature review of local and international publications from the period between 1979 and 2015 was undertaken. Searches were conducted using free‐text terms, singularly or combined, with no limiters, to provide unrestricted retrieval of available English studies. Results: A total of 326 citations were identified, which after deduplication provided 277 unique citations of which included 236 studies within 13 different categories, relevant to breast cancer within the Gulf Cooperation Council (GCC). Conclusion: Contextualizing gaps in literature and, therefore, providing evidence‐based decisions, not only support the enduser, but better support the country‐specific challenges and burdens to healthcare. Three broad but key areas were identified after mapping of the literature, covering:screening and mammography, knowledge translation and dissemination, and lymphoedema postsurgical resection. Similar mapping projects could be undertaken by other national NGO's to better support the government and solidify the framework for a public‐private partnership.