Breast cancer screening in Primary Health Care in Brazil: a systematic review

Rev Bras Enferm. 2021 Jul 9;74(3):e20200995. doi: 10.1590/0034-7167-2020-0995. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objectives: to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.

Methods: this is a systematic review following the Cochrane Collaboration recommendations.

Results: among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women's health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.

Conclusions: Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.

Publication types

  • Systematic Review

MeSH terms

  • Brazil
  • Breast Neoplasms* / diagnosis
  • Early Detection of Cancer
  • Female
  • Humans
  • Mammography
  • Primary Health Care