NCT04258085

Promoting Earlier Detection of Breast Cancer in Rwanda: Scaleup in the National Health Care System

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 17,379 (actual)
• Sponsor: Brigham and Women's Hospital · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

This observational study evaluates scale-up of a breast cancer early detection program in Rwanda that was initially piloted in a single district. Specifically investigators will examine patient volume, service delivery, loss-to-follow-up rates, and cancer detection rates noted following implementation of scale-up to 3 additional districts. For scaleup, breast cancer screening with CBE was added to a cervical cancer screening initiative, in a combined Women's Cancer Early Detection Program (WCEDP).

Detailed description

Investigators previously conducted a cluster randomized controlled trial of a clinician training program to facilitate prompt evaluation of women with breast symptoms in one rural district of Rwanda. Subsequently, Rwanda Biomedical Centre (RBC) has scaled up the curriculum in 3 districts, adapting the program to integrate CBE screening into a cervical cancer screening initiative. In this study, we will evaluate implementation of this combined screening initiative. Investigators will assess patient volume, services, diagnoses, and loss to follow up.

Conditions

• Breast Cancer
• Benign Breast Disease

Interventions

Type	Name	Description
OTHER	Early diagnosis program combined with electronic medical record	Implementation of early diagnosis approach targeting symptomatic women, combined with use of electronic medical record to facilitate documentation, patient tracking across levels of the health care system, and patient contact

Timeline

• Start date: 2020-07-01
• Primary completion: 2021-12-31
• Completion: 2022-03-25
• First posted: 2020-02-06
• Last updated: 2022-04-07

Locations

1 site across 1 country: Rwanda