Doctors suggest mandatory screening policy, increase in IEC programs can control rise in breast cancer
DOI:
https://doi.org/10.37506/1b65cz18Keywords:
Breast cancer; awareness; screening policy; IEC; NCD; stigmaAbstract
Background:
A qualitative study was carried out among doctors in Karnataka to understand their perceptions about breast cancer, its rapid rise and control measures.
Methods:
67 doctors from allopathic as well as AYUSH fields answered a qualitative questionnaire related to screening policy in breast cancer, uptake, control measures, treatment costs and health insurance cover.
The questionnaires were sent as links to Google Forms. About 300 doctors were contacted but only about 67 doctors answered the questions. Answers were recorded from Google Forms into Excel sheets and subjected to statistical analysis by SPSS program.
Results:Among all the participating doctors, 66% of participants suggested making screening of breast cancer a mandatory procedure in the form of clinical breast exams (CBE), self-breast exams (SBE) and mammography.
Conclusion:
Most doctors feel that screening policies could be made mandatory.They recommend breast cancer to be treated as a public health emergency.
References
Antonova L, Aronson K, Mueller CR. Stress and breast cancer: from epidemiology to molecular biology. Breast Cancer Res. (2011);13(2):1–15. Available from: https://breast-cancer-research.biomedcentral.com/articles/10.1186/bcr2857
Bhattacharya P. Polio eradication calls for both shots and drops. SciDev.Net. (2020) Feb 28. Available from: https://www.scidev.net/global/polio-eradication-calls-for-both-shots-and-drops/
Bagcchi S. India launches plan for national cancer screening programme BMJ (2016); 355 :i5574 Available from:https://www.bmj.com/content/355/bmj.i5574
Gupta A, Shridhar K, Dhillon PK. A review of breast cancer awareness among women in India: Cancer literate or awareness deficit? Eur J Cancer. (2015);51(14):2058–66. Available from: https://www.ejcancer.com/article/S0959-8049(15)00665-6/fulltext
Jelly P, Choudhary S. Breastfeeding and breast cancer: A risk reduction strategy. Int J Med Paediatr Oncol. (2019);5(2):47–50. Available from: https://www.tandfonline.com/doi/full/10.1080/25785826.2019.1603631
Khokhar A. Breast cancer in India: where do we stand and where do we go? Asian Pac J Cancer Prev. (2012);13(10):4861–6. Available from: https://pubmed.ncbi.nlm.nih.gov/23244071/
Kulkarni, S. V., Mishra, G. A., & Dusane, R. R. (2019). Determinants of compliance to breast cancer screening and referral in low socio-economic regions of urban India. International Journal of Preventive Medicine, 10, 1–6. https://doi.org/10.4103/ijpvm.IJPVM_320_18
Lohiya, A., Daniel, R. A., Smith, R. D., Nagar, M., Shankar, A., & Lahariya, C. (2022). Cancer prevention and control in India can get a boost through primary health care-based approach: A review. Journal of Family Medicine and Primary Care, 11(8), 4286–4292. https://doi.org/10.4103/jfmpc.jfmpc_2378_21
Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast cancer—epidemiology, risk factors, classification, prognostic markers, and current treatment strategies—an updated review. Cancers (Basel). (2021);13(17):4287. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428369/
Madhukumar S, Thambiran UR, Basavaraju B, Bedadala MR. A study on awareness about breast carcinoma and practice of breast self-examination among basic sciences' college students, Bengaluru. J Family Med Prim Care. (2017);6(3):487–90. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787941/
Manchanda R, Sideris M. Population‐based genetic testing for cancer susceptibility genes: quo vadis?. BJOG. (2023);130(2):125–30. Available from: https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.17283
Mathur, P., et al. (2020). Cancer statistics, 2020: Report from National Cancer Registry Programme, India. JCO Global Oncology, 6, 1063–1075. https://doi.org/10.1200/JGO.20.00268
Mehrotra R, Yadav K. Breast cancer in India: Present scenario and the challenges ahead. World J Clin Oncol. (2022);13(3):209–15. Available from: https://www.wjgnet.com/2218-4333/full/v13/i3/209.htm
Morère JF, Viguier J, Brignoli-Guibaudet L, Lhomel C, Pivot X, Eisinger F. Awareness and misconceptions of breast cancer risk factors among laypersons and physicians. Curr Oncol Rep. (2018);20(1):6. Available from: https://link.springer.com/article/10.1007/s11912-017-0647-9
Nair S, Nikam K. Unique Partnership to Roll Out Cancer Awareness and Screening Program for High-Risk Population in Maharashtra. JCO Glob Oncol. (2018);4(Suppl 2):e78–e80. Available from: https://ascopubs.org/doi/abs/10.1200/jgo.18.78600
Nyblade L, Stockton M, Travasso S, Krishnan S. A qualitative exploration of cervical and breast cancer stigma in Karnataka, India. BMC Womens Health. (2017);17(1):58. Available from: https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-017-0407-x
Patil P, Sarang B, Bhandarkar P, Ghoshal R, Roy N, Gadgil A. Does women’s empowerment and their socioeconomic condition affect the uptake of breast cancer screening? Findings from NFHS-5, India. BMC Womens Health. (2023);23(1):1–8. Available from: https://link.springer.com/article/10.1186/s12905-022-02147-5
Patel KK, Chakravarti P, Budukh A, Khanna D, Chaturvedi P, Pradhan S, et al. The fifth round of the National Family Health Survey of India 2019 to 2021 reported low screening uptake alarming to strengthen the implementation of early detection services of the cervix, breast and oral cancer. Int J Cancer. (2022);150(10):1734–6.Available from: https://pubmed.ncbi.nlm.nih.gov/35128640/
Pramesh, C. S., et al. (2014). The National Cancer Grid of India. Indian Journal of Medical and Paediatric Oncology, 35(3), 226–227. https://doi.org/10.4103/0971-5851.142040
Pramesh, C. S., Sengar, M., Patankar, S., Chinnaswamy, G., Gupta, S., Vijayakumar, M., Sood, S., Sathe, A. N., Radhakrishnan, V., Ganesan, P., Mallavarapu, K. M., &Badwe, R. A. (2023). A National Cancer Grid pooled procurement initiative, India. Bulletin of the World Health Organization, 101(9), 587–594. https://doi.org/10.2471/BLT.23.289714
Polishwala, S., Shagun, & Patankar, S. (2023). The Assessment and Comparison of the Knowledge of Breast Self-Examination and Breast Carcinoma Among Health Care Workers and the General Population in an Urban Setting. Cureus, 15(3), e36592. https://doi.org/10.7759/cureus.36592
Radhakrishnan A, Nowak M, Parker P, Pollack C. Physician breast cancer screening recommendations following guideline changes: results of a national survey. JAMA Intern Med. (2017);177(6):877–8. Available from: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2617276
Ramakant P, Singh KR, Jaiswal S, Ranjan P, Rana C, Jain V. A survey on breast cancer awareness among medical, paramedical, and general population in North India using self-designed questionnaire: a prospective study. Indian J Surg Oncol. (2018);9(3):323–7. Available from: https://link.springer.com/article/10.1007/s13193-017-0703-9
Ramesh S, Kosalram K. The burden of non-communicable diseases: A scoping review focus on the context of India. J Educ Health Promot. (2023);12:41. Available from: https://jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=41;epage=41;aulast=Ramesh
Smith RD, Mallath MK. History of the growing burden of cancer in India: from antiquity to the 21st century. J Glob Oncol. (2019);5:1–15. Available from: https://ascopubs.org/doi/full/10.1200/JGO.18.00277
Stewart BW, Wild CP, editors. World cancer report 2014. Lyon: International Agency for Research on Cancer; (2014). Available from: https://www.iarc.who.int/wp-content/uploads/2018/07/wcr-2014-fulldocument-9789283204299.pdf
Vaghela G, Narain K, Isa MA, Kanisetti V, Ahmadi A, Lucero‐Prisno DE 3rd. World's largest vaccination drive in India: Challenges and recommendations. Health Sci Rep. (2021);4(3):e307. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428369/
Wani AA. Cancer: Its symptoms, challenges and opportunities in research in India: A review. Saudi J Med Pharm Sci. (2023);9(1):1–5. Available from: https://www.saudijournals.com/media/articles/SJMPS_91_1-5.pdf
World Health Organization. Global Breast Cancer Initiative Implementation Framework. Geneva: WHO; (2021). Available from: https://www.who.int/publications/i/item/9789240064119
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Papiya Bhattacharya, Varalakshmi KN, Priyanca Mathur

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.