Spots Global Cancer Trial Database for Promoting Earlier Detection of Breast Cancer in Rwanda: Scaleup in the National Health Care System

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Trial Identification

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

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

Study ID: NCT04258085

Conditions

Breast Cancer

Benign Breast Disease

Interventions

Early diagnosis program combined with electronic medical record

Study Description

Brief 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.