Breast cancer screening in Primary Health Care in Brazil: a systematic review
Danila Cristina Paquier Sala, Meiry Fernanda Pinto Okuno, Mônica Taminato, Cristiane Pereira de Castro, Marília Cristina Prado Louvison, Oswaldo Yoshimi Tanaka
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.