19 results on '"Belakhel L"'
Search Results
2. Estimation of attributable fraction of avoidable lung cancer linked to smoking in Morocco
- Author
-
Obtel, M, primary, Tachfouti, N, additional, Abda, N, additional, Belakhel, L, additional, Mathoulin-Pelissier, S, additional, and Nejjari, C, additional
- Published
- 2016
- Full Text
- View/download PDF
3. Estimating attributable fraction of lung cancer linked to smoking in Morocco
- Author
-
Obtel, M., primary, Nejjari, C., additional, Tachfouti, N., additional, Abda, N., additional, Belakhel, L., additional, and Mathoulin Pelissier, S., additional
- Published
- 2015
- Full Text
- View/download PDF
4. Epidemiologic Profile of the Stomach Cancers in Morocco
- Author
-
Obtel, M., primary, Nejjari, C., additional, Zidouh, A., additional, Belakhel, L., additional, Bendahhou, K., additional, Menzhi, O. El, additional, Pelissier, S. Mathoulin, additional, and Bekkali, R., additional
- Published
- 2014
- Full Text
- View/download PDF
5. Estimation de la fraction attribuable du cancer du poumon liée au tabac au Maroc.
- Author
-
Obtel, M., Nejjari, C., Tachfouti, N., Abda, N., Belakhel, L., and Mathoulin-Pelissier, S.
- Abstract
Copyright of Eastern Mediterranean Health Journal is the property of World Health Organization and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
- Full Text
- View/download PDF
6. Prediction of 24-Hour Urinary Sodium Excretion Using a Single Spot Urine Samples in Moroccan Population
- Author
-
Idrissi Mohamed, Saeid Naima, Rami Anass, El Mzibri Mohammed, Assako Arthur, jahdiel Koussou, El Hamdouchi Asmaa, Safsaf Naima, Belakhel Latifa, Benkirane Hasnae, El Kari Khalid, Bagri Abdallah, and Aguenaou Hassan
- Subjects
Environmental sciences ,GE1-350 - Abstract
Background: Excessive sodium intake is linked to high blood pressure. Estimating sodium intake is difficult. The 24-h urine collection is currently the recommended method for estimating intake but cumbersome for large population studies. Predictive model to estimate sodium intake based on single spot urine were developed, but showed inconsistency when used in extern populations. This study aims to develop a specific model for estimating sodium excretion over 24 hours for the Moroccan population. Methods: 371 participants in the urinary validation sub-study of the STEP-wise survey-Morocco 2017-2018 provided a valid 24-hour urine collection and spot urine specimens. Participant were randomly assigned to the training (n=183) and the validation data set (n=188). Results: A prediction model for 24-hour sodium excretion was developed. Adjusted R2 was 0.258. In the validation data set, correlation was 0.431 [95%CI; 0.258-0.580], and the adjusted R2 was 0.190. The Bland-Altman plot showed a nonsignificant small mean bias of -18 mg (95%CI, -213 to 177) in predicting 24-h urinary sodium excretion at the group level. At the individual level, limits of agreement were wide. Conclusion: This new model developed from a single spot urine could be used to predict the average 24-h sodium excretion of Moroccan adults.
- Published
- 2021
- Full Text
- View/download PDF
7. Impact of clinical breast examination-based screening program on care pathway, stage at diagnosis, nature of treatment, and overall survival among breast cancer patients in Morocco.
- Author
-
Selmouni F, Bendahhou K, Sauvaget C, Abahssain H, Lucas E, Muwonge R, Mimouni H, Ismaili R, Bidar S, Benkaddour FZ, Abousselham L, Chami Khazraji Y, Belakhel L, and Basu P
- Subjects
- Humans, Female, Morocco epidemiology, Middle Aged, Prospective Studies, Adult, Aged, Survival Rate, Critical Pathways, Referral and Consultation statistics & numerical data, Breast Neoplasms mortality, Breast Neoplasms diagnosis, Breast Neoplasms therapy, Breast Neoplasms pathology, Early Detection of Cancer, Neoplasm Staging
- Abstract
Background: This study aimed to indirectly examine whether the implementation of clinical breast examination-based screening program in Morocco has been successful in downstaging and improving survival rates. Breast cancer patients detected through the screening pathway were compared with those detected through self-referral over the same period in terms of cancer stage at diagnosis, tumor characteristics, care delays, and survival., Methods: A prospective observational study was conducted between April 2019 and August 2020 at two major public oncology centers., Results: A total of 896 women with confirmed breast cancer were recruited (483 were program-referred and 413 were self-referred). The authors did not report any significant difference between the two groups in terms of stage at diagnosis, molecular profile, or histopathological grade. Early-stage cancer (stage I-II) was detected in 55.7% of self-referred participants compared to 55.5% of program-referred participants. Median intervals between symptom recognition, pathological diagnosis, and treatment initiation were not significantly different between the two groups. Similarly, survival after treatment showed no significant difference between patients screened by the program and self-referred patients. The 3-year survival rate after treatment was 94.5% for patients referred through the program and 88.6% for patients not referred through the program (p = .16)., Conclusions: This study highlights the importance of equitable and timely access to high-quality diagnosis and treatment facilities, leading to substantial downstaging and enhanced survival rates. Continued efforts to improve quality and expand coverage to include asymptomatic women will consolidate the health infrastructure gains achieved by the Moroccan breast cancer screening program., (© 2024 World Health Organization; licensed by American Cancer Society. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.)
- Published
- 2024
- Full Text
- View/download PDF
8. Direct Healthcare Cost of Ischemic Stroke Management in Morocco.
- Author
-
Omari M, Maiouak M, Bahra N, El Harch I, Youbi M, Belakhel L, Abousselham L, Otmani N, Mohammed Faouzi B, and Tachfouti N
- Abstract
Background: Strokes are a group of heterogeneous conditions that can cause lasting brain damage, long-term disability, or even death. In Morocco, the management of this disease generates important expenses and increases the financial burden on health care. In order to rationalize the expenses and to direct the budgetary policy in healthcare, we aimed to estimate the cost of ischemic stroke (IS) management in Morocco through this study., Methods: A cost-of-illness study was conducted between March 2018 and March 2019 at the neurology department of the Hassan II University Hospital, Fez. We included all patients who were admitted, during this period, to the department for IS. The collected data included sociodemographic information, and all details regarding the patient's medical management (diagnosis, treatment, etc.). The cost was estimated using a "bottom-up micro-costing" approach with a societal perspective., Results: A total of 267 individuals were included in this study with a female predominance (56.6%); the mean age was 66.93 ± 14.83 years. The total cost of ischemic stroke management per patient per year was estimated at $3674.32 ± 1340.81, with a high share related to hospitalization at $1415.06 ± 1015.53. A statistically significant association was found between total cost and age (p=0.014), National Institutes of Health Stroke Scale (NIHSS) score (p≤0.001), and length of hospitalization (p≤0.001); however, no association was found with other factors (sex, complication, Rankin score, etc.)., Conclusion: Ischemic strokes are relatively frequent in Morocco. Their management generates an important cost, which is influenced by several factors such as severity of the disease and the duration of hospitalization. This cost can be decreased by rationalizing the expenses and acting on various risk factors of ischemic strokes., Competing Interests: The authors have declared financial relationships, which are detailed in the next section., (Copyright © 2023, Omari et al.)
- Published
- 2023
- Full Text
- View/download PDF
9. Estimated 24-Hour urinary sodium and potassium excretion in adults in the Northwest Region of Morocco, 2017.
- Author
-
Idrissi M, Saeid N, Mounach S, Berri HE, Al Jawaldah A, Rahhaoui F, Mouzouni FZ, Rami A, Benjeddou K, Lahmam H, Benkirane H, Elmzibri M, Kari KE, Bagri A, Aguenaou H, and Belakhel L
- Abstract
Background: Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk of cardiovascular events. Morocco lacks data on actual Na and K intake in adults. We estimated mean Na and K intake in a Moroccan population of adults residing in the Northwest region using 24-h urinary excretion and examined their association with blood pressure (BP)., Methods: A total of 371 adults from this region, who were recruited for the STEPs Survey Morocco 2017, completed demographic, anthropometric as well as BP data and provided a valid 24-h urine collection according to the standard World Health Organization (WHO) protocol. Multiple Linear Regression analysis was used to examine the association between 24-h urinary sodium (24-hUNa) and 24-h potassium excretion (24-hUK) with BP., Results: Mean Na excretion was 2794 mg/day and mean K excretion was 1898 mg/day. Overall, only 114 (30.7%) adults met the WHO recommendation for Na intake (< 2000 mg/d) and 31 (8.4%) met the adequate level for K intake (⩾3510 mg/d). There was no association between 24-hUNa and 24-hUK with BP (P > 0.05 for all)., Conclusion: Na intake was higher and K intake was lower than WHO recommendations in the study population. There was no association between estimated Na and K intake levels with BP in this population., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
10. Implementing the WHO Global Initiative for Childhood Cancer in Morocco: Survival study for the six indexed childhood cancers.
- Author
-
Mechita NB, Cherkaoui S, Abousselham L, Benmiloud S, Kili A, Kababri ME, Maani K, Houdzi JE, Benajiba N, Madani A, Bennani M, Belakhel L, Bouffet E, Patte C, Harif M, Youbi M, and Hessissen L
- Subjects
- Child, Child, Preschool, Female, Humans, Male, Morocco epidemiology, Retrospective Studies, Survival Rate, World Health Organization, Burkitt Lymphoma, Kidney Neoplasms, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Retinal Neoplasms, Wilms Tumor epidemiology, Wilms Tumor therapy
- Abstract
Background: In 2018, the World Health Organization (WHO) launched the Global Initiative for Childhood Cancer (GICC). The goal is to achieve a global survival rate of at least 60% for all children with cancer by 2030. Morocco was designated as a pilot country for this initiative., Procedure: This retrospective study included a cohort of children aged 0-15 years, with one of the six indexed cancers (acute lymphoblastic leukemia [ALL], Burkitt lymphoma [BL], Hodgkin lymphoma, retinoblastoma [RB], Wilms tumor or nephroblastoma, low-grade glioma), diagnosed between January 1, 2017 and December 31, 2019 at the six Moroccan Pediatric Hematology and Oncology units. Patients were followed-up until August 31, 2020. The Kaplan-Meier method was used to estimate survival rates, the log-rank test for comparing survival curves, and the Cox model for identifying prognostic factors., Results: Data on 878 patients were included in the study. The most frequently reported cancer type was ALL (n = 383, 43.6%), followed by Wilms tumor (n = 139, 15.8%) and BL (n = 133, 15%). Most patients were less than 5 years of age (n = 446, 50.9%) and the male/female ratio was 1.46. The 1, 2, and 3-year overall survival rates were 80.1%, 73.6%, and 68.2%, respectively. In a multivariable Cox regression model, care center, cancer type, age group, and distance to the care center were statistically significantly associated to survival. Patients aged 10 years and older and patients living more than 100 km from the care center were more likely to die (respectively, HR = 1.39, p = .045 and HR = 1.44, p = .010)., Conclusion: The reported results represent the baseline for measuring the impact of GICC implementation in Morocco., (© 2022 Wiley Periodicals LLC.)
- Published
- 2022
- Full Text
- View/download PDF
11. The Past, Present, and Future of Professional Cancer Education in Morocco.
- Author
-
Khalis M, Diaby M, Toure AB, Charaka H, Abousselham L, Belakhel L, Bendahhou K, Al Hassani W, Soliman AS, and Nejjari C
- Subjects
- Health Education, Humans, Income, Morocco epidemiology, Neoplasms prevention & control
- Abstract
Cancer is the second leading cause of death in Morocco after cardiovascular diseases. Changes associated with societal and economic development, longevity of the population, and lifestyle changes contribute to increasing the burden of cancer in the Morocco. Despite the advances and achievements in cancer care in Morocco, more efforts are needed to better treat, control, and prevent cancer in Morocco. This manuscript illustrates the professional cancer education activities in Morocco over the past 10 years. The manuscript also illustrates the current cancer education and the needed future directions in the field in this middle-income country that is undergoing significant epidemiologic and lifestyle transitions and projections for increasing cancer incidence and mortality in the next few decades., (© 2021. American Association for Cancer Education.)
- Published
- 2021
- Full Text
- View/download PDF
12. Evaluation of the national cervical cancer screening program in Morocco: achievements and challenges.
- Author
-
Selmouni F, Belakhel L, Sauvaget C, Abousselham L, Lucas E, Muwonge R, Sankaranarayanan R, Khazraji YC, and Basu P
- Subjects
- Colposcopy, Female, Focus Groups, Health Promotion methods, Humans, Morocco epidemiology, Outcome and Process Assessment, Health Care, Program Evaluation, Quality Assurance, Health Care, Uterine Cervical Dysplasia diagnosis, Early Detection of Cancer methods, Early Detection of Cancer standards, Mass Screening methods, Uterine Cervical Neoplasms diagnosis
- Published
- 2019
- Full Text
- View/download PDF
13. Evolution of attitudes, trends and perceptions of smoking among middle and secondary school students in the Gharb Region, Morocco, 2010-2015.
- Author
-
Mounach S, Zahrou FE, Mahdaoui E, Belakhel L, Khazraji YC, and El Berri H
- Subjects
- Adolescent, Adult, Child, Cluster Analysis, Cross-Sectional Studies, Female, Humans, Male, Morocco epidemiology, Surveys and Questionnaires, Young Adult, Cigarette Smoking epidemiology, Cigarette Smoking psychology, Health Knowledge, Attitudes, Practice, Program Evaluation methods
- Abstract
Background: Tobacco use is an important public health issue. Morocco implemented a tobacco control programme, which has been ongoing among students at middle and secondary schools since 2010., Aim: This study aims to compare the trend in smoking among the programme beneficiaries with the results of the initial study conducted prior to the implementation of the programme., Setting: This study was conducted in middle and secondary schools of the Gharb Region in Morocco between 2010 and 2015., Methods: Two cross-sectional studies were conducted in 2010 and 2015 in the middle and secondary schools of the Gharb Region. Multistage cluster sampling was used. The information was collected using a self-administered questionnaire., Results: In the first study in 2010, 5312 students participated, and in the second one in 2015, 4208 students participated. The level of information on smoking and its effects was higher in 2015 (94.0%) than in 2010 (92.5%). In 2010, parents, primary schools and television and radio were more involved in student information on smoking compared to 2015. The proportion of students claiming that tobacco was not a pleasure (86.3%) and that it does not calm nerves (76.5%) was significantly higher in 2015 than in 2010. The prevalence of smoking increased significantly in 2015 (2.9%) against 2010 (1.8%)., Conclusion: This study reports the general positive evolution in knowledge about smoking and its effects. Despite that the prevalence of smokers increased in 2015. The results suggest the need to address family influences on adolescent smoking and to investigate participation of schools in education and training students in tobacco dependence prevention.
- Published
- 2019
- Full Text
- View/download PDF
14. Breast Cancer Screening Program in Morocco: Status of implementation, organization and performance.
- Author
-
Basu P, Selmouni F, Belakhel L, Sauvaget C, Abousselham L, Lucas E, Muwonge R, Sankaranarayanan R, and Khazraji YC
- Subjects
- Adult, Aged, Biopsy methods, Breast Neoplasms diagnostic imaging, Diagnostic Errors, Early Detection of Cancer methods, Female, Humans, Mammography methods, Mass Screening standards, Middle Aged, Morocco, Outcome and Process Assessment, Health Care, Physical Examination, Program Development, Program Evaluation, Quality Assurance, Health Care, Breast Neoplasms diagnosis, Early Detection of Cancer standards, Mass Screening organization & administration
- Abstract
Breast Cancer Screening Program was introduced and rolled out in Morocco in 2010. Women between 40 and 69 years are screened at the primary health centers (PHC) with clinical breast examination (CBE). A comprehensive evaluation of the program was conducted in 2016-2017 for quality assurance and mid-term course correction. The evaluation process involved: in-depth interviews of program managers; focus group discussions with service-providers of screening, diagnosis and treatment; supportive supervisory visits to randomly selected PHCs and diagnostic centers; desk review of the national guidelines and other published documents; and analysis of the performance data compiled by the program-in-charge. We found that the program has strong political support, a well-organized management structure and documented national policy and protocol. In absence of a mechanism to identify and invite the eligible women individually, the program is opportunistic in nature. Every PHC is provided with an annual target to be screened. A highly visible annual campaign to educate and motivate women has a major impact on participation. Record keeping and data collection are paper-based. In the years 2015 and 2016, 1.1 and 1.5 million women were screened, respectively. In the year 2015, 62.8% of the annual target population was covered, CBE positivity was 3.2%, a further assessment rate of screen-positive women was 34.1% and the breast cancer detection rate was 1.0/1000 women. Systematic paper-based data collection enabled the assessment of some of the process and outcome indicators. The screening coverage was moderate and the cancer detection rate was low., (© 2018 UICC.)
- Published
- 2018
- Full Text
- View/download PDF
15. Tackling cancer burden in low-income and middle-income countries: Morocco as an exemplar.
- Author
-
Selmouni F, Zidouh A, Belakhel L, Sauvaget C, Bennani M, Khazraji YC, Benider A, Wild CP, Bekkali R, Fadhil I, and Sankaranarayanan R
- Subjects
- Aged, Developing Countries, Female, Global Health, Health Resources economics, Humans, Male, Middle Aged, Morocco, Needs Assessment, Poverty statistics & numerical data, Delivery of Health Care economics, Health Expenditures, Neoplasms epidemiology, Neoplasms prevention & control, Poverty economics
- Abstract
Examples of successful implementations of national cancer control plans in low-income or middle-income countries remain rare. Morocco, a country where cancer is already the second leading cause of death after cardiovascular diseases, is one exception in this regard. Population ageing and lifestyle changes are the major drivers that are further increasing the cancer burden in the country. Facing this challenge, the Moroccan Ministry of Health has developed a we l planned and pragmatic National Plan for Cancer Prevention and Control (NPCPC) that, since 2010, has been implemented with government financial support to provide basic cancer care services across the entire range of cancer control. Several features of the development and implementation of the NPCPC and health-care financing in Morocco provide exemplars for other low-income and middle-income countries to follow. Additionally, from the first 5 years of NPCPC, several areas were shown to require further focus through implementation research, notably in strengthening cancer awareness, risk reduction, and the referral pathways for prevention, early detection, treatment, and follow-up care. Working together with a wide range of stakeholders, and engagement with stakeholders outside the health-care system on a more holistic approach can provide further opportunities for the national authorities to build on their successes and realise the full potential of present and future cancer control efforts in Morocco., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
16. Knowledge, Attitudes, and Preventive Practice Towards Breast Cancer among General Practitioner Health Professionals in Morocco
- Author
-
Abda N, Najdi A, El Fakir S, Tachfouti N, Berraho M, Chami Khazraji Y, Abousselham L, Belakhel L, Bekkali R, and Nejjari Ch
- Abstract
Background: Breast cancer is the most common cancer of women in Morocco and its diagnosis is usually made at advanced stages. The aim of this study was to describe the knowledge, practices and attitudes of general practitioners regarding early detection of breast cancer. Methods: A cross-sectional study was carried out during July 2011 on a sample of 140 general practitioners employed in basic health care facilities. Results: The majority (85.7%) of general practitioners were aware of the existence of a ministerial circular which aimed to generalize breast cancer screening. Systematic practice of clinical breast examination was reported by 18.0% of doctors for every woman between 45 and 70 years and a systematic breast self-examination check-up was reported by 59.4% of physicians. Mammography was requested by 54.1% of physicians in the presence of risk factors. Females and physicians practicing in urban areas were less likely to have a knowledge, attitudes and practices score higher than 8 as compared to male physicians and those practicing in rural areas. Discussion and conclusion: Our study showed that the knowledge, attitudes and practices of general practitioners regarding the early detection of breast cancer program were not satisfactory; hence the urgent need for improved implementation of the program in the affected regions., (Creative Commons Attribution License)
- Published
- 2017
- Full Text
- View/download PDF
17. Estimating attributable fraction of lung cancer linked to smoking in Morocco.
- Author
-
Obtel M, Nejjari C, Tachfouti N, Abda N, Belakhel L, and Mathoulin-Pelissier S
- Subjects
- Adult, Aged, Female, Humans, Lung Neoplasms mortality, Male, Middle Aged, Morocco epidemiology, Prevalence, Smoking mortality, Lung Neoplasms epidemiology, Smoking adverse effects
- Abstract
The objective of this research was to estimate the attributable fraction (AF) of lung cancer linked to smoking in Morocco. The estimation was based on the SAMMEC (Adult Smoking-Attributable Mortality, Morbidity and Economic Costs) method based on the Levin formula to calculate AF linked to tobacco. Data about frequencies, association measures and relative risks were taken from available sources. The AF of lung cancer linked to smoking was about 87%, and around 3049 cases of this cancer in men could be avoided if tobacco use could be prevented. About a 10% reduction in smoking prevalence would result in a reduction of 346 lung cancer cases. Our study provides additional important elements for further advocacy to policy-makers to implement a tobacco control strategy based on a prevention policy in line with the epidemiological situation which could avoid a huge burden on the country.
- Published
- 2016
18. Organization and evaluation of a pilot cervical cancer screening program in Morocco.
- Author
-
Selmouni F, Sauvaget C, Belakhel L, Lucas E, Khouchoua M, and Sankaranarayanan R
- Subjects
- Acetic Acid, Adult, Cervix Uteri pathology, Cervix Uteri surgery, Colposcopy methods, Electrosurgery methods, Female, Humans, Indicators and Reagents, Middle Aged, Morocco, Physical Examination methods, Pilot Projects, Uterine Cervical Neoplasms surgery, Uterine Cervical Dysplasia diagnosis, Uterine Cervical Dysplasia surgery, Early Detection of Cancer methods, Mass Screening organization & administration, Program Evaluation, Uterine Cervical Neoplasms diagnosis
- Abstract
Objective: To evaluate a pilot program for early detection of cervical cancer using visual inspection with acetic acid (VIA) and the loop electrosurgical excision procedure (LEEP) in one region of Morocco., Methods: A descriptive analysis of the screening outcome measures of 43 participating primary care units and one reference center for LEEP was conducted in Meknès-Tafilalet between January 1, 2011, and December 31, 2013. Data on the number of participants, VIA results, colposcopy, and treatment were used in analyses., Results: Of the 308 197 women in the target age group (30-49 years), 18 586 (6.0%) were screened by VIA. Positive screening test results were recorded for 1628 (8.8%) women, of whom 1144 (70.3%) received diagnostic confirmation by colposcopy. Of the 87 (7.6%) women with cervical intraepithelial neoplasia, only 16 (18.4%) underwent LEEP; three cases of invasive cervical cancer were diagnosed., Conclusion: Issues with implementation of the screening program were found, including low compliance and a low treatment rate of cervical intraepithelial neoplasia by LEEP. By contrast, high rates of colposcopy referral were observed. Screen-and-treat by ablative methods (e.g. thermocoagulation) should be considered to increase treatment rates at national scale-up., (Copyright © 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2016
- Full Text
- View/download PDF
19. Breast Cancer Screening in Morocco: Performance Indicators During Two Years of an Organized Programme.
- Author
-
El Fakir S, Najdi A, Khazraji YC, Bennani M, Belakhel L, Abousselham L, Lyoussi B, Bekkali R, and Nejjari C
- Subjects
- Aged, Biopsy, Breast Neoplasms diagnostic imaging, Female, Humans, Mammography, Middle Aged, Morocco, Patient Acceptance of Health Care, Predictive Value of Tests, Program Evaluation, Referral and Consultation, Retrospective Studies, Breast Neoplasms diagnosis, Breast Neoplasms pathology, Early Detection of Cancer standards, Physical Examination, Primary Health Care, Quality Indicators, Health Care
- Abstract
Background: Breast cancer is commonly diagnosed at late stages in countries with limited resources. In Morocco, breast cancer is ranked the first female cancer (36.1%) and screening methods could reduce the proportion presenting with a late diagnosis. Morocco is currently adopting a breast cancer screening program based on clinical examination at primary health facilities, diagnosis at secondary level and treatment at tertiary level. So far, there is no systematic information on the performance of the screening program for breast cancer in Morocco. The aim of this study was to analyze early performance indicators., Materials and Methods: A retrospective evaluative study conducted in Temara city. The target population was the entire female population aged between 45-70 years. The study was based on process and performance indicators collected at the individual level from the various health structures in Tamara between 2009 and 2011., Results: A total of 2,350 women participated in the screening program; the participation rate was 35.7%. Of these, 76.8% (1,806) were married and 5.2% (106) of this group had a family history of breast cancer. Of the women who attended screening, 9.3% (190) were found to have an abnormal physical examination findings. A total of 260 (12.7%) were referred for a specialist consultation. The positive predictive value of clinical breast examination versus mammography was 23.0%. Forty four (35.5%) of the lesions found on the mammograms were classified as BI-RADs 3; 4 or 5 category. Cancer was found in 4 (1.95%) of the total number of screened women and benign cases represented 0.58%., Conclusions: These first results of the programme are very encouraging, but there is a need to closely monitor performance and to improve programme procedures with the aim of increasing both the participation rate and the proportion of women eligible to attend screening.
- Published
- 2015
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.