Global Summit Series

BHGI "Global Summit on International Breast Health Care – Implementation"

Hosted by: ASCO – American Society of Clinical Oncology

October 1–4, 2007, Budapest, Hungary

NOTE: Susan G. Komen for the Cure's Ignite the Promise: Global Breast Cancer Advocate Summit (Sept. 29-30) in association with the BHGI preceded the BHGI summit. Both meetings were held at Le Méridien Budapest.

Program

Monday, October 1, 2007 GLOBAL SUMMIT Opening Session
7:00–8:00 AM		Registration
8:00–8:05		OFFICIAL WELCOME Hungarian Minister of Health, Ágnes Horváth
8:05–8:30		CONFERENCE OPENING: Benjamin O. Anderson, MD, BHGI Chair and Director Conference Purpose and Outline of Events; Overview and Role of Collaborating Organizations; Guidelines Communication and Implementation

Monday, October 1, 2007 EARLY DETECTION PANEL – IMPLEMENTATION
CO-CHAIRS
Cheng-Har Yip, M.D., Professor of Surgery, Dept. of Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia
Robert A. Smith, Ph.D., Director of Cancer Screening, American Cancer Society, Atlanta, Georgia
PRESENTATION SESSION I.A.:		8:30–8:50	Panel Co-chair overview: Panel Goals and Objectives
		8:50–9:00	Advocate Presentation Speaker: Alla Kovtun, National Federation of Breast Cancer Survivors (The Amazons), Ukraine
		9:00–9:20	Barriers to educating women about breast cancer in developing countries Speaker: Rosemary Caffarella
		9:20–9:40	Primary prevention of breast cancer: lifestyle changes, diet, western lifestyle Speaker: Ann McTiernan
		9:40–10:00	Development of educational resources and communication tools to breast health awareness and promote early detection of breast cancer Speaker: Gary Kreps
		10:00–10:30	BREAK
PRESENTATION SESSION I.B.:		10:30–10:50	Eliciting male support for breast cancer screening in male dominated societies Speaker: Eng-Suan Ang
		10:50–11:10	Screening program in China - Mobile digital web-based detection ultrasound and mammography for screening 1,000,000 women Speaker: Stephen F. Sener
		11:10–11:30	Practical applications for breast self-awareness (BSA), clinical breast examination (CBE) and breast ultrasound in screening and early detection of breast cancer Speaker: Anthony Miller
		11:30–1:00 PM	LUNCH
		1:15 PM:	Pathology Focus Group (parallel ancillary meeting)
WORK SESSION I:		1:00–1:15 PM	BHGI–Pilot research Project: Pilot Introduction of Breast Cancer Early Detection Programs in Colombia Speaker: Raul Murrillo, MD, Project PI
		1:15–3:30 PM	CONSENSUS PANEL REVIEW Statement of core questions / issue, review of prepared documents, panel discussion, conclusions
		3:30–3:45 PM	BREAK
		3:45–5:00 PM	Publication outline / writing assignments, panel discussion, conclusions
		5:00–7:30 PM	WELCOME RECEPTION, Le Méridien Budapest, Foyer and Salon Concorde

EARLY DETECTION PANEL MEMBERS

Co-chairs

• Cheng-Har Yip, MD, FRCS (Surgery, Malaysia)
• Robert A. Smith, PhD (Epidemiology, American Cancer Society, Georgia)

Panel

1. Eng-Suan Ang, MBBS, MPH (Reproductive Health Consultant, Malaysia)
2. Stanley Anyanwu, MBBS (Surgery, Nigeria)
3. Rosemary Caffarella, PhD (Education, New York)
4. Marilys Corbex, PhD (Epidemiology, World Health Organization, Egypt)
5. Alla Kovtun (Advocate, Ukraine)
6. Gary Kreps, PhD (Public Health Communications, Virginia)
7. Anne McTiernan, MD, PhD (Cancer Prevention, Seattle, Washington)
8. Anthony Miller, MD, FRCP (Epidemiology, Canada)
9. Raul Murillo, MD, MPH (Epidemiology, Colombia)
10. Victor Myakynkov, MD (Radiology, Ukraine)
11. Lennarth Nyström, PhD (Epidemiology, Sweden)
12. Vahit Özmen, MD (Surgery, Turkey)
13. Larissa Remennick, PhD (Sociology, Anthropology Chair, Israel)
14. Christy Russell, MD (Medical Oncology, California)
15. Stephen F. Sener, MD (Surgeon, Illinois)
16. Cecilia Sepulveda, MD, MPH (World Health Organization, Switzerland)
17. Surendra Shastri, MBBS, DPh, MD (Preventive Oncology, India)
18. David Thomas, MD, Dr PH (Epidemiology, Seattle, Washington)

Tuesday, October 2, 2007 DIAGNOSIS PANEL - IMPLEMENTATION
CO-CHAIRS
Roman Shyyan, MD, MSc, Surgeon-Oncologist, Lviv Regional Cancer Center Scientific Editor & Medical Writer, Oncology Section "Medicine of the World" Journal (Ukr), Lviv Cancer Center, Lviv, Ukraine
Stephen F. Sener, M.D., Vice-Chairman, Department of Surgery, Evanston Northwestern Healthcare, Northwestern University Feinberg School of Medicine, Evanston, Illinois, President, American Cancer Society, 2004-2005
PRESENTATION SESSION II.A.:		8:30–8:50	Panel Co-chair overview: Panel Goals and Objectives
		8:50–9:00	Advocate Presentation Speaker: Mary Onyango, MBA, CPA, National Federation of Breast Cancer Survivors, Kenya
		9:00–9:20	Methods for tumor marker assessment in breast cancer Speaker: Roshan Farokh Chinoy
		9:20–9:40	Trial comparing fine needle cytology with core needle/surgical histology for breast cancer diagnosis in limited resource countries Speaker: Britt-Marie Ljung
		9:40–10:00	Computer Aided Diagnosis (CAD) to facilitate mammographic diagnosis in limited resource countries Speaker: Edward Azavedo
		10:00–10:30	BREAK
PRESENTATION SESSION II.B.:		10:30–10:50	Applications for telemedicine in improving breast pathology interpretation in limited resource countries Speaker: Gaurav Agarwal
		10:50–11:10	Role of diagnostic ultrasound and mammography for diagnostic breast work ups in limited resource countries Speaker: Justus P. Apffelstaedt
		11:10–11:30	Clinical, radiographic, and pathologic quality indicators (QIs) in breast diagnosis Speaker: Steve Sener
		11:30–1:00 PM	LUNCH
		1:15 PM:	Clinical Research Focus Group (parallel ancillary meeting)
WORK SESSION II:		1:00–1:15 PM	BHGI–Pilot research Project: Establishing a Pathology Program in Kumasi, Ghana Speaker: Baffour Awauh
		1:15–3:30 PM	CONSENSUS PANEL REVIEW Statement of core questions / issue, review of prepared documents, panel discussion, conclusions
		3:30–3:45 PM	BREAK
		3:45–5:00 PM	Publication outline / writing assignments, panel discussion, conclusions

DIAGNOSIS PANEL MEMBERS

Co-chairs

• Roman Shyyan, MD (Surgical Oncology, Ukraine)
• Stephen F. Sener, MD (Surgical Oncology, Illinois)

Panel

1. Gaurav Agarwal, MBBS, MS (Surgery, India)
2. Justus Apffelstaedt, MD, FCC(S), MBA (Surgery, South Africa)
3. Nuran Bese, MD (Radiation Oncology, Turkey)
4. Maira Caleffi, MD, PhD (Oncology Brazil)
5. Roshan Farokh Chinoy, MBBS, MD (Pathology, India)
6. Kathleen Errico, PhD, ARNP (Nurse Practitioner, Educator, Washington)
7. Leticia María Fernández Garrote, PhD (Epidemiology, Cuba)
8. Gabriel N. Hortobágyi, MD, FACP (Medical Oncology, Texas)
9. Julio Ibarra, MD (Pathology, Mexico/California)
10. Kardinah, MD (Radiology, Indonesia)
11. Britt-Marie Ljung, MD (Pathology, Sweden/USA)
12. Mandar Nadkarni, MBBS, MS (Surgery, India)
13. Anthony Nsiah-Asare, MD (Surgery, Ghana)
14. Mary Onyango, MPH, MBA (Advocate, Kenya)
15. Hélène Sancho-Garnier, MD (Epidemiology, NGO, France)
16. László Vass, MD, PhD, FIAC (Pathology, Hungary)

Wednesday, October 3, 2007 TREATMENT PANEL – IMPLEMENTATION
CO-CHAIRS
Alexandru Eniu, M.D., Cancer Institute "I. Chiricuta", Department of Breast Tumors (oncology), Republicii, Cluj-Napoca, Romania
Robert W. Carlson, M.D., Professor of Medicine, Division of Medical Oncology and Stanford Medical Informatics, Stanford University, Stanford, California
PRESENTATION SESSION III.A.:		8:30–8:50	Panel Co-chair overview: Panel Goals and Objectives
		8:50–9:00	Advocate Presentation Speaker: Rama Sivaram, Survivor Trustee and Director Outreach and Counseling, Prashanti Cancer Care Mission, India
		9:00–9:20	Surgical issues in breast cancer treatment: quality indicators of accurate staging and adequate locoregional therapy Speaker: Rajendra Badwe
		9:20–9:40	Radiation therapy techniques in setting of limited resources Speaker: Carlos Perez
		9:40–10:00	Systemic therapy: implementation of endocrine, cytotoxic and biologic therapy Speaker: Daniel Vorobiof
		10:00–10:30	BREAK
PRESENTATION SESSION III.B.:		10:30–10:50	Use of effective by cost-prohibitive systemic therapies: decision-making and implications for cancer treatment Speaker: Jose Bines
		10:50–11:10	Role of neoadjuvant cytotoxic and/or endocrine therapy for locally advanced cancers in limited resource countries Speaker: Nagi El-Saghir
		11:10–11:30	Practicality of and barriers to multidisciplinary care in the setting of limited resources Speaker: Raimund Jakesz
		11:30–1:00 PM	LUNCH
		11:30–1:00 PM	PANEL CO-CHAIR /PUBLICATION COMMITTEE LUNCH
		1:15 PM:	Economic Modeling Focus Group (parallel ancillary meeting)
WORK SESSION III:		1:00–1:15 PM	BHGI–Pilot research Project: What do You Need to Participate in Cancer Clinical Studies as a Research Center – A Checklist-Based Recommendation Speaker: Alexandru Eniu, Project PI
		1:15–3:30 PM	CONSENSUS PANEL REVIEW Statement of core questions / issue, review of prepared documents, panel discussion, conclusions
		3:30–3:45 PM	BREAK
		3:45–5:00 PM	Publication outline / writing assignments, panel discussion, conclusions
		7:00 PM	GLOBAL SUMMIT GALA DINNER Museum of Ethography

TREATMENT PANEL MEMBERS

Co-chairs

• Alexandru Eniu, MD (Oncology, Romania)
• Robert W. Carlson, MD (Oncology, California)

Panel

1. Baffour Awuah, MD (Radiation Oncology, Ghana)
2. Zeba Aziz, MD (Oncology/Hematology, Pakistan)
3. Rajendra Badwe, MD (Surgical Oncology, India)
4. José Bines, MD (Medical Oncology, Brazil)
5. Ashwini Budrukkar, MBBS, MD (Radiation Oncology, India)
6. Nagi El Saghir, MD, FACP (Medical Oncology, Lebanon)
7. Nagi Khouri, MD (Radiology, Lebanon/Baltimore, Maryland)
8. Richard R. Love, MD (Oncology, Ohio)
9. Riccardo Masetti, MD (Surgery, Italy)
10. A. Nandakumar, MD, MPH (Epidemiology, India)
11. Twalib Ngoma, MD, FFRRCS (Radiology, Tanzania)
12. Carloz Perez, MD (Radiation Oncology, Colombia/Missouri)
13. Jose Miquel Reyes, MD (Medical Oncology, Chile)
14. Paula Trahan Rieger, RN, MSN, AOCN®, FAAN (Oncology Nursing Society, Pennsylvania)
15. Eeva Salminen, MD, PhD (International Atomic Health Agency-IAEA, Finland/Austria)
16. Rama Sivaram, PhD (Advocate, India)
17. Tomoo Tajima, MD, FACS (Surgery, Japan)
18. Daniel Vorobiof, MD (Medical Oncology, South Africa)
19. Jo Anne Zujewski, MD, MAS (Medial Oncology, National Cancer Institute, Maryland)

Thursday, October 4, 2007 HEALTH CARE SYSTEMS PANEL – IMPLEMENTATION
CO-CHAIRS
Joe Harford, Ph.D., Director, Office of International Affairs, National Cancer Institute, U.S. Dept. Health and Human Services, Bethesda, Maryland
Edward Azavedo, M.D., Ph.D., Associate Professor, Mammography Section, Department of Radiology, Karolinska University Hospital, Stockholm, Sweden
PRESENTATION SESSION IV.A.:		8:30–8:50	Panel Co-chair overview: Panel Goals and Objectives
		8:50–9:00	Advocate Presentation Speaker: Brother Charles S. Anthony, Director of the Monastery Center for Disease Prevention, Panagia Philanthropini, Ormylia, Northern Greece
		9:00–9:20	Patient Navigation Speaker: Elmer Huerta
		9:20–9:40	Accessibility of breast cancer management, changes occurred in delay and clinical presentation: A 23 years experience in Port Said, Egypt Speaker: Ahmed Elzawawy
		9:40–10:00	Decision making in pharmaceutical delivery (essential drug list / INCTR / WHO project, formularies) Speaker: Eduardo Cazap
		10:00–10:30	BREAK
PRESENTATION SESSION IV.B.:		10:30–10:50	Health Care Systems: Global Overview Speaker: Joe Harford
		10:50–11:10	Statistical analysis and economic modeling in breast interventions programs: costs, benefits and methodology for health care system decision making; Statistical analysis and economic modeling in treatment programs: costs, benefits and methodology for health care system decision making Speaker: Tony Hsiu-His Chen
		11:10–11:30	Health Systems Informatics: The Health Metrics Network Speaker: David Lubinski
		11:30–1:00 PM	LUNCH
		1:15 PM:	Radiation Oncology Focus Group (parallel ancillary meeting)
WORK SESSION IV:		1:00–1:15	BHGI–Pilot research Project: Increasing Women's Breast Health Awareness in Jakarta, Indonesia Speaker: Kardinah, Project PI
		1:15–3:30 PM	CONSENSUS PANEL REVIEW Statement of core questions / issue, review of prepared documents, panel discussion, conclusions
		3:30–3:45 PM	BREAK
		3:45–5:00 PM	Publication outline / writing assignments, panel discussion, conclusions Conference conclusion

HEALTH CARE SYSTEMS PANEL

Co-chairs

• Edward Azavedo, MD (Radiologist, India/Sweden)
• Joe Harford, PhD (International Affairs, National Cancer Institute, Maryland)

Panel

1. Brother Charles Anthony, PhD (Advocate, Greece)
2. Alberto Barceló, MD, MSc (Pan American Health Organization, Washington, DC)
3. Eduardo Cazap, MD (Medical Oncology, Argentina)
4. Tony Hsiu-His Chen, MSc, PhD (Epidemiology, Preventative Medicine, Public Health, Taiwan)
5. Stephen W. Duffy, BSc, MSc (Cancer Screening, England)
6. Ahmed Elzawawy, MD (Clinical Oncology, Nuclear Medicine, Egypt)
7. Wu Fan, MD (Epidemiology, China)
8. Harold Freeman, MD (Surgeon, New York)
9. Doudja Hammouda, MD, PhD (Epidemiology, National Institute of Health, Algeria)
10. Elmer Huerta, MD, MPH (Epidemiology, Peru/Washington, DC)
11. Raimund Jakesz, MD (Surgery, Austria)
12. Jean M. Lynn, RN, MPH, OCN (Oncology, National Cancer Institute, Maryland)
13. David Lubinski, MBA, MA, BS (Health Metrics Network, World Health Organization, Switzerland)
14. Shahla Masood, MD, (Pathology, Iran/Florida)
15. Helge Stalsberg, MD (Pathologist, Norway)
16. Vivien Davis Tsu, PhD, MPH (Epidemiology, Seattle, Washington)