Browsing by Author "Infante Santos, Carolina"
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Item Comparación de los algoritmos y protocolos recomendados en las terapias farmacológicas sistémicas indicadas por las guías de prácticas clínicas para el tratamiento del cáncer de mama en Colombia, Chile, Brasil, Ecuador, Venezuela, Estados Unidos y Europa: Una revisión de alcance(Universidad Santiago de Cali, 2025-09-29) Infante Santos, CarolinaBreast cancer is the second leading cause of cancer death among women worldwide. In 2022, 2.3 million cases were diagnosed and there were 670,000 deaths, according to the WHO. In Colombia, 93,949 cases and 4,449 deaths were recorded in 2022. Clinical Practice Guidelines (CPGs) are key tools for standardizing care; however, in Colombia, the 2013 CPG, partially updated in 2017, suggests that it may not reflect recent advances in diagnosis and treatment, highlighting the need for an update. This study conducted a scoping review comparing the CPGs of Colombia, Chile, Brazil, Ecuador, and Venezuela with those of the United States, Europe, and Japan, analyzing publication dates, updates, algorithms, and recommended treatments. It was found that only the guidelines of Colombia, Ecuador, and Europe include decision-making algorithms for breast cancer management. It was identified that Colombia’s CPGs are the most outdated, while Chile’s 2015 guideline has been the regional model to follow. In contrast, the guidelines of Europe and Japan are the most recent, with updates published in 2023, and the United States published in 2021, reflecting a greater commitment to scientific evidence. It is concluded that there are significant differences between the treatments recommended in the CPGs of developed countries and those recommended in the CPGs of South America, highlighting the need for updates in Colombia, Brazil, and Ecuador to improve patients’ quality of life and reduce mortality.