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Here, the authors describe methodologies and health system prerequisites to support the translation and implementation of these guidelines into practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In October 2018, the BHGI convened the Sixth Global Summit on Improving Breast Healthcare Through Resource\u2010Stratified Phased Implementation. The purpose of the summit was to define a stepwise methodology (\n                      <jats:italic>phased implementation<\/jats:italic>\n                      ) for guiding the translation of resource\u2010appropriate breast cancer control guidelines into real\u2010world practice. Three expert consensus panels developed\u00a0stepwise, resource\u2010appropriate recommendations for implementing these guidelines in low\u2010income and middle\u2010income countries as well as underserved communities in high\u2010income countries. Each panel focused on 1 of 3 specific aspects of breast cancer care: 1) early detection, 2) treatment, and 3) health system strengthening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Key findings from the summit and subsequent article preparation included the identification of phased\u2010implementation prerequisites that were explored during consensus debates. These core issues and concepts are key components for implementing breast health care that consider real\u2010world resource constraints. Communication and engagement across all levels of care is vital to any effectively operating health care system, including effective communication with ministries of health and of finance, to demonstrate needs, outcomes, and cost benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Underserved communities at all economic levels require effective strategies to deploy scarce resources to ensure access to timely, effective, and affordable health care. Systematically strategic approaches translating guidelines into practice are needed to build health system capacity to meet the current and anticipated global breast cancer burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.32891","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T16:37:27Z","timestamp":1588178247000},"page":"2339-2352","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":108,"title":["The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource\u2010Stratified Phased Implementation: Methods and overview"],"prefix":"10.1002","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7369-4021","authenticated-orcid":false,"given":"Catherine","family":"Duggan","sequence":"first","affiliation":[{"name":"Division of Public Health Sciences Fred Hutchinson Cancer Research Center Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Dvaladze","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Washington Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne F.","family":"Rositch","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ophira","family":"Ginsburg","sequence":"additional","affiliation":[{"name":"Section for Global Health Division of Health and Behavior Department of Population Health Perlmutter Cancer Center New York University Langone Health New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng\u2010Har","family":"Yip","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Horton","sequence":"additional","affiliation":[{"name":"School of Public Health and Health Systems University of Waterloo Waterloo Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolando","family":"Camacho Rodriguez","sequence":"additional","affiliation":[{"name":"City Cancer Challenge Foundation Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6666-5599","authenticated-orcid":false,"given":"Alexandru","family":"Eniu","sequence":"additional","affiliation":[{"name":"Cancer Interdisciplinary Service Riviera Chablais Hospital Vaud\u2010Valais Rennaz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Mutebi","sequence":"additional","affiliation":[{"name":"Breast Surgical Oncology Aga Khan University Hospital Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Marc","family":"Bourque","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Ottawa Ottawa Ontario Canada"},{"name":"Department of Medicine McGill University Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahla","family":"Masood","sequence":"additional","affiliation":[{"name":"University of Florida Health Jacksonville Breast Center Jacksonville Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Unger\u2010Salda\u00f1a","sequence":"additional","affiliation":[{"name":"Epidemiology Unit Instituto Nacional de Cancerolog\u00eda - M\u00e9xico Mexico City Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Cabanes","sequence":"additional","affiliation":[{"name":"The Susan G. 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