title: The challenge to reduce breast cancer mortality in Okinawa: consensus of the first Okinawa breast oncology meeting.
abstract: Breast cancer mortality is gradually increasing in Okinawa. The 1st Okinawa Breast Oncology Meeting was held on 6 July 2012 and discussions on how to curb the rising trend were focused on breast cancer screening, adjuvant treatment, socioeconomic and geographic issues, and the problem of complementary and alternative medicine. The consensus of the 1st Okinawa Breast Oncology Meeting was that ultrasonography screening is an acceptable screening system for Okinawan women because of the geographic disadvantage of having many small islands and rural areas. Educational and economic support is needed for women in rural areas to get correct information, for access to urban areas and to be treated by evidence-based optimal therapy for breast cancer. In addition, new approaches are needed for Okinawan people to successfully educate patients to correctly interpret evidence-based information.
authors.affiliation: 2-1-9 Akamine, Naha, Okinawa 901-0154, Japan. nahanisikenta@yahoo.co.jp
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamaki
authors.forename: Nobumitsu
authors.initials: N
authors.lastname: Tamaki
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kamada
authors.forename: Kano
authors.initials: K
authors.lastname: Uehara
authors.forename: Hisamitsu
authors.initials: H
authors.lastname: Zaha
authors.forename: Mai
authors.initials: M
authors.lastname: Onomura
authors.forename: Masanori
authors.initials: M
authors.lastname: Gushimiyagi
authors.forename: Kaname
authors.initials: K
authors.lastname: Kurashita
authors.forename: Keiko
authors.initials: K
authors.lastname: Miyazato
authors.forename: Hiromu
authors.initials: H
authors.lastname: Tengan
authors.forename: Kyuichiro
authors.initials: K
authors.lastname: Miyara
authors.forename: Takanori
authors.initials: T
authors.lastname: Ishida
mesh_terms: D000328:Adult; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000401:mortality* / Q000517:prevention & control*; D004522:Educational Status; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D007182:Income; D007564:Japan / Q000453:epidemiology; D008327:Mammography; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010173:Palpation; D010342:Patient Acceptance of Health Care; D011203:Poverty; D012680:Sensitivity and Specificity; D012959:Socioeconomic Factors; D016217:Ultrasonography, Mammary; D014478:Unemployment