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Canada on the Economic Impact<br />

of a <strong>Breast</strong> Cancer Diagnosis and<br />

Treatment on Labour Force Re-Entry<br />

as well as a general population survey<br />

to determine understanding of the<br />

issue. Survey results will be used to<br />

contribute to our knowledge of the<br />

current issues <strong>Canadian</strong> women are<br />

facing, will help us provide both<br />

national and provincial/territorial<br />

guidance on issues related to labour<br />

force reentry and will give us the<br />

information we need to work for<br />

change. The report will be published<br />

early in <strong>2010</strong>.<br />

During <strong>2009</strong> we also began<br />

implementation of a project entitled<br />

<strong>Breast</strong> Cancer Survivor to Financial<br />

Survivor, which will result in a<br />

new resource to help breast cancer<br />

survivors cope with diminishing<br />

financial resources at a time of critical<br />

illness. This resource will include many<br />

alternative solutions to the financial<br />

difficulties breast cancer survivors<br />

encounter. It will be published in <strong>2010</strong>.<br />

<strong>Breast</strong> Cancer Wait Times in<br />

Canada 2008 Report Card<br />

One of our most successful initiatives<br />

was the <strong>Breast</strong> Cancer Wait Times<br />

in Canada 2008 Report Card on the<br />

diagnosis and treatment of breast<br />

cancer in Canada. The Report Card<br />

provides an overview of wait times<br />

for diagnosis and treatment of<br />

breast cancer in Canada. It looks<br />

at guidelines, benchmarks and<br />

data provided by the provinces<br />

and territories as well as at factors<br />

affecting wait times, best practices and<br />

strengths, gaps in information and<br />

weaknesses in performance. The report<br />

also reviews drug approval timelines<br />

and access to affordable drugs,<br />

and suggests options for an action<br />

strategy on improving timely access to<br />

treatment.<br />

Key issues identified by the Report<br />

Card include:<br />

• There are no national<br />

benchmarks for wait times<br />

associated with surgery or<br />

chemotherapy<br />

• Only half of the jurisdictions<br />

reporting achieved or bettered<br />

the national benchmark of four<br />

weeks wait time for radiation<br />

therapy<br />

• Some jurisdictions have no wait<br />

time reporting systems with little<br />

or no data to share<br />

• The approval process for new<br />

treatments is lengthy, currently<br />

taking up to five years from<br />

the initial application by the<br />

manufacturer until listing on a<br />

provincial or territorial formulary<br />

• Canada lags behind other<br />

countries in the adoption of<br />

electronic health records, a<br />

technology which could expedite<br />

procedures<br />

The Report Card proposes a call to<br />

action for concerned organizations and<br />

individuals that includes:<br />

• Working with provincial and<br />

territorial jurisdictions to provide<br />

accessible and comparable<br />

information<br />

• Identifying and disseminating<br />

best practices<br />

• Supporting research and<br />

innovation to improve access and<br />

quality of care<br />

• Encouraging health care systems<br />

to listen to and learn from the<br />

experiences of breast cancer<br />

survivors<br />

The Wait Times Report Card is<br />

available at our office at 1-800-685-8820.<br />

Other CBCN Advocacy Work<br />

CBCN has been actively involved in<br />

many advocacy issues, including:<br />

• Support of screening<br />

mammography from age 40 in all<br />

jurisdictions in Canada<br />

• Support of <strong>Breast</strong> Self-Exam<br />

(BSE) as the best way for women<br />

to know their breasts<br />

• Strongly advocated for<br />

transparency, accountability<br />

and inclusion of breast cancer<br />

survivors in decision-making in<br />

response to the Cameron Report<br />

in Newfoundland and a similar<br />

situation in Quebec of systemic<br />

failure in breast cancer testing<br />

procedures<br />

• Acted to assure inclusion of<br />

trained breast cancer survivors<br />

on research panels<br />

• Asked questions and received<br />

responses from the five political<br />

parties during the last three<br />

federal election campaigns.<br />

Questions were about breast<br />

cancer wait times; national<br />

standards for the diagnostic<br />

testing of breast cancer, funding<br />

for breast cancer networks in<br />

Canada, Employment Insurance<br />

Sickness Benefits and others<br />

Our four main priority areas continue<br />

to be:<br />

• Young women living with breast<br />

cancer (watch for the next issue<br />

of <strong>Network</strong> <strong>News</strong> on the BR CA<br />

genes)<br />

• Rural, remote and Northern<br />

women living with breast cancer<br />

• Women living with metastatic<br />

breast cancer<br />

• <strong>Breast</strong> cancer as a financial issue •<br />

Advertise in <strong>Network</strong> <strong>News</strong>!<br />

For more information contact Jackie Manthorne<br />

at 1-800-685-8820 ext. 222 or<br />

e-mail jmanthorne@cbcn.ca.<br />

<strong>Network</strong> <strong>News</strong> <strong>Winter</strong> <strong>2009</strong>-10 5

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