The Breast Cancer Universal Patient Pathway (BCUPP) is an interactive mapping tool using a generalized patient pathway algorithm to map categories of breast cancer resources to their related steps in patient care management. Mapped resources include clinical care guidelines, Breast Cancer Knowledge Summaries1 and other resources relevant to global breast cancer management.

The generalized patient pathway algorithm 2 illustrates the steps that patients must take through the healthcare system to receive comprehensive breast cancer management including:

Each node corresponds to a point in the healthcare pathway that requires trained workforce, capacity and governance.

How to use this interactive mapping tool
  1. From the Resource Category pulldown list, select,a resource to be examined. The nodes to which resources are linked will highlight in purple.
  2. Click on highlighted nodes to open the list of mapped resources to that node.
  3. For additional information about a specific resource, click on the URL links to open the original web source.


Guidelines have been populated from the Cancer Guidelines Database developed by the Canadian Partnership Against Cancer, and mapped to the appropriate node in the pathway. Cancer guidelines are a core strategy in cancer control. They compile the best available evidence on specific health-care options, and provide a basis for consistent, high-quality cancer care that can help improve patient outcomes. The entire guideline dataset is available here.

Knowledge Summaries

Knowledge Summaries for Comprehensive Breast Cancer Control are designed to address foundational questions and answers in comprehensive breast cancer care across the life-course in limited resource settings. Fourteen knowledge summaries distilled from evidence-based, resource-stratified guidelines, and aligned with WHO guidance on breast cancer control, build a framework for resource prioritization pathways and delivery systems for breast cancer control at four levels of available resources: basic, limited, enhanced, and maximal. Each summary contains relevant content to inform breast cancer policy, clinical care, and advocacy, aiding in the development and implementation of policies and programs. These tools provide a common platform for stakeholders, including policymakers, administrators, clinicians, and advocates to engage in decision making appropriate to their local setting. The goal is to facilitate evidence-based policy actions and urgently advance implementation of an integrated approach to reduce breast cancer mortality and improve quality of life. 2

  1. Duggan C, Dvaladze A, Rositch AF, et al. The Breast Health Global Initiative 2018 Global Summit on Improving Breast Healthcare Through Resource-Stratified Phased Implementation: Methods and overview. Cancer. May 15 2020;126 Suppl 10:2339-2352.
  2. Zujewski JA, Dvaladze AL, Ilbawi A, et al. Knowledge Summaries for Comprehensive Breast Cancer Control. J Glob Oncol. Sep 2018;4:1-7.