Supportive care during treatment for breast cancer: Resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement

被引：58

作者：

Cardoso, Fatima ^{[1
]}

Bese, Nuran ^{[2
]}

Distelhorst, Sandra R. ^{[3
]}

Bevilacqua, Jose Luiz B. ^{[4
]}

Ginsburg, Ophira ^{[5
]}

Grunberg, Steven M. ^{[6
]}

Gralla, Richard J. ^{[7
]}

Steyn, Ann ^{[8
]}

Pagani, Olivia ^{[9
,10
]}

Partridge, Ann H. ^{[11
]}

Marie Knaul, Felicia ^{[12
,13
]}

Aapro, Matti S. ^{[14
]}

Andersen, Barbara L. ^{[15
]}

Thompson, Beti ^{[3
]}

Gralow, Julie R. ^{[3
,16
]}

Anderson, Benjamin O. ^{[3
,16
]}

机构：

[1] Champalimaud Canc Ctr, Lisbon, Portugal

[2] Acibadem Maslak Hosp Breast Hlth, Istanbul, Turkey

[3] Fred Hutchinson Canc Res Ctr, Seattle, WA 98104 USA

[4] Hosp Sirio Libanes, Sao Paulo, Brazil

[5] Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Womens Coll Res Inst, Toronto, ON M5S 1A1, Canada

[6] Multinatl Assoc Support Care Canc, Shelburne, VT USA

[7] Albert Einstein Univ, New York, NY USA

[8] Reach Recovery Int, Reach Recovery South Africa, Cape Town, South Africa

[9] European Sch Oncol, Viganello, Switzerland

[10] Inst Oncol Southern Switzerland, Viganello, Switzerland

[11] Dana Farber Canc Inst, New Bedford, MA USA

[12] Harvard Global Equ Initiat, Boston, MA USA

[13] Tomatelo Pecho AC, Mexico City, DF, Mexico

[14] Clin Genolier, Genolier, Switzerland

[15] Ohio State Univ, Columbus, OH 43210 USA

[16] Univ Washington, Seattle Canc Care Alliance, Seattle, WA 98195 USA

来源：

BREAST | 2013年 / 22卷 / 05期

关键词：

Breast cancer; Supportive care; Treatment toxicities; Low- and middle-income countries; Resource allocations; QUALITY-OF-LIFE; CLINICAL-PRACTICE GUIDELINES; INDUCED PERIPHERAL NEUROPATHY; RADIOTHERAPY-INDUCED NAUSEA; ANTINEOPLASTIC AGENT EMETOGENICITY; ACUTE PAIN SYNDROME; AMERICAN-SOCIETY; FOLLOW-UP; BONE HEALTH; FERTILITY PRESERVATION;

D O I：

10.1016/j.breast.2013.07.050

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Breast cancer patients may have unmet supportive care needs during treatment, including symptom management of treatment-related toxicities, and educational, psychosocial, and spiritual needs. Delivery of supportive care is often a low priority in low-and middle-income settings, and is also dependent on resources available. This consensus statement describes twelve key recommendations for supportive care during treatment in low-and middle-income countries, identified by an expert international panel as part of the 5th Breast Health Global Initiative (BHGI) Global Summit for Supportive Care, which was held in October 2012, in Vienna, Austria. Panel recommendations are presented in a 4-tier resource-stratified table to illustrate how health systems can provide supportive care services during treatment to breast cancer patients, starting at a basic level of resource allocation and incrementally adding program resources as they become available. These recommendations include: health professional and patient and family education; management of treatment related toxicities, management of treatment-related symptoms of fatigue, insomnia and non-specific pain, and management of psychosocial and spiritual issues related to breast cancer treatment. Establishing supportive care during breast cancer treatment will help ensure that breast cancer patients receive comprehensive care that can help 1) improve adherence to treatment recommendations, 2) manage treatment-related toxicities and other treatment related symptoms, and 3) address the psychosocial and spiritual aspects of breast cancer and breast cancer treatments. (C) 2013 The Authors. Published by Elsevier Ltd. All rights reserved.

引用

页码：593 / 605

页数：13

共 198 条

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