Planning cancer control in Latin America and the Caribbean

被引：338

作者：

Goss, Paul E. ^{[1
]}

Lee, Brittany L. ^{[1
,2
,3
]}

Badovinac-Crnjevic, Tanja ^{[1
]}

Strasser-Weippl, Kathrin ^{[4
]}

Chavarri-Guerra, Yanin ^{[5
]}

St Louis, Jessica ^{[1
]}

Villarreal-Garza, Cynthia ^{[6
]}

Unger-Saldana, Karla ^{[28
]}

Ferreyra, Mayra ^{[7
]}

Debiasi, Marcio ^{[8
,9
]}

Liedke, Pedro E. R. ^{[8
,10
]}

Touya, Diego ^{[11
]}

Werutsky, Gustavo ^{[12
,13
]}

Higgins, Michaela ^{[1
]}

Fan, Lei ^{[1
]}

Vasconcelos, Claudia ^{[14
]}

Cazap, Eduardo ^{[15
,16
]}

Vallejos, Carlos ^{[17
]}

Mohar, Alejandro ^{[18
,19
]}

Knaul, Felicia ^{[2
,20
,21
,22
]}

Arreola, Hector ^{[23
]}

Batura, Rekha ^{[24
]}

Luciani, Silvana ^{[26
]}

Sullivan, Richard ^{[25
]}

Finkelstein, Dianne ^{[1
,27
]}

Simon, Sergio ^{[29
,30
]}

Barrios, Carlos ^{[31
,32
]}

Kightlinger, Rebecca ^{[33
]}

Gelrud, Andres ^{[34
]}

Bychkovsky, Vladimir ^{[35
]}

Lopes, Gilberto ^{[36
,37
]}

Stefani, Stephen ^{[38
,39
]}

Blaya, Marcelo ^{[40
]}

Souza, Fabiano Hahn ^{[41
]}

Santos, Franklin Santana ^{[42
]}

Kaemmerer, Alberto ^{[8
]}

de Azambuja, Evandro ^{[43
]}

Cardona Zorilla, Andres Felipe ^{[44
]}

Murillo, Raul ^{[45
]}

Jeronimo, Jose ^{[46
]}

Tsu, Vivien ^{[46
]}

Carvalho, Andre ^{[47
]}

Gil, Carlos Ferreira ^{[48
]}

Sternberg, Cinthya ^{[49
]}

Duenas-Gonzalez, Alfonso ^{[19
,51
]}

Sgroi, Dennis ^{[2
,52
]}

Cuello, Mauricio ^{[11
]}

Fresco, Rodrigo ^{[11
]}

Reis, Rui Manuel ^{[47
]}

Masera, Guiseppe ^{[53
]}

机构：

[1] Massachusetts Gen Hosp, Avon Int Breast Canc Res Program, Boston, MA 02114 USA

[2] Harvard Univ, Sch Med, Boston, MA USA

[3] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[4] Wilhelminen Hosp, Ctr Oncol & Hematol, Vienna, Austria

[5] Inst Nacl Ciencias Med & Nutr Salvador Zubiran, Dept Hematol Oncol, Salvador Zubiran, Mexico

[6] Inst Nacl Cancerol, Med Oncol & Breast Canc Dept, Mexico City, DF, Mexico

[7] Maria Curie Hosp, Dept Oncol, Buenos Aires, DF, Argentina

[8] Hosp Mae Deus, Inst Canc, Hosp Clin Porto Alegre, Serv Oncol, Porto Alegre, RS, Brazil

[9] Pontificia Univ Catolica Rio Grande do Sul, Hosp Sao Lucas, Dept Med Oncol, Porto Alegre, RS, Brazil

[10] Univ Fed Rio Grande do Sul, Dept Med Oncol, Hosp Clin, Porto Alegre, RS, Brazil

[11] Univ Republica, Hosp Clin, Dept Oncol, Montevideo, Uruguay

[12] Hosp Sao Lucas PUCRS, Latin Amer Cooperat Oncol Grp, Porto Alegre, RS, Brazil

[13] Hosp Sao Lucas PUCRS, Dept Med Oncol, Porto Alegre, RS, Brazil

[14] Grp Brasileiro Estudios Canc Mama, Sao Paulo, Brazil

[15] UICC, Geneva, Switzerland

[16] Minist Hlth, Natl Canc Inst, Buenos Aires, DF, Argentina

[17] Inst Nacl Enfermedades Neoplas, Dept Med Oncol, Lima, Peru

[18] Univ Nacl Autonoma Mexico, Mexico City 04510, DF, Mexico

[19] Inst Nacl Cancerol, Mexico City, DF, Mexico

[20] Harvard Global Equity Initiat, Boston, MA USA

[21] Mexican Hlth Fdn, Mexico City, DF, Mexico

[22] Tomatelo Pecho, Mexico City, DF, Mexico

[23] Fdn Mexicana Salud, Tlalpan, Mexico

[24] Kings Coll London, Kings Hlth Partners, Inst Oncopolicy, London WC2R 2LS, England

[25] Kings Coll London, Kings Hlth Partners, Guys Hosp, Integrated Canc Ctr, London WC2R 2LS, England

[26] Pan Amer Hlth Org, Area Hlth Surveillance Dis Prevent & Control, Washington, DC USA

[27] Massachusetts Gen Hosp, Dept Biostat, Ctr Biostat, Boston, MA 02114 USA

[28] CIDE, Mexico City, DF, Mexico

[29] Fed Univ Sao Paulo UNIFESP, Dept Clin Oncol, Sao Paulo, Brazil

[30] Brazilian Breast Canc Study Grp GBECAM, Sao Paulo, Brazil

[31] Hosp Mae Deus, Inst Canc, PUCRS Sch Med, Dept Med, Porto Alegre, RS, Brazil

[32] LACOG, Porto Alegre, RS, Brazil

[33] Univ Virginia, Dept Obstet & Gynecol, Charlottesville, VA USA

[34] Univ Chicago, Med Ctr, Ctr Pancreat Dis, Chicago, IL 60637 USA

[35] MIT, Comp Sci & Artificial Intelligence Lab, Cambridge, MA 02139 USA

[36] Johns Hopkins Singapore Int Med Ctr, Dept Med Oncol, Singapore, Singapore

[37] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[38] ICMD, Porto Alegre, RS, Brazil

[39] Fundacao Unimed, Porto Alegre, RS, Brazil

[40] East Jefferson Gen Hosp, Dept Med, Metairie, LA USA

[41] Roche Diagnost Latin Amer, Med & Sci Affairs, Sao Paulo, Brazil

[42] Arnaldo Vieira de Carvalho Inst Canc, Palliat Care Unit, Sao Paulo, Brazil

[43] Inst Jules Bordet, Breast European Adjuvant Studies Team BREAST, Ctr Data, B-1000 Brussels, Belgium

[44] Fdn Santa Fe, Inst Oncol, Clin & Translat Oncol Grp, Bogota, Colombia

[45] Inst Nacl Cancerol, Bogota, Colombia

[46] PATH, Seattle, WA USA

[47] Barretos Canc Hosp, Teaching & Res Inst, Mol Oncol Res Ctr, Barretos, Brazil

[48] Inst Nacl Canc Jose Alencar Gomes da Silva, Dept Clin Res, Rio De Janeiro, Brazil

[49] Insitituto Nacl Canc INCA, Chief Translat Program, Rio De Janeiro, Brazil

[50] Insitituto Nacl Canc INCA, Coordenacao Pesquisa Clin & Inc Tecnol, Rio De Janeiro, Brazil

来源：

LANCET ONCOLOGY | 2013年 / 14卷 / 05期

关键词：

CELL LUNG-CANCER; ACUTE LYMPHOBLASTIC-LEUKEMIA; UNIVERSAL HEALTH COVERAGE; WOOD-SMOKE EXPOSURE; NEPHRECTOMY INITIAL-EXPERIENCE; FACTOR RECEPTOR MUTATIONS; MIDDLE-INCOME COUNTRIES; LONG-TERM SURVIVAL; PHASE-II TRIAL; BREAST-CANCER;

D O I：

10.1016/S1470-2045(13)70048-2

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Non-communicable diseases, including cancer, are overtaking infectious disease as the leading health-care threat in middle-income and low-income countries. Latin American and Caribbean countries are struggling to respond to increasing morbidity and death from advanced disease. Health ministries and health-care systems in these countries face many challenges caring for patients with advanced cancer: inadequate funding; inequitable distribution of resources and services; inadequate numbers, training, and distribution of health-care personnel and equipment; lack of adequate care for many populations based on socioeconomic, geographic, ethnic, and other factors; and current systems geared toward the needs of wealthy, urban minorities at a cost to the entire population. This burgeoning cancer problem threatens to cause widespread suffering and economic peril to the countries of Latin America. Prompt and deliberate actions must be taken to avoid this scenario. Increasing efforts towards prevention of cancer and avoidance of advanced, stage IV disease will reduce suffering and mortality and will make overall cancer care more affordable. We hope the findings of our Commission and our recommendations will inspire Latin American stakeholders to redouble their efforts to address this increasing cancer burden and to prevent it from worsening and threatening their societies.

引用

页码：391 / 436

页数：46

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