Essential Package of Palliative Care for Women With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population

被引：24

作者：

Krakauer, Eric L. ^{[1
,2
,3
]}

Kane, Khadidjatou ^{[1
,4
]}

Kwete, Xiaoxiao ^{[5
]}

Afshan, Gauhar ^{[6
]}

Bazzett-Matabele, Lisa ^{[7
,8
]}

Bien-Aime, Danta Dona Ruthnie ^{[9
,10
,11
]}

Borges, Lawrence F. ^{[12
,13
]}

Byrne-Martelli, Sarah ^{[1
]}

Connor, Stephen ^{[14
]}

Correa, Raimundo ^{[15
,16
]}

Devi, C. R. Beena ^{[17
]}

Diop, Mamadou ^{[18
]}

Elmore, Shekinah N. ^{[19
]}

Gafer, Nahla ^{[20
,21
]}

Goodman, Annekathryn ^{[22
,23
]}

Grover, Surbhi ^{[24
,25
]}

Hasenburg, Annette ^{[26
]}

Irwin, Kelly ^{[13
,27
]}

Kamdar, Mihir ^{[4
,28
]}

Kumar, Suresh ^{[29
]}

Quynh Xuan Nguyen Truong ^{[30
,31
,32
]}

Randall, Tom ^{[22
,23
]}

Rassouli, Maryam ^{[33
]}

Sessa, Cristiana ^{[34
]}

Spence, Dingle ^{[35
,36
]}

Trimble, Ted ^{[37
]}

Varghese, Cherian ^{[38
]}

Fidarova, Elena ^{[38
]}

机构：

[1] Massachusetts Gen Hosp, Div Palliat Care & Geriatr Med, 55 Fruit St,Founders 600, Boston, MA 02114 USA

[2] Harvard Med Sch, Dept Med & Global Hlth, Boston, MA 02115 USA

[3] Univ Med & Pharm Ho Chi Minh City, Dept Palliat Care, Ho Chi Minh City, Vietnam

[4] Harvard Med Sch, Dept Med, Boston, MA USA

[5] Harvard Sch Publ Hlth, Boston, MA USA

[6] Aga Khan Univ, Dept Anaesthesiol, Med Coll, Karachi, Pakistan

[7] Univ Botswana, Dept Obstet & Gynecol, Gaborone, Botswana

[8] Yale Univ, Sch Med, Dept Obstet & Gynecol, New Haven, CT 06510 USA

[9] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA

[10] Univ Episcopale dHaiti, Port Au Prince, Haiti

[11] Fac Sci Infirmieres Leogane, Leogane, Haiti

[12] Massachusetts Gen Hosp, Dept Neurosurg, Boston, MA 02114 USA

[13] Harvard Med Sch, Boston, MA 02115 USA

[14] Worldwide Hosp Palliat Care Alliance, Fairfax, VA USA

[15] Clin Las Condes, Gynecol Oncol Unit, Santiago, Chile

[16] Clin Las Condes, Palliat Care Serv, Santiago, Chile

[17] Normah Med Specialist Ctr, Sarawak, Malaysia

[18] Cheikh Anta Diop Univ, Canc Inst, Dakar, Senegal

[19] Univ N Carolina, Dept Radiat Oncol, Sch Med, Chapel Hill, NC USA

[20] Oncol Hosp, Radiat & Isotope Ctr, Khartoum, Sudan

[21] Comboni Coll Sci & Technol, Khartoum, Sudan

[22] Massachusetts Gen Hosp, Div Gynecol Oncol, Boston, MA 02114 USA

[23] Harvard Med Sch, Dept Obstet & Gynecol, Boston, MA USA

[24] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

[25] Botswana UPenn Partnership, Gaborone, Botswana

[26] Johannes Gutenberg Univ Mainz, Dept Gynecol & Obstet, Med Ctr, Mainz, Germany

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

[28] Massachusetts Gen Hosp, Dept Anesthesiol & Pain Med, Div Palliat Care & Geriatr, Boston, MA 02114 USA

[29] Med Coll Calicut, Inst Palliat Med, Calicut, Kerala, India

[30] Chulalongkorn Univ, Coll Publ Hlth Sci, Bangkok, Thailand

[31] Boston Coll, Sch Social Work, Boston, MA USA

[32] Univ Med Ctr, Ho Chi Minh City, Vietnam

[33] Shahid Beheshti Univ Med Sci, Tehran, Iran

[34] Oncol Inst Southern Switzerland, Dept Med Oncol, Bellinzona, Switzerland

[35] Hope Inst Hosp, Kingston, Jamaica

[36] Univ West Indies, Kingston, Jamaica

[37] NCI, Bethesda, MD 20892 USA

[38] WHO, Dept Noncommunicable Dis, Geneva, Switzerland

来源：

JCO GLOBAL ONCOLOGY | 2021年 / 7卷

关键词：

HEALTH-CARE; FAMILY CAREGIVERS; ECONOMIC-IMPACT; SPIRITUAL NEEDS; COST; OUTCOMES; LIFE; RELIGIOSITY; DEPRESSION; MORTALITY;

D O I：

10.1200/GO.21.00026

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Women with cervical cancer, especially those with advanced disease, appear to experience suffering that is more prevalent, complex, and severe than that caused by other cancers and serious illnesses, and approximately 85% live in low- and middle-income countries where palliative care is rarely accessible. To respond to the highly prevalent and extreme suffering in this vulnerable population, we convened a group of experienced experts in all aspects of care for women with cervical cancer, and from countries of all income levels, to create an essential package of palliative care for cervical cancer (EPPCCC). The EPPCCC consists of a set of interventions, medicines, simple equipment, social supports, and human resources, and is designed to be safe and effective for preventing and relieving all types of suffering associated with cervical cancer. It includes only inexpensive and readily available medicines and equipment, and its use requires only basic training. Thus, the EPPCCC can and should be made accessible everywhere, including for the rural poor. We provide guidance for integrating the EPPCCC into gynecologic and oncologic care at all levels of health care systems, and into primary care, in countries of all income levels. (C) 2021 by American Society of Clinical Oncology

引用

页码：873 / 885

页数：13

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