Overcoming challenges of cancer treatment programmes in developing countries: A sustainable breast cancer initiative in Ethiopia

被引:27
|
作者
Reeler, A. V. [1 ]
Sikora, K. [2 ]
Sotomon, B. [3 ]
机构
[1] Axios Int, F-75001 Paris, France
[2] Imperial Coll Sch Med, London W1G 8PZ, England
[3] Tikur Anbessa Specialized Hosp, Dept Radiol, Addis Ababa, Ethiopia
关键词
breast cancer treatment; developing world; drug donation; healthcare infrastructure;
D O I
10.1016/j.clon.2007.11.012
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The incidence of breast cancer is rising in many developing countries. Here we describe a programme to improve the support infrastructure for the management of patients with breast cancer in Addis Ababa, Ethiopia. Tamoxifen, a cheap, oral, yet effective, anti-cancer agent was made available freely to encourage staff and patients to follow well-defined, but achievable, protocols of care. Mammography, improved histopathological review, tissue hormone receptor assays, agreed treatment algorithms with a cycle of continuous audit of over 250 patients and cross-departmental patient management groups led to a considerable improvement in the management of breast cancer patients in a single institution. Aspects of this programme are now being extended to other regional hospitals in Ethiopia. Fairly limited investments in programmes for cancer can stimulate considerable improvements in the overall approach to malignant disease by encouraging a positive approach, even in very low resource environments.
引用
收藏
页码:191 / 198
页数:8
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