Growing the global cancer care system: success stories from around the world and lessons for the future

Edward Christopher Dee, C S Pramesh, Christopher M Booth, Fidel Rubagumya, Miriam Mutebi, Erin Jay G Feliciano, Michelle Ann B Eala, Giovanni G Cerri, Ophira Ginsburg, Bishal Gyawali, Fabio Ynoe de Moraes
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Abstract

Despite significant biomedical advancements in various realms of oncology, the benefits of these developments are not equitably distributed, particularly in under-resourced settings. While much work has described the challenges and systemic barriers in global cancer control, in this essay we focus on success stories. This piece describes clinical care delivered at Rwanda’s Butaro Cancer Center of Excellence, the cancer research collaborations under India’s National Cancer Grid, and the efforts of Latin America’s Institute of Cancer of São Paulo in advancing cancer care and training. These examples highlight the potential of strategic collaborations and resource allocation strategies in improving cancer care globally. We emphasize the critical role of partnerships between physicians and allied health professionals, funders, and policymakers in enhancing access to treatment and infrastructure, advancing contextualized research and national guidelines, and establishing regional and global collaborations. We also draw attention to challenges faced in diverse global settings and outline benchmarks to measure success in the fight against cancer.
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发展全球癌症护理系统:世界各地的成功案例和未来的经验教训
尽管生物医学在肿瘤学的各个领域都取得了重大进展,但这些进展所带来的惠益并未得到公平分配,尤其是在资源匮乏的环境中。尽管许多工作都描述了全球癌症控制所面临的挑战和系统性障碍,但在这篇文章中,我们将重点关注成功案例。本文介绍了卢旺达布塔罗癌症卓越中心(Butaro Cancer Center of Excellence)提供的临床治疗、印度国家癌症网格(National Cancer Grid)下的癌症研究合作以及拉丁美洲圣保罗癌症研究所(Institute of Cancer of São Paulo)在推进癌症治疗和培训方面所做的努力。这些范例凸显了战略合作和资源分配策略在改善全球癌症治疗方面的潜力。我们强调医生和专职医疗人员、资助者和政策制定者之间的合作关系在提高治疗和基础设施的可及性、推动因地制宜的研究和国家指导方针以及建立地区和全球合作方面的关键作用。我们还提请大家注意在全球不同环境中所面临的挑战,并概述了衡量抗癌成功与否的基准。
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