The holistic approach of palliative care aims at improving the life of patients with life-threatening diseases and their families through early identification, assessment, and treatment of physical, psychological, or spiritual pain. Despite the recognition of palliative care as a human right and essential for the improvement of the quality of life of patients – and their families, many low-income countries either lack palliative care services or have limited access to it. The WHO suggests that one of the steps that countries can take to eliminate these barriers is to include palliative care into the core curricula of all new health professionals. A study in 2019 showed that 58,000 adults required palliative care in Nepal in 2012, and most of them lived in rural areas. Palliative care in Nepal is still new and training programs for doctors and nurses are not fully developed and in place in undergraduate medical schools. This study evaluates the working knowledge of palliative care among undergraduate medical students, and the presence of it in their academic curriculum. This analytical study was designed during an internship at the Binaytara Foundation Cancer Center in Nepal. The study was conducted among undergraduate medical students between March 6th, 2020 to July 6th, 2020. The questionnaire results were entered on Microsoft Excel and then analyzed. Results showed that 63.2% of the respondents had heard of “Palliative Medicine”, but 68.4% did not know the WHO definition of Palliative Care (Table 2 (135189)). Among all the students from the different universities, 33.3% said that palliative care is part of their curriculum, while 66.6% said it is not (Table 5 (135192)). The results from the study demonstrated inadequate knowledge and perception of palliative care among undergraduate medical students in Nepali institutions. The EAPC indications on a palliative care curriculum could be taken as a blueprint for developing a tailored one for medical schools in Nepal to set a strong base for the next generation of doctors to be able to appropriately meet the needs of patients and their families.
{"title":"INTEGRATION OF PALLIATIVE CARE INTO MEDICAL SCHOOL CURRICULUM IN NEPAL – An analytical study among medical students in Nepal","authors":"Carlotta Bellon, T. Shah, A. Shah","doi":"10.53876/001c.68021","DOIUrl":"https://doi.org/10.53876/001c.68021","url":null,"abstract":"The holistic approach of palliative care aims at improving the life of patients with life-threatening diseases and their families through early identification, assessment, and treatment of physical, psychological, or spiritual pain. Despite the recognition of palliative care as a human right and essential for the improvement of the quality of life of patients – and their families, many low-income countries either lack palliative care services or have limited access to it. The WHO suggests that one of the steps that countries can take to eliminate these barriers is to include palliative care into the core curricula of all new health professionals. A study in 2019 showed that 58,000 adults required palliative care in Nepal in 2012, and most of them lived in rural areas. Palliative care in Nepal is still new and training programs for doctors and nurses are not fully developed and in place in undergraduate medical schools. This study evaluates the working knowledge of palliative care among undergraduate medical students, and the presence of it in their academic curriculum. This analytical study was designed during an internship at the Binaytara Foundation Cancer Center in Nepal. The study was conducted among undergraduate medical students between March 6th, 2020 to July 6th, 2020. The questionnaire results were entered on Microsoft Excel and then analyzed. Results showed that 63.2% of the respondents had heard of “Palliative Medicine”, but 68.4% did not know the WHO definition of Palliative Care (Table 2 (135189)). Among all the students from the different universities, 33.3% said that palliative care is part of their curriculum, while 66.6% said it is not (Table 5 (135192)). The results from the study demonstrated inadequate knowledge and perception of palliative care among undergraduate medical students in Nepali institutions. The EAPC indications on a palliative care curriculum could be taken as a blueprint for developing a tailored one for medical schools in Nepal to set a strong base for the next generation of doctors to be able to appropriately meet the needs of patients and their families.","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"422 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126710756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Abuhadida, S. Alzaid, Yousef Buresli, Ahmad Alnusif, Barrak Alhindal
Cancer is among the leading causes of morbidity and mortality worldwide. However. The trends in utilization of cancer services and related expenditures in Kuwait are poorly known. We aim to investigate the expenditure and utilization patterns of cancer care in Kuwait. A three-year retrospective analysis study of expenditure and utilization pattern in KCCC was performed from 2015 to 2017 in MOH in Kuwait. We report a considerable variation of utilizations and expenditure levels over the three-year period. After adjusting the data, there was significant increase in utilization rates and expenditure in 2015-16 followed by significant decrease in year 2016-17. The expenditure was observed to increase by 1.1% in 2016 before it declined by 1.9% in 2017. This study is the first of its kind in Kuwait. We report adequate utilization and expenditure of cancer care in Kuwait. However, we recommend heavy investments in precision medicine technology and patient outcomes research to improve overall financial and operational performance pertaining to cancer care in MOH in Kuwait.
{"title":"Expenditure and Utilization Patterns of Cancer Care in Kuwait","authors":"S. Abuhadida, S. Alzaid, Yousef Buresli, Ahmad Alnusif, Barrak Alhindal","doi":"10.53876/001c.55511","DOIUrl":"https://doi.org/10.53876/001c.55511","url":null,"abstract":"Cancer is among the leading causes of morbidity and mortality worldwide. However. The trends in utilization of cancer services and related expenditures in Kuwait are poorly known. We aim to investigate the expenditure and utilization patterns of cancer care in Kuwait. A three-year retrospective analysis study of expenditure and utilization pattern in KCCC was performed from 2015 to 2017 in MOH in Kuwait. We report a considerable variation of utilizations and expenditure levels over the three-year period. After adjusting the data, there was significant increase in utilization rates and expenditure in 2015-16 followed by significant decrease in year 2016-17. The expenditure was observed to increase by 1.1% in 2016 before it declined by 1.9% in 2017. This study is the first of its kind in Kuwait. We report adequate utilization and expenditure of cancer care in Kuwait. However, we recommend heavy investments in precision medicine technology and patient outcomes research to improve overall financial and operational performance pertaining to cancer care in MOH in Kuwait.","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125618730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suman Gaire, P. Budhathoki, U. Joshi, A. Shah, S. Yadav, S. Yadav
{"title":"Genetic mutation profile in HER2 positive lobular breast cancer","authors":"Suman Gaire, P. Budhathoki, U. Joshi, A. Shah, S. Yadav, S. Yadav","doi":"10.53876/001c.38884","DOIUrl":"https://doi.org/10.53876/001c.38884","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130029243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Hart, A. Ogbonnaya, Kristen Boykin, K. DeYoung, Ray Bailey, Trevor W. Heritage, L. Lopez-Gonzalez, Huan Huang, L. Gordan
{"title":"Evaluation of Chemotherapy-Induced Myelosuppression in Patients with Extensive-Stage Small Cell Lung Cancer Treated with Trilaciclib: Retrospective Analysis of Florida Community Oncology Practices","authors":"L. Hart, A. Ogbonnaya, Kristen Boykin, K. DeYoung, Ray Bailey, Trevor W. Heritage, L. Lopez-Gonzalez, Huan Huang, L. Gordan","doi":"10.53876/001c.38337","DOIUrl":"https://doi.org/10.53876/001c.38337","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115842334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Goldschmidt, A. Monnette, Pingan Shi, Divea Venkatasetty, L. Lopez-Gonzalez, Huan Huang, P. Conkling
{"title":"Trilaciclib Use and Chemotherapy-Induced Myelosuppression Among Patients with ES- SCLC in US Community Oncology Settings","authors":"J. Goldschmidt, A. Monnette, Pingan Shi, Divea Venkatasetty, L. Lopez-Gonzalez, Huan Huang, P. Conkling","doi":"10.53876/001c.38340","DOIUrl":"https://doi.org/10.53876/001c.38340","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116573781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mason Alford, Candace J. Grisham, C. Thompson, W. Iams
{"title":"Evaluating the Clinical Significance of Clonal Hematopoiesis of Indeterminate Potential (CHIP) in patients with Non-Small Cell Lung Cancer (NSCLC)","authors":"Mason Alford, Candace J. Grisham, C. Thompson, W. Iams","doi":"10.53876/001c.38199","DOIUrl":"https://doi.org/10.53876/001c.38199","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131615263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Circulating Tumor Cell cluster phenotype and response to treatment and predicts survival in lung cancer","authors":"G. Kanakasetty, Priadarshini Kumar, A. Rangarajan","doi":"10.53876/001c.38332","DOIUrl":"https://doi.org/10.53876/001c.38332","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"22 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120859840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
U. Joshi, S. Yadav, Roshan Subedi, Nira Neupane, P. Budhathoki, Suman Gaire, A. Shah, Aashish Acharya, V. Agrawal, S. Yadav
{"title":"Analysis of genetic alterations of DNA repair genes as prognostic marker of survival in cholangiocarcinoma","authors":"U. Joshi, S. Yadav, Roshan Subedi, Nira Neupane, P. Budhathoki, Suman Gaire, A. Shah, Aashish Acharya, V. Agrawal, S. Yadav","doi":"10.53876/001c.38333","DOIUrl":"https://doi.org/10.53876/001c.38333","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126349280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Serial Monitoring of circulating tumor DNA (ctDNA) reliably detects progression and regression in lung cancer patients","authors":"Ujjwal Karki, B. Ghimire, Emma Herrman, M. Chisti","doi":"10.53876/001c.38336","DOIUrl":"https://doi.org/10.53876/001c.38336","url":null,"abstract":"","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116848664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Idossa, H. Borno, Katarina Wang, M. Pletcher, G. Gresham, A. Canchola, D. Bell, M. Matheny, Lisa M Schilling, A. Perkins, Kai Zheng, L. Ohno-Machado, Jihoon Kim, S. SooHoo, D. Meeker, Scarlett L. Gomez
The total impact of the current COVID-19 pandemic on cancer screenings and diagnostic procedures by race and ethnicity has not yet been fully characterized. In this study, we compared the ethnic and racial differences in cancer screening for breast, colon, and prostate cancer and compared them to population-level SARS-CoV2 infection rates in the United States between January 2019 and January 2021. A significant reduction in all screening activities was observed between March and May of 2020, with the largest relative decline in April during the initial SARS-CoV2 surge. In that month, screening mammography declined by 80% overall, with the relative largest decline among Black individuals (90%). A higher proportion of Black individuals received diagnostic mammography in April 2020. However, between June 2020 and January 2021, there was a relative increase in diagnostic mammograms observed across all groups. There was also a relative reduction in colon cancer screening, with the largest decline in April 2020 among Black individuals (75%). The largest relative reduction in PSA screening was in Hispanic individuals (66%). During the examined study period, surgical resections for breast, colon, and prostate resections were reduced and remained lower than baseline through 2020. The reduction in breast, colon, and prostate cancer screening coincided with the first surge of the SARS-CoV2 infections, but not with the second. There was a small reduction in breast and colon cancer screening with the third surge. Differential inequities in cancer screening and diagnoses were observed by race and ethnicity and corresponded primarily to the initial surge of SARS-CoV2.
{"title":"Ethnic and Racial Inequities in Cancer Screening During the COVID-19 Pandemic: a multi-site observational study in the United States","authors":"D. Idossa, H. Borno, Katarina Wang, M. Pletcher, G. Gresham, A. Canchola, D. Bell, M. Matheny, Lisa M Schilling, A. Perkins, Kai Zheng, L. Ohno-Machado, Jihoon Kim, S. SooHoo, D. Meeker, Scarlett L. Gomez","doi":"10.53876/001c.37412","DOIUrl":"https://doi.org/10.53876/001c.37412","url":null,"abstract":"The total impact of the current COVID-19 pandemic on cancer screenings and diagnostic procedures by race and ethnicity has not yet been fully characterized. In this study, we compared the ethnic and racial differences in cancer screening for breast, colon, and prostate cancer and compared them to population-level SARS-CoV2 infection rates in the United States between January 2019 and January 2021. A significant reduction in all screening activities was observed between March and May of 2020, with the largest relative decline in April during the initial SARS-CoV2 surge. In that month, screening mammography declined by 80% overall, with the relative largest decline among Black individuals (90%). A higher proportion of Black individuals received diagnostic mammography in April 2020. However, between June 2020 and January 2021, there was a relative increase in diagnostic mammograms observed across all groups. There was also a relative reduction in colon cancer screening, with the largest decline in April 2020 among Black individuals (75%). The largest relative reduction in PSA screening was in Hispanic individuals (66%). During the examined study period, surgical resections for breast, colon, and prostate resections were reduced and remained lower than baseline through 2020. The reduction in breast, colon, and prostate cancer screening coincided with the first surge of the SARS-CoV2 infections, but not with the second. There was a small reduction in breast and colon cancer screening with the third surge. Differential inequities in cancer screening and diagnoses were observed by race and ethnicity and corresponded primarily to the initial surge of SARS-CoV2.","PeriodicalId":237891,"journal":{"name":"International Journal of Cancer Care and Delivery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124045905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：