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Public health oncology: a framework for progress in low- and middle-income countries.
Love, R R; Ginsburg, O M; Coleman, C N.
Afiliación
  • Love RR; The International Breast Cancer Research Foundation, Madison, USA. Electronic address: richardibcrf@gmail.com.
  • Ginsburg OM; Women's College Research Institute, the University of Toronto, Toronto, Canada.
  • Coleman CN; Division of Cancer Treatment and Diagnosis, The Radiation Research Program, National Cancer Institute, Bethesda, USA.
Ann Oncol ; 23(12): 3040-3045, 2012 Dec.
Article en En | MEDLINE | ID: mdl-23087162
BACKGROUND: The problems of cancer are increasing in low- and middle-income countries (LMCs), which now have significant majorities of the global case and mortality burdens. The professional oncology community is being increasingly called upon to define pragmatic and realistic approaches to these problems. PATIENTS AND METHODS: Focusing on mortality and case burden outcomes defines public health oncology or population-affecting cancer medicine. We use this focus to consider practical approaches. RESULTS: The greatest cancer burdens are in Asia. A public health oncology perspective mandates: first, addressing the major and social challenges of cancer medicine for populations: human rights, health systems, corruption, and our limited knowledge base for value-conscious interventions. Second, adoption of evolving concepts and models for sustainable development in LMCs. Third, clear and realistic statements of action and inaction affecting populations, grounded in our best cancer science, and attention to these. Finally, framing the goals and challenges for population-affecting cancer medicine requires a change in paradigm from historical top-down models of technology transfer, to one which is community-grounded and local-evidence based. CONCLUSION: Public health oncology perspectives define clear focus for much needed research on country-specific practical approaches to cancer control.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Accesibilidad a los Servicios de Salud / Neoplasias Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Ann Oncol Asunto de la revista: NEOPLASIAS Año: 2012 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Accesibilidad a los Servicios de Salud / Neoplasias Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Ann Oncol Asunto de la revista: NEOPLASIAS Año: 2012 Tipo del documento: Article Pais de publicación: Reino Unido