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

Author:

Dee Edward Christopher1ORCID,Pramesh C S2,Booth Christopher M34ORCID,Rubagumya Fidel45ORCID,Mutebi Miriam6,Feliciano Erin Jay G78,Eala Michelle Ann B910,Cerri Giovanni G11,Ginsburg Ophira12,Gyawali Bishal413,Moraes Fabio Ynoe41415

Affiliation:

1. Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center , New York, NY, USA

2. National Cancer Grid and Department of Surgical Oncology, Tata Memorial Hospital, Tata Memorial Centre, Homi Bhabha National Institute , Mumbai, MH, India

3. Department of Oncology, Queen’s University , Kingston, ON, Canada

4. Division of Cancer Care and Epidemiology, Cancer Research Institute, Queen’s University , Kingston, ON, Canada

5. Department of Oncology, Rwanda Military Hospital , Kigali, Rwanda

6. Department of Surgery, Aga Khan University , Nairobi, Kenya

7. School of Medicine and Public Health, Ateneo de Manila University , Pasig City, Philippines

8. Department of Medicine, NYC Health + Hospitals/Elmhurst, Icahn School of Medicine at Mt. Sinai , Queens, NY, USA

9. College of Medicine, University of the Philippines , Manila, Philippines

10. Department of Radiation Oncology, University of California, Los Angeles , Los Angeles, CA, USA

11. Department of Radiology and Oncology, University of São Paulo Medical School , São Paulo, Brazil

12. Center for Global Health, US National Cancer Institute , Rockville, MD, USA

13. Departments of Oncology and Public Health Sciences, Queen’s University , Kingston, ON, Canada

14. Department of Oncology, Kingston General Hospital, Queen’s University , Kingston, ON, Canada

15. Latin America Cooperative Oncology Group , Porto Alegre, Brazil

Abstract

Abstract Despite major biomedical advancements in various realms of oncology, the benefits of these developments are not equitably distributed, particularly in underresourced settings. Although much work has described the challenges and systemic barriers in global cancer control, in this article we focus on success stories. This article 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 policy makers 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.

Funder

Edward Christopher Dee

Cancer Center Support

National Cancer Institute

Publisher

Oxford University Press (OUP)

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