Overcoming Challenges of Cancer Treatment Programmes in Developing Countries: A Sustainable Breast Cancer Initiative in Ethiopia
Abstract 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...
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| Veröffentlicht in: | Clinical oncology (Royal College of Radiologists (Great Britain)) 2008-03, Vol.20 (2), p.191-198 |
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| creator | Reeler, A.V Sikora, K Solomon, B |
| description | Abstract 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. |
| doi_str_mv | 10.1016/j.clon.2007.11.012 |
| format | Article |
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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.</description><subject>Breast cancer treatment</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - prevention & control</subject><subject>Breast Neoplasms - therapy</subject><subject>Delivery of Health Care - economics</subject><subject>Delivery of Health Care - manpower</subject><subject>Delivery of Health Care - organization & administration</subject><subject>Developing Countries</subject><subject>developing world</subject><subject>drug donation</subject><subject>Ethiopia - epidemiology</subject><subject>Female</subject><subject>healthcare infrastructure</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Medical Oncology - manpower</subject><subject>Public Health Practice</subject><subject>Radiology</subject><issn>0936-6555</issn><issn>1433-2981</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2LFDEQhoMo7rj6BzxIn7x1W0l_JC0irOOqCwsr7HoO6XTNbMZ0Mibpgb350007I4IHT6HI-7xQTxHykkJFgXZvdpW23lUMgFeUVkDZI7KiTV2XrBf0MVlBX3dl17btGXkW4w4AmBD9U3JGBWtE34kV-XlzwKD9ZNy2WN8ra9FtMRZ-U6yV0xiKu4AqTehS8TX4bVDTlL-NKz7iAa3f_-b87FIwGN8WF8XtHJMyTg0Wiw-ZjelP05UzyahkDrjwl-neZFw9J082ykZ8cXrPybdPl3frL-X1zeer9cV1qRvoU8kH1qm2ZWLYsEGMDRNjHjlvAbGuacNbKnrd93qkrW4EUBibETWyQaNinNbn5PWxdx_8jxljkpOJGq1VDv0cJc9u2prxHGTHoA4-xoAbuQ9mUuFBUpCLd7mTi3e5eJeUyuw9Q69O7fMw4fgXOYnOgXfHAOYdDwaDjNpg9jKagDrJ0Zv_97__B9fWOKOV_Y4PGHd-Di7bk1RGJkHeLpdfDg8cQPTQ1L8AikeqYA</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Reeler, A.V</creator><creator>Sikora, K</creator><creator>Solomon, B</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080301</creationdate><title>Overcoming Challenges of Cancer Treatment Programmes in Developing Countries: A Sustainable Breast Cancer Initiative in Ethiopia</title><author>Reeler, A.V ; Sikora, K ; Solomon, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-7b26a5528bf2b8d428da557750ee331475189c99cd15c48010d4dece2bcea2713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Breast cancer treatment</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - prevention & control</topic><topic>Breast Neoplasms - therapy</topic><topic>Delivery of Health Care - economics</topic><topic>Delivery of Health Care - manpower</topic><topic>Delivery of Health Care - organization & administration</topic><topic>Developing Countries</topic><topic>developing world</topic><topic>drug donation</topic><topic>Ethiopia - epidemiology</topic><topic>Female</topic><topic>healthcare infrastructure</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Medical Oncology - manpower</topic><topic>Public Health Practice</topic><topic>Radiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reeler, A.V</creatorcontrib><creatorcontrib>Sikora, K</creatorcontrib><creatorcontrib>Solomon, B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oncology (Royal College of Radiologists (Great Britain))</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reeler, A.V</au><au>Sikora, K</au><au>Solomon, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overcoming Challenges of Cancer Treatment Programmes in Developing Countries: A Sustainable Breast Cancer Initiative in Ethiopia</atitle><jtitle>Clinical oncology (Royal College of Radiologists (Great Britain))</jtitle><addtitle>Clin Oncol (R Coll Radiol)</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>20</volume><issue>2</issue><spage>191</spage><epage>198</epage><pages>191-198</pages><issn>0936-6555</issn><eissn>1433-2981</eissn><abstract>Abstract The incidence of breast cancer is rising in many developing countries. 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| fulltext | fulltext |
| identifier | ISSN: 0936-6555 |
| ispartof | Clinical oncology (Royal College of Radiologists (Great Britain)), 2008-03, Vol.20 (2), p.191-198 |
| issn | 0936-6555 1433-2981 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Breast cancer treatment Breast Neoplasms - epidemiology Breast Neoplasms - prevention & control Breast Neoplasms - therapy Delivery of Health Care - economics Delivery of Health Care - manpower Delivery of Health Care - organization & administration Developing Countries developing world drug donation Ethiopia - epidemiology Female healthcare infrastructure Hematology, Oncology and Palliative Medicine Humans Medical Oncology - manpower Public Health Practice Radiology |
| title | Overcoming Challenges of Cancer Treatment Programmes in Developing Countries: A Sustainable Breast Cancer Initiative in Ethiopia |
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