Essential Package of Palliative Care for Women With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population.

Autor:	Krakauer EL; Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.; Departments of Medicine and of Global Health & Social Medicine, Harvard Medical School, Boston, MA.; Department of Palliative Care, University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam., Kane K; Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA.; Department of Medicine, Harvard Medical School, Boston, MA., Kwete X; Harvard School of Public Health, Boston, MA., Afshan G; Department of Anaesthesiology, Aga Khan University Medical College, Karachi, Pakistan., Bazzett-Matabele L; Department of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana.; Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT., Ruthnie Bien-Aimé DD; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA.; Université Episcopale d'Haiti, Port-au-Prince, Haiti.; Faculté des Sciences Infirmières de Leogane, Leogane, Haiti., Borges LF; Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA., Byrne-Martelli S; Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, Boston, MA., Connor S; Worldwide Hospice Palliative Care Alliance, Fairfax, VA., Correa R; Gynecologic Oncology Unit and Palliative Care Service, Clínica Las Condes, Santiago, Chile., Devi CRB; Normah Medical Specialist Center, Sarawak, Malaysia., Diop M; Cancer Institute of Cheikh Anta Diop University, Dakar, Senegal., Elmore SN; Department of Radiation Oncology, University of North Carolina School of Medicine, Chapel Hill, NC., Gafer N; Radiation and Isotope Centre, Oncology Hospital, Khartoum, Sudan.; Comboni College of Science and Technology, Khartoum, Sudan., Goodman A; Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA.; Department of Obstetrics and Gynecology, Harvard Medical School, Boston, MA., Grover S; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.; Botswana-UPenn Partnership, Gaborone, Botswana., Hasenburg A; Department of Gynecology and Obstetrics, Johannes Gutenberg University Medical Center, Mainz, Germany., Irwin K; Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA., Kamdar M; Department of Medicine, Harvard Medical School, Boston, MA.; Division of Palliative Care and Geriatrics, Department of Anesthesiology and Pain Medicine, Massachusetts General Hospital, Boston, MA., Kumar S; Institute of Palliative Medicine, Medical College, Kerala, India., Truong QXN; College of Public Health Science, Chulalongkorn University, Bangkok, Thailand.; School of Social Work, Boston College, Boston, MA.; University Medical Center, Ho Chi Minh City, Vietnam., Randall T; Division of Gynecologic Oncology, Massachusetts General Hospital, Boston, MA.; Department of Obstetrics and Gynecology, Harvard Medical School, Boston, MA., Rassouli M; Shahid Beheshti University of Medical Sciences, Tehran, Iran., Sessa C; Department of Medical Oncology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland., Spence D; Hope Institute Hospital, Kingston, Jamaica.; University of the West Indies, Kingston, Jamaica., Trimble T; National Cancer Institute, Bethesda, MD., Varghese C; Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland., Fidarova E; Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.
Jazyk:	angličtina
Zdroj:	JCO global oncology [JCO Glob Oncol] 2021 Jun; Vol. 7, pp. 873-885.
DOI:	10.1200/GO.21.00026
Abstrakt:	Women with cervical cancer, especially those with advanced disease, appear to experience suffering that is more prevalent, complex, and severe than that caused by other cancers and serious illnesses, and approximately 85% live in low- and middle-income countries where palliative care is rarely accessible. To respond to the highly prevalent and extreme suffering in this vulnerable population, we convened a group of experienced experts in all aspects of care for women with cervical cancer, and from countries of all income levels, to create an essential package of palliative care for cervical cancer (EPPCCC). The EPPCCC consists of a set of interventions, medicines, simple equipment, social supports, and human resources, and is designed to be safe and effective for preventing and relieving all types of suffering associated with cervical cancer. It includes only inexpensive and readily available medicines and equipment, and its use requires only basic training. Thus, the EPPCCC can and should be made accessible everywhere, including for the rural poor. We provide guidance for integrating the EPPCCC into gynecologic and oncologic care at all levels of health care systems, and into primary care, in countries of all income levels. Competing Interests: Eric L. KrakauerEmployment: (I) My wife is employed by Inform Diagnostics and Foundation Medicine Xiaoxiao KweteEmployment: Yaozhi Co LtdStock and Other Ownership Interests: Expat IncResearch Funding: RochePatents, Royalties, Other Intellectual Property: (I) My husband Patrick Kwete has a patent called Personalized Medical Treatment Provision Software (https://patents.google.com/patent/US20130080425A1/en)Travel, Accommodations, Expenses: Expat Inc Shekinah N. ElmoreStock and Other Ownership Interests: TeladocConsulting or Advisory Role: Best Doctors Inc, Wild Type Annette HasenburgHonoraria: AstraZeneca, Med Update, Pfizer, Roche, Streamedup!, Tesaro, MedConcept, LEO PharmaConsulting or Advisory Role: PharmaMar, Tesaro, Roche, AstraZeneca, LEO Pharma, GlaxoSmithKline/MSDTravel, Accommodations, Expenses: AstraZeneca, MedConcept, Roche, Streamedup!, Tesaro, MedUpdate, Pfizer Mihir KamdarLeadership: Amorsa TherapeuticsStock and Other Ownership Interests: Amorsa TherapeuticsConsulting or Advisory Role: Medtronic, Fern Health Cristiana SessaConsulting or Advisory Role: Basilea Ted TrimbleConsulting or Advisory Role: Merck, GlaxoSmithKline, Inovio PharmaceuticalsResearch Funding: Frantz Viral TherapeuticsNo other potential conflicts of interest were reported.
Databáze:	MEDLINE
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