Hematopoietic Stem-Cell Transplantation in the Resource-Limited Setting: Establishing the First Bone Marrow Transplantation Unit in Bangladesh
| Autor: | David R. Bangsberg, Bimalangshu R. Dey, Jason Harlow, Akhil Ranjan Biswas, Jenna A. Moran, Mark Brezina, Frederic I. Preffer, Martin Caron, Kamruzzaman, Ariela L. Marshall, Mafruha Akter, Eyal C. Attar, Salma Afrose, Manirul Islam, Anup Saha, Tasneem Ara, Anne-Marie Barron, Annekathryn Goodman, Christopher P. Stowell, Albert C. Yeh, Jannatul Ferdous, Thomas R. Spitzer, Steven L. McAfee, Humayra Nazneen, Mohiuddin Ahmed Khan |
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| Rok vydání: | 2018 |
| Předmět: |
Cancer Research
medicine.medical_specialty Lymphoma medicine.medical_treatment MEDLINE Developing country Hematopoietic stem cell transplantation Cancer Care Facilities lcsh:RC254-282 Cost Effectiveness Hospitals University 03 medical and health sciences Special Article 0302 clinical medicine Health care medicine Humans Quality of Care Health Workforce Intensive care medicine Developing Countries Bone Marrow Transplantation Patient Care Team Bangladesh Leukemia business.industry Hematopoietic Stem Cell Transplantation lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Transplantation surgical procedures operative Oncology 030220 oncology & carcinogenesis General partnership Health Resources business Developed country Delivery of Health Care 030215 immunology |
| Zdroj: | Journal of Global Oncology Journal of Global Oncology, Vol 4, Pp 1-10 (2016) |
| ISSN: | 2378-9506 |
| Popis: | Purpose Treatment of malignant and nonmalignant hematologic diseases with hematopoietic stem-cell transplantation (HSCT) was first described almost 60 years ago, and its use has expanded significantly over the last 20 years. Whereas HSCT has become the standard of care for many patients in developed countries, the significant economic investment, infrastructure, and health care provider training that are required to provide such a service have prohibited it from being widely adopted, particularly in developing countries. Methods Over the past two decades, however, efforts to bring HSCT to the developing world have increased, and several institutions have described their efforts to establish such a program. We aim to provide an overview of the current challenges and applications of HSCT in developing countries as well as to describe our experience in developing an HSCT program at Dhaka Medical College and Hospital in Bangladesh via a partnership with health care providers at Massachusetts General Hospital. Results and Conclusion We discuss key steps of the program, including the formation of a collaborative partnership, infrastructure development, human resource capacity building, and financial considerations. |
| Databáze: | OpenAIRE |
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