Navigation Links
Special edition of the Red Journal highlights the need for radiation oncology services in LMICs
Date:6/25/2014

Fairfax, Va., June 25, 2014The July 1, 2014 edition of the International Journal of Radiation Oncology ● Biology ● Physics (Red Journal), the official scientific journal of the American Society for Radiation Oncology (ASTRO), features a special section of 10 articles focusing on global health and radiation oncology in low- and middle-income countries (LMICs.)

Three papers examine the overall need for more and the current opportunities to provide radiation oncology in LMICs, C. Norman Coleman, MD, FASTRO, highlights the work and the four main principles of the International Cancer Expert Corps. This multi-national effort is working to establish a mentoring network of cancer professionals to collaborate with LMICs to help develop expertise in cancer care. An article by David A. Jaffray, PhD, and Mary Gospodarowicz, MD, FASTRO, explains the need to address the disparities in access to cancer care among LMICs and also within LMICs. The authors emphasize that all cancer and radiation therapy organizations should advocate on behalf of cancer patients who do not have access to radiation therapy and show that radiation therapy plays an important role in the curative and palliative management of cancer. Drs. Jaffray and Gospodarowicz highlight the work of the Union for International Cancer Control, a group of more than 800 member organizations working to help reduce the global cancer burden.

In another article, Niloy Datta, PhD, Massoud Samiei, PhD, and Stephan Bodis, MD, examine the present status and projections for 2020 in radiation therapy infrastructure and human resources in LMICs. The projected rise in cancer incidence will create a dramatic increase in demand for radiation therapy. The authors propose 12 steps that can be taken at national and international levels to help narrow the gap in access to radiation therapy treatment.

Another group of three articles explores the specific radiation oncology needs of Africa, focusing on active projects in Senegal and Botswana. Brandon J. Fisher, DO, et al, describe the need for radiation therapy treatment in Africa, where there are fewer than one teletherapy unit per 10 million people. The authors highlight specific examples of lack of access to megavoltage machines and brachytherapy services, and charge public, private and governmental organizations to develop initiatives to remedy these disparities. John P. Einck, MD, et al, review the implementation of high-dose-rate (HDR) brachytherapy in Senegal through Radiating Hope, a nonprofit organization that provides radiation therapy equipment to countries in the developing world. Senegal, a country in West Africa, has one of the highest incidence rates of cervical cancer in the world. The team from Radiating Hope trained the staff at the Institut Joliot-Curie Cancer Center how to administer HDR brachytherapy treatment and how to develop treatment-planning approaches. Jason A. Efstathiou, MD, DPhil, et al, explain the work of the BOTSOGO (BOTSwana Oncology Global Outreach) initiative, a partnership between Massachusetts General Hospital/Harvard Medical School, and the oncology community and government of Botswana. The authors describe BOTSOGO's efforts to improve cancer care in the country through on-site visits, tumor boards and training in various oncologic specialties.

Brandi R. Page, MD, et al, investigate whether cobalt teletherapy or megavoltage linear accelerator machines are the best solution to meet the growing need for radiation therapy treatment in the developing world, outlining the advantages of using linear accelerator machines vs. the advantages of using cobalt machines. The authors explain that cobalt machines are more viable for developing countries starting a radiation therapy program due to the decreased cost of equipment; however, the use of current techniques and procedures could have a lower treatment cost, and these should not be overlooked. In another article, Nina A. Mayr, MD, FASTRO, et al, examine the responsibilities of radiation oncology societies, including ASTRO, to help address disparities in worldwide access to radiation oncology treatment. The authors highlight ASTRO's International Education Subcommittee (IES) and the efforts of the IES to provide educational outreach and to foster relationships with LMICs so that U.S. radiation oncology residents can serve rotations in LMICs.

Two additional articles look at the global cancer issue from the perspective of U.S. physician trainees. Luqman Dad, MD, et al, present a four-year report on the Association of Residents in Radiation Oncology (ARRO) Global Health Initiative. The initiative helps to create a path for future work in underserved regions for trainees who have a strong interest in global health. This report outlines evidence supporting the continuing need for resources and trainee initiatives in global health. Jeffrey Burkeen, MS, et al, provide commentary from the perspective of a medical student about how countries with high resources can help provide the radiation oncology expertise needed in LMICs. The authors highlight current opportunities and programs in global health and suggest a targeted education and training plan for medical students who are interested in global health and/or working in LMICs and other underserved areas.

"Radiation therapy plays a vitally important role in curing or palliating common cancers, yet its underuse in many developing nations is staggering," said Anthony L. Zietman, MD, FASTRO, editor-in-chief of the Red Journal, a radiation oncologist at Massachusetts General Hospital in Boston and associate director of the Harvard Radiation Oncology Residency Program. "These articles make suggestions and give pragmatic examples as to how we might organize the pool of willing human talent to begin to meet these urgent needs. It is our goal that this issue of the Red Journal ignites a discussion about effective strategies."


'/>"/>

Contact: Brittany Ashcroft
press@astro.org
703-839-7336
American Society for Radiation Oncology
Source:Eurekalert

Related medicine news :

1. Citing urgent, acute mental health issues, especially in Africa, experts petition govts to act
2. Most prostate cancer specialists dont recommend active surveillance for low-risk patients
3. First clinical diabetes registry to provide seamless view of patients across specialties
4. Coaxing iPS cells to become more specialized prior to transplantation cuts rejection risk
5. Diet and exercise in cancer prevention and treatment: Focus of APNM special
6. Early menopause ups heart failure risk, especially for smokers
7. US cervical cancer rates higher than previously reported, especially among older women
8. Major lung resection safer than ever, especially at the busiest hospitals
9. Special journal issue focuses on radiation dose optimization
10. Hypertensive patients specialty use changed with medical home
11. Parents unclear about process for specialist care for kids
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... The ... to promote standards of excellence for the field of eating disorders, announces the ... – 25, 2018 in Orlando, Florida at the Omni Resort at ChampionsGate. ...
(Date:10/13/2017)... ... , ... Apple Rehab Shelton Lakes , which specializes in the delivery ... as part of a disaster drill on October 3rd. , Apple Rehab participated with ... Manager, as well as the Connecticut Long Term Care Mutual Aid Plan (LTC-MAP). ...
(Date:10/13/2017)... ... 2017 , ... Global Healthcare Management’s 4th Annual Kids Fun Run brought out ... free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at getting ... children of all ages; it is a non-competitive, non-timed event, which is all about ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the Mountains ... possible to save lost souls in the Philippines. “The Journey: From the Mountains to ... dedicated teacher of the Bible. She has taught all ages and currently teaches a ...
(Date:10/12/2017)... ... 2017 , ... Planet Fitness, one of the largest and fastest growing franchisors ... a flagship location in Covington, LA at 401 N. U.S. Highway 190, in January ... Office Depot in the Holiday Square shopping center. Its location allows it to serve ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... ROCKVILLE, Md. , Sept. 22, 2017  As ... by Republican Senators Bill Cassidy (R-LA) and ... Kalorama Information notes that the medical device industry is ... the medical device tax, the 2.3% excise tax on ... Act.  But they also want covered patients, increased visits ...
(Date:9/19/2017)...   ZirMed Inc ., a recognized leader in cloud-based ... has been ranked #1 by its users for the seventh ... User Survey. ZirMed was recognized as the top-ranked end-to-end revenue ... centers over 200 beds and holds one of the longest ... history. ...
(Date:9/13/2017)... 13, 2017   OrthoAtlanta has been named the ... Host Committee (AFHC) for the 2018 College Football Playoff (CFP) ... at Mercedes-Benz Stadium in Atlanta, Georgia . ... "I,m In" campaign, participating in many activities leading up to, ... ...
Breaking Medicine Technology: