Developing institutions for cancer care in low-income and middle-income countries: from cancer units to comprehensive cancer centres

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Sirohi, Bhawna
Chalkidou, Kalipso
Pramesh, CS
Anderson, Benjamin O
Loeher, Patrick
El Dewachi, Omar
Shamieh, Omar
Shrikhande, Shailesh V
Venkataramanan, R
Parham, Groesbeck
Mwanahamuntu, Mulindi
Eden, Tim
Tsunoda, Audrey
Purushotham, Arnie
Stanway, Susannah
Rath, Goura K
Sullivan, Richard
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2018
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Abstract

Global cancer centres operate across different sizes, scales, and ecosystems. Understanding the essential aspects of the creation, organisation, accreditation, and activities within these settings is crucial for developing an affordable, equitable, and quality cancer care, research, and education system. Robust guidelines are scarce for cancer units, cancer centres, and comprehensive cancer centres in low-income and middle-income countries. However, some robust examples of the delivery of complex cancer care in centres in emerging economies are available. Although it is impossible to create an optimal system to fit the unique needs of all countries for the delivery of cancer care, we summarise what has been published about the development and management of cancer centres in low-income and middle-income countries so far and highlight the need for clinical and political leadership.

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The Lancet Oncology

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19

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8

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Oncology and carcinogenesis

Science & Technology

Life Sciences & Biomedicine

Oncology

SUB-SAHARAN AFRICA

GLOBAL HEALTH

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Sirohi, B; Chalkidou, K; Pramesh, CS; Anderson, BO; Loeher, P; El Dewachi, O; Shamieh, O; Shrikhande, SV; Venkataramanan, R; Parham, G; Mwanahamuntu, M; Eden, T; Tsunoda, A; Purushotham, A; Stanway, S; Rath, GK; Sullivan, R, Developing institutions for cancer care in low-income and middle-income countries: from cancer units to comprehensive cancer centres, The Lancet Oncology, 2018, 19 (8), pp. E395-E406