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Improving quality of care and timely access to radiation therapy for patients with invasive cervical cancer at the National Cancer Institute Paraguay

机译:巴拉圭国家癌症研究所提高浸润性宫颈癌患者的护理质量并及时获得放射治疗

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The purpose of this report is to describe the interventions implemented between 2012 and 2017 at the National Cancer Institute Paraguay (NCI Paraguay) to improve treatment quality and efficiency for patients with cervical cancer, with an emphasis on radiation quality and access. The NCI Paraguay requested collaboration with Health Volunteers Overseas (HVO), an international volunteer organization, to improve the care of patients with cervical cancer. This report is based on site visits to NCI Paraguay by HVO volunteers in 2012, 2013, and 2016, with a follow-up report from the site in 2017. During the study period, increased access to external beam radiation and brachytherapy led to a decrease in wait time to start radiation from 2 to 3?months to 4–6?weeks. The center transitioned from 2-dimensional (2D) to 3-D planning and was able to offer concurrent chemotherapy and radiation, including brachytherapy, to patients with locally advanced cervical cancer. Based on the American Society of Clinical Oncology's resource-stratified clinical guidelines, from 2012 to 2017, the practice transitioned from a “basic setting” to an “enhanced setting”. Highlights ? While access to care in LMICs is a global problem, solutions are likely to be local. ? The NCI Paraguay collaborated with a volunteer group to improve access and timely treatment for cervix cancer patients. ? From 2012 to 2017 NCI Paraguay used multiple strategies to increase access to radiation therapy for cervical cancer. ? Based on ASCO's resource- stratified clinical guidelines the practice transitioned from a “basic setting” to an “enhanced setting”.
机译:本报告的目的是描述2012年至2017年间在巴拉圭国家癌症研究所(NCI巴拉圭)实施的干预措施,以提高宫颈癌患者的治疗质量和效率,重点是放射质量和获取途径。 NCI巴拉圭要求与国际志愿组织海外卫生志愿者(HVO)合作,以改善对子宫颈癌患者的护理。该报告基于HVO志愿者在2012年,2013年和2016年对NCI巴拉圭进行的实地访问,并于2017年对该站点进行了后续报道。在研究期间,增加的外部束辐射和近距离放射治疗导致减少在等待时间开始辐射2到3个月至4到6周。该中心从二维计划(2D)过渡到了3-D规划,并且能够为患有局部晚期宫颈癌的患者提供同步化疗和放疗,包括近距离放射治疗。根据美国临床肿瘤学会的资源分层临床指南,从2012年到2017年,该实践从“基本设置”过渡到“增强设置”。强调 ?尽管中低收入和中等收入国家获得医疗服务是一个全球性问题,但解决方案很可能是局部的。 ? NCI巴拉圭与一个志愿者团体合作,以改善宫颈癌患者的获取和及时治疗。 ?从2012年到2017年,NCI巴拉圭采用了多种策略来增加宫颈癌放射治疗的可及性。 ?根据ASCO的资源分层临床指南,实践从“基本设置”过渡到“增强设置”。

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