Jacobson Geraldine, Chuang Linus, Pankow Maximilian
Department of Radiation Oncology, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26506, United States.
Department of Obstetrics and Gynecology, Western Connecticut Health Network, 24 Hospital Avenue, Danbury, CT 06810, United States.
Gynecol Oncol Rep. 2018 Jun 14;25:82-86. doi: 10.1016/j.gore.2018.06.006. eCollection 2018 Aug.
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".
本报告旨在描述2012年至2017年期间巴拉圭国家癌症研究所（NCI巴拉圭）为提高宫颈癌患者的治疗质量和效率所实施的干预措施，重点关注放射治疗质量和可及性。NCI巴拉圭请求与国际志愿者组织海外健康志愿者（HVO）合作，以改善宫颈癌患者的护理。本报告基于HVO志愿者在2012年、2013年和2016年对NCI巴拉圭的实地考察，以及该机构在2017年的后续报告。在研究期间，外照射放疗和近距离放疗的可及性增加，使得开始放疗的等待时间从2至3个月缩短至4至6周。该中心从二维（2D）规划过渡到三维规划，并能够为局部晚期宫颈癌患者提供同步化疗和放疗，包括近距离放疗。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，该机构的实践从“基本配置”过渡到了“强化配置”。
