Elmore Shekinah N C, Grover Surbhi, Bourque Jean-Marc, Chopra Supriya, Nyakabau Anna Mary, Ntizimira Christian, Krakauer Eric L, Balboni Tracy A, Gospodarowicz Mary K, Rodin Danielle
Harvard Radiation Oncology Program, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
Department of Radiation Oncology, University of Pennsylvania, Philadelphia, USA; Botswana-UPENN Partnership, University of Botswana, Gaborone, Botswana.
Ann Palliat Med. 2019 Jul;8(3):274-284. doi: 10.21037/apm.2019.02.02. Epub 2019 Feb 23.
Radiotherapy is an essential component of cancer therapy. Lack of access to radiotherapy in less-developed countries prevents its use for both cure and symptom relief, resulting in a significant disparity in patient suffering. Several recent initiatives have highlighted the need for expanded access to both palliative medicine and radiotherapy globally. Yet, these efforts have remained largely independent, without attention to overlap and integration. This review provides an update on the progress toward global palliative radiotherapy access and proposes a strategic framework to address further scale-up. Synergies between radiotherapy, palliative medicine, and other global health initiatives will be essential in bringing palliative radiotherapy to patients around the globe.
放射治疗是癌症治疗的重要组成部分。在欠发达国家，由于无法获得放射治疗，导致其无法用于治愈疾病和缓解症状，从而使患者痛苦程度存在显著差异。最近的几项倡议强调了在全球范围内扩大姑息治疗和放射治疗可及性的必要性。然而，这些努力在很大程度上仍然是独立的，没有关注到重叠和整合的问题。本综述介绍了全球姑息性放射治疗可及性方面的进展，并提出了一个战略框架以进一步扩大规模。放射治疗、姑息治疗和其他全球卫生倡议之间的协同作用对于将姑息性放射治疗带给全球患者至关重要。
