Puricelli Perin Douglas M, Vogel Amanda L, Taplin Stephen H
Frederick National Laboratory for Cancer Research, Frederick, MD.
Center for Global Health, National Cancer Institute, National Institutes of Health, Rockville, MD.
J Glob Oncol. 2019 Sep;5:1-8. doi: 10.1200/JGO.19.00202.
As the global burden of cancer rises, global knowledge sharing of effective cancer control practices will be critical. The International Cancer Screening Network (ICSN) of the US National Cancer Institute facilitates knowledge sharing to advance cancer screening research and practice. Our analysis assessed perceptions of ICSN's value and knowledge sharing in cancer screening among participants working in high-income countries (HICs) and low- and middle-income countries (LMICs).
In 2018, the National Cancer Institute fielded a self-administered, online survey to 665 ICSN participants from both HICs and LMICs.
Two hundred forty-three individuals (36.5%) completed the full survey. LMIC participants engaged in more diverse screening activities and had fewer years of experience (13.5% with more than 20 years of experience 31%; = .048) in screening and were more interested in cervical cancer (76.9% 52.6%; = .002) than HIC participants. However, both groups spent most of their time on research (30.8% LMIC 36.6% HIC; = .518) and agreed that the ICSN biennial meeting enabled them to learn from the experiences of both higher-resource (88.2% 75.7%; = .122) and lower-resource (61.8% 68.0%; = .507) settings. ICSN helped them form new collaborations for research and implementation (55.1% 58.2%; = .063); informed advances in research/evaluation (71.4% 68.0%; = .695), implementation (59.2% 47.9%; = .259), and policies in their settings (55.1% 48.0%; = .425); and provided the opportunity to contribute their knowledge and expertise to assist others (67.3% 71.1%; = .695).
Findings suggest that HIC and LMIC participants benefit from knowledge sharing at ICSN meetings although their interests, backgrounds, and needs differ. This points to the importance of international research networks that are inclusive of HIC and LMIC participants in cancer control to advance knowledge and effective practices globally.
随着全球癌症负担的增加，有效癌症控制实践的全球知识共享将至关重要。美国国立癌症研究所的国际癌症筛查网络（ICSN）促进知识共享，以推进癌症筛查研究和实践。我们的分析评估了高收入国家（HICs）和低收入及中等收入国家（LMICs）的参与者对ICSN在癌症筛查方面的价值和知识共享的看法。
2018年，国立癌症研究所对来自HICs和LMICs的665名ICSN参与者进行了一项自我管理的在线调查。
243人（36.5%）完成了完整调查。与HIC参与者相比，LMIC参与者参与的筛查活动更多样化，筛查经验年限更少（13.5%有超过20年经验对31%；P = 0.048），对宫颈癌更感兴趣（76.9%对52.6%；P = 0.002）。然而，两组大部分时间都花在研究上（LMIC为30.8%，HIC为36.6%；P = 0.518），并且都认为ICSN两年一次的会议使他们能够从资源更丰富（88.2%对75.7%；P = 0.122）和资源较少（61.8%对68.0%；P = 0.507）的环境中学习经验。ICSN帮助他们形成新的研究和实施合作（55.1%对58.2%；P = 0.063）；为其所在环境中的研究/评估（71.4%对68.0%；P = 0.695）、实施（59.2%对47.9%；P = 0.259）和政策（55.1%对48.0%；P = 0.425）的进展提供信息；并提供了贡献其知识和专业技能以帮助他人的机会（67.3%对71.1%；P = 0.695）。
研究结果表明，尽管HIC和LMIC参与者的兴趣、背景和需求不同，但他们都从ICSN会议的知识共享中受益。这表明了包括HIC和LMIC参与者在内进行癌症控制方面的国际研究网络对于在全球推进知识和有效实践的重要性。
