中低收入国家的妇科放射治疗现状。
The state of gynecologic radiation therapy in low- and middle-income countries.
机构信息
Department of Radiation Oncology and Molecular Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Department of Radiation Oncology, University of California San Francisco, San Francisco, California, USA.
出版信息
Int J Gynecol Cancer. 2022 Mar;32(3):421-428. doi: 10.1136/ijgc-2021-002470.
A disproportionate burden of gynecologic malignancies occurs in low- and middle-income countries. Radiation therapy is an integral component of treatment for gynecologic malignancies both from a curative (locally advanced cervical cancer) and palliative (bleeding cervical or pelvic mass) standpoint. Critical to understanding how better to serve patients in this regard is understanding both the extent of disease epidemiology and the radiotherapy infrastructure to treat these diseases. In this review, we explore various geographic regions and how they address a unique set of challenges specific to the peoples and culture of the region. We identify common threads across regions, including sparse distribution of radiation equipment, geographic access, and specialized training. We also highlight examples of success in the use of telemedicine and cross-cultural partnerships to help bolster access to training to ensure increased access to adequate and appropriate treatment of gynecologic malignancies.
妇科恶性肿瘤在中低收入国家的负担不成比例。放射治疗是妇科恶性肿瘤治疗的一个组成部分，无论是从治愈（局部晚期宫颈癌）还是姑息（宫颈或盆腔出血肿块）的角度来看。要了解如何在这方面更好地为患者服务，关键是要了解疾病流行病学的程度以及治疗这些疾病的放射治疗基础设施。在这篇综述中，我们探讨了不同的地理区域，以及它们如何应对该地区人民和文化特有的一系列独特挑战。我们在各个地区之间找到了一些共同的线索，包括放射设备的分布稀疏、地理上的可达性以及专业培训。我们还强调了一些成功的例子，如远程医疗和跨文化合作的使用，以帮助加强培训机会，确保更多的人能够获得适当和充分的妇科恶性肿瘤治疗。
Zotero 插件