Department of Medicine, Division of Hematology-Oncology, Weill Cornell Medicine, New York, NY, United States; Inflammatory Breast Cancer International Consortium (IBC-IC), New York, NY, United States; Inflammatory Breast Cancer (IBC) Foundation, Milford, MI, United States.
Fighting 4 the Tatas Breast Cancer Organization, Rancho Cucamonga, CA, United States.
Int Rev Cell Mol Biol. 2024;384:153-164. doi: 10.1016/bs.ircmb.2023.11.001. Epub 2023 Nov 21.
Patient advocates, referring to those individuals that have been diagnosed with the disease for which they advocate, are essential stake holders in healthcare. For those facing the stages of being diagnosed with Inflammatory Breast Cancer (IBC), the "call to advocate" is an immediate response to being diagnosed with a rare and aggressive disease that progresses rapidly, often in a matter of weeks or months. There is a great stigma and bias in the medical community that has inhibited the education and study of IBC. A lack of understanding of the disease, how it presents and how to treat it leaves many IBC patients facing misdiagnosis. Communication is a cornerstone of healthcare; this goes beyond the patient-provider dynamic. Education of IBC must be a grassroots initiative. There should be no barrier to care in the diagnosis, treatment, study and survivorship of inflammatory Breast Cancer. It is not just an oncologist's lesson to learn, but that of all providers in healthcare. In this chapter you will hear how 4 women who were diagnosed with IBC faced the difficult tasks of navigating through the healthcare system on their own and came out on the other side using their experience to help others. In conclusion, in defining the evolving roles of Patient Advocacy in IBC over the past 25 years, we examine what has been done, along with its challenges, and what work still remains from the perspectives of different patient advocates.
患者权益倡导者是指那些被诊断出患有所倡导疾病的人,他们是医疗保健的重要利益相关者。对于那些面临炎性乳腺癌(IBC)诊断阶段的患者来说,“倡导呼吁”是对被诊断出患有罕见且侵袭性疾病的立即反应,这种疾病进展迅速,通常在数周或数月内。在医学界存在很大的污名化和偏见,这阻碍了对 IBC 的教育和研究。由于对该病的认识不足,其表现形式以及如何治疗,许多 IBC 患者面临误诊。沟通是医疗保健的基石;这不仅限于医患关系。必须从基层发起对 IBC 的教育。在诊断、治疗、研究和炎性乳腺癌的生存方面,不应存在任何障碍。这不仅是肿瘤学家需要学习的课程,也是医疗保健领域所有提供者都需要学习的课程。在这一章中,您将听到 4 位被诊断出患有 IBC 的女性如何独自在医疗保健系统中艰难前行,并利用自己的经验帮助他人走出困境。总之,在过去 25 年中,我们从不同患者权益倡导者的角度来审视 IBC 中患者权益倡导的不断变化的角色,探讨了已经完成的工作、面临的挑战以及仍有待完成的工作。