Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries: Key messages from Disease Control Priorities, 3rd edition

Hellen Gelband, Rengaswamy Sankaranarayanan, Cindy L. Gauvreau, Susan Horton, Benjamin O. Anderson, Freddie Bray, James Cleary, Anna J. Dare, Lynette Denny, Mary K. Gospodarowicz, Sumit Gupta, Scott C. Howard, David A. Jaffray, Felicia Knaul, Carol Levin, Linda Rabeneck, Preetha Rajaraman, Terrence Sullivan, Edward L. Trimble, Prabhat Jha

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

Investments in cancer control-prevention, detection, diagnosis, surgery, other treatment, and palliative care-are increasingly needed in low-income and particularly in middle-income countries, where most of the world's cancer deaths occur without treatment or palliation. To help countries expand locally appropriate services, Cancer (the third volume of nine in Disease Control Priorities, 3rd edition) developed an essential package of potentially cost-effective measures for countries to consider and adapt. Interventions included in the package are: prevention of tobacco-related cancer and virus-related liver and cervical cancers; diagnosis and treatment of early breast cancer, cervical cancer, and selected childhood cancers; and widespread availability of palliative care, including opioids. These interventions would cost an additional US$20 billion per year worldwide, constituting 3% of total public spending on health in low-income and middle-income countries. With implementation of an appropriately tailored package, most countries could substantially reduce suffering and premature death from cancer before 2030, with even greater improvements in later decades.

Original languageEnglish (US)
JournalThe Lancet
DOIs
StateAccepted/In press - 2015
Externally publishedYes

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Costs and Cost Analysis
Neoplasms
Palliative Care
Uterine Cervical Neoplasms
Premature Mortality
Liver Neoplasms
Opioid Analgesics
Tobacco
Therapeutics
Breast Neoplasms
Viruses
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries : Key messages from Disease Control Priorities, 3rd edition. / Gelband, Hellen; Sankaranarayanan, Rengaswamy; Gauvreau, Cindy L.; Horton, Susan; Anderson, Benjamin O.; Bray, Freddie; Cleary, James; Dare, Anna J.; Denny, Lynette; Gospodarowicz, Mary K.; Gupta, Sumit; Howard, Scott C.; Jaffray, David A.; Knaul, Felicia; Levin, Carol; Rabeneck, Linda; Rajaraman, Preetha; Sullivan, Terrence; Trimble, Edward L.; Jha, Prabhat.

In: The Lancet, 2015.

Research output: Contribution to journalArticle

Gelband, H, Sankaranarayanan, R, Gauvreau, CL, Horton, S, Anderson, BO, Bray, F, Cleary, J, Dare, AJ, Denny, L, Gospodarowicz, MK, Gupta, S, Howard, SC, Jaffray, DA, Knaul, F, Levin, C, Rabeneck, L, Rajaraman, P, Sullivan, T, Trimble, EL & Jha, P 2015, 'Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries: Key messages from Disease Control Priorities, 3rd edition', The Lancet. https://doi.org/10.1016/S0140-6736(15)00755-2
Gelband, Hellen ; Sankaranarayanan, Rengaswamy ; Gauvreau, Cindy L. ; Horton, Susan ; Anderson, Benjamin O. ; Bray, Freddie ; Cleary, James ; Dare, Anna J. ; Denny, Lynette ; Gospodarowicz, Mary K. ; Gupta, Sumit ; Howard, Scott C. ; Jaffray, David A. ; Knaul, Felicia ; Levin, Carol ; Rabeneck, Linda ; Rajaraman, Preetha ; Sullivan, Terrence ; Trimble, Edward L. ; Jha, Prabhat. / Costs, affordability, and feasibility of an essential package of cancer control interventions in low-income and middle-income countries : Key messages from Disease Control Priorities, 3rd edition. In: The Lancet. 2015.
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