The power of integration: Radiotherapy and global palliative care

Danielle Rodin, Ssurbhi Grover, Shekinah N. Elmore, Felicia Knaul, Rifat Atun, Lisa Caulley, Cristian A. Herrera, Joshua A. Jones, Aryeh J. Price, Anusheel Munshi, Ajeet K. Gandhi, Chiman Shah, Mary Gospodarowicz

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Radiotherapy (RT) is a powerful tool for the palliation of the symptoms of advanced cancer, although access to it is limited or absent in many low- and middle-income countries (LMICs). There are multiple factors contributing to this, including assumptions about the economic feasibility of RT in LMICs, the logical challenges of building capacity to deliver it in those regions, and the lack of political support to drive change of this kind. It is encouraging that the problem of RT access has begun to be included in the global discourse on cancer control and that palliative care and RT have been incorporated into national cancer control plans in some LMICs. Further, RT twinning programs involving high- and low-resource settings have been established to improve knowledge transfer and exchange. However, without large-scale action, the consequences of limited access to RT in LMICs will become dire. The number of new cancer cases around the world is expected to double by 2030, with twice as many deaths occurring in LMICs as in high-income countries (HICs). A sustained and coordinated effort involving research, education, and advocacy is required to engage global institutions, universities, health care providers, policymakers, and private industry in the urgent need to build RT capacity and delivery in LMICs.

Original languageEnglish (US)
Pages (from-to)209-217
Number of pages9
JournalAnnals of palliative medicine
Volume5
Issue number3
DOIs
StatePublished - 2016

Fingerprint

Palliative Care
Radiotherapy
Neoplasms
Capacity Building
Health Personnel
Industry
Economics
Education
Research

Keywords

  • Developing countries
  • Global health
  • Palliative care
  • Radiotherapy (RT)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rodin, D., Grover, S., Elmore, S. N., Knaul, F., Atun, R., Caulley, L., ... Gospodarowicz, M. (2016). The power of integration: Radiotherapy and global palliative care. Annals of palliative medicine, 5(3), 209-217. https://doi.org/10.21037/apm.2016.06.03

The power of integration : Radiotherapy and global palliative care. / Rodin, Danielle; Grover, Ssurbhi; Elmore, Shekinah N.; Knaul, Felicia; Atun, Rifat; Caulley, Lisa; Herrera, Cristian A.; Jones, Joshua A.; Price, Aryeh J.; Munshi, Anusheel; Gandhi, Ajeet K.; Shah, Chiman; Gospodarowicz, Mary.

In: Annals of palliative medicine, Vol. 5, No. 3, 2016, p. 209-217.

Research output: Contribution to journalReview article

Rodin, D, Grover, S, Elmore, SN, Knaul, F, Atun, R, Caulley, L, Herrera, CA, Jones, JA, Price, AJ, Munshi, A, Gandhi, AK, Shah, C & Gospodarowicz, M 2016, 'The power of integration: Radiotherapy and global palliative care', Annals of palliative medicine, vol. 5, no. 3, pp. 209-217. https://doi.org/10.21037/apm.2016.06.03
Rodin, Danielle ; Grover, Ssurbhi ; Elmore, Shekinah N. ; Knaul, Felicia ; Atun, Rifat ; Caulley, Lisa ; Herrera, Cristian A. ; Jones, Joshua A. ; Price, Aryeh J. ; Munshi, Anusheel ; Gandhi, Ajeet K. ; Shah, Chiman ; Gospodarowicz, Mary. / The power of integration : Radiotherapy and global palliative care. In: Annals of palliative medicine. 2016 ; Vol. 5, No. 3. pp. 209-217.
@article{75b7a27adaf74db58c0ffd0e87f492dd,
title = "The power of integration: Radiotherapy and global palliative care",
abstract = "Radiotherapy (RT) is a powerful tool for the palliation of the symptoms of advanced cancer, although access to it is limited or absent in many low- and middle-income countries (LMICs). There are multiple factors contributing to this, including assumptions about the economic feasibility of RT in LMICs, the logical challenges of building capacity to deliver it in those regions, and the lack of political support to drive change of this kind. It is encouraging that the problem of RT access has begun to be included in the global discourse on cancer control and that palliative care and RT have been incorporated into national cancer control plans in some LMICs. Further, RT twinning programs involving high- and low-resource settings have been established to improve knowledge transfer and exchange. However, without large-scale action, the consequences of limited access to RT in LMICs will become dire. The number of new cancer cases around the world is expected to double by 2030, with twice as many deaths occurring in LMICs as in high-income countries (HICs). A sustained and coordinated effort involving research, education, and advocacy is required to engage global institutions, universities, health care providers, policymakers, and private industry in the urgent need to build RT capacity and delivery in LMICs.",
keywords = "Developing countries, Global health, Palliative care, Radiotherapy (RT)",
author = "Danielle Rodin and Ssurbhi Grover and Elmore, {Shekinah N.} and Felicia Knaul and Rifat Atun and Lisa Caulley and Herrera, {Cristian A.} and Jones, {Joshua A.} and Price, {Aryeh J.} and Anusheel Munshi and Gandhi, {Ajeet K.} and Chiman Shah and Mary Gospodarowicz",
year = "2016",
doi = "10.21037/apm.2016.06.03",
language = "English (US)",
volume = "5",
pages = "209--217",
journal = "Annals of palliative medicine",
issn = "2224-5820",
publisher = "AME Publishing Company",
number = "3",

}

TY - JOUR

T1 - The power of integration

T2 - Radiotherapy and global palliative care

AU - Rodin, Danielle

AU - Grover, Ssurbhi

AU - Elmore, Shekinah N.

AU - Knaul, Felicia

AU - Atun, Rifat

AU - Caulley, Lisa

AU - Herrera, Cristian A.

AU - Jones, Joshua A.

AU - Price, Aryeh J.

AU - Munshi, Anusheel

AU - Gandhi, Ajeet K.

AU - Shah, Chiman

AU - Gospodarowicz, Mary

PY - 2016

Y1 - 2016

N2 - Radiotherapy (RT) is a powerful tool for the palliation of the symptoms of advanced cancer, although access to it is limited or absent in many low- and middle-income countries (LMICs). There are multiple factors contributing to this, including assumptions about the economic feasibility of RT in LMICs, the logical challenges of building capacity to deliver it in those regions, and the lack of political support to drive change of this kind. It is encouraging that the problem of RT access has begun to be included in the global discourse on cancer control and that palliative care and RT have been incorporated into national cancer control plans in some LMICs. Further, RT twinning programs involving high- and low-resource settings have been established to improve knowledge transfer and exchange. However, without large-scale action, the consequences of limited access to RT in LMICs will become dire. The number of new cancer cases around the world is expected to double by 2030, with twice as many deaths occurring in LMICs as in high-income countries (HICs). A sustained and coordinated effort involving research, education, and advocacy is required to engage global institutions, universities, health care providers, policymakers, and private industry in the urgent need to build RT capacity and delivery in LMICs.

AB - Radiotherapy (RT) is a powerful tool for the palliation of the symptoms of advanced cancer, although access to it is limited or absent in many low- and middle-income countries (LMICs). There are multiple factors contributing to this, including assumptions about the economic feasibility of RT in LMICs, the logical challenges of building capacity to deliver it in those regions, and the lack of political support to drive change of this kind. It is encouraging that the problem of RT access has begun to be included in the global discourse on cancer control and that palliative care and RT have been incorporated into national cancer control plans in some LMICs. Further, RT twinning programs involving high- and low-resource settings have been established to improve knowledge transfer and exchange. However, without large-scale action, the consequences of limited access to RT in LMICs will become dire. The number of new cancer cases around the world is expected to double by 2030, with twice as many deaths occurring in LMICs as in high-income countries (HICs). A sustained and coordinated effort involving research, education, and advocacy is required to engage global institutions, universities, health care providers, policymakers, and private industry in the urgent need to build RT capacity and delivery in LMICs.

KW - Developing countries

KW - Global health

KW - Palliative care

KW - Radiotherapy (RT)

UR - http://www.scopus.com/inward/record.url?scp=85001133431&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85001133431&partnerID=8YFLogxK

U2 - 10.21037/apm.2016.06.03

DO - 10.21037/apm.2016.06.03

M3 - Review article

C2 - 27481320

AN - SCOPUS:85001133431

VL - 5

SP - 209

EP - 217

JO - Annals of palliative medicine

JF - Annals of palliative medicine

SN - 2224-5820

IS - 3

ER -