Core elements of national cancer control plans: a tool to support plan development and review

Oar, Andrew; Moraes, Fábio Ynoe de; Romero, Yannick; Ilbawi, André; Yap, Mei Ling

doi:10.1016/s1470-2045(19)30404-8

Cited by 42 publications

(47 citation statements)

References 15 publications

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“… 18 For those that do not have an NCCP, development of a plan with a survivorship component may be a first step in improving the quality of follow-up care. 19 Below we offer additional recommendations on the basis of our study results.…”

Section: Discussionmentioning

confidence: 99%

Follow-Up Care for Breast and Colorectal Cancer Across the Globe: Survey Findings From 27 Countries

Mollica

Mayer

Oeffinger

et al. 2020

JCO Global Oncology

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PURPOSE The purpose of this study was to describe follow-up care for breast and colorectal cancer survivors in countries with varying levels of resources and highlight challenges regarding posttreatment survivorship care. METHODS We surveyed one key stakeholder from each of 27 countries with expertise in survivorship care on questions including the components/structure of follow-up care, delivery of treatment summaries and survivorship care plans, and involvement of primary care in survivorship. Descriptive analyses were performed to characterize results across countries and variations between the WHO income categories (low, middle, high). We also performed a qualitative content analysis of narratives related to survivorship care challenges to identify major themes. RESULTS Seven low- or /lower-middle-income countries (LIC/LMIC), seven upper-middle-income countries (UMIC), and 13 high-income countries (HICs) were included in this study. Results indicate that 44.4% of countries with a National Cancer Control Plan currently address survivorship care. Additional findings indicate that HICs use guidelines more often than those in LICs/LMICs and UMICs. There was great variation among countries regardless of income level. Common challenges include issues with workforce, communication and care coordination, distance/transportation issues, psychosocial support, and lack of focus on follow-up care. CONCLUSION This information can guide researchers, providers, and policy makers in efforts to improve the quality of survivorship care on a national and global basis. As the number of cancer survivors increases globally, countries will need to prioritize their long-term needs. Future efforts should focus on efforts to bridge oncology and primary care, building international partnerships, and implementation of guidelines.

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Section: Discussionmentioning

confidence: 99%

Follow-Up Care for Breast and Colorectal Cancer Across the Globe: Survey Findings From 27 Countries

Mollica

Mayer

Oeffinger

et al. 2020

JCO Global Oncology

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“…A similar strategy was used to search PubMed, Embase, the Cochrane Library, and A structured questionnaire was developed consisting of 111 main items and 10 subquestions, resulting in a total of 121 questions. 9 The questionnaire covered 11 domains across the cancer control continuum: introduction and overview, prevention, early detection, treatment, palliative and supportive care, service delivery, governance, health workforce, health information systems, research and financing.…”

Section: Methodsmentioning

confidence: 99%

Pathology and Laboratory Medicine in cancer care: A global analysis of national cancer control plans

Parra‐Herran

Romero

Milner

2020

Intl Journal of Cancer

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In order to understand the structure and effectiveness of national cancer control systems, the International Cancer Control Partnership, the World Health Organization, the National Cancer Institute and the Union for International Cancer Control underwent a review of available national cancer health plans (NCCPs) and noncommunicable diseases plans (NCDPs) worldwide. Pathology and Laboratory Medicine (PALM) plays a major role in cancer management, from prevention and screening to patient care (diagnosis and treatment) and population‐level cancer surveillance. This review concentrates on the analysis of elements in national cancer care plans pertaining to PALM. Of 157 countries surveyed, 90 (57%) had a NCCP and 123 (78%) had a NCDP. While 54% of plans included guidelines on cancer diagnosis or plans to develop standards protocols for diagnosis, only 14% included PALM as a component of the plan. PALM‐related variables such as synoptic pathology reporting, cancer staging guidelines and cancer genetics programs were similarly underrepresented (being mentioned in only 6%, 17% and 16% of plans, respectively). Absence of PALM‐related variables tended to be more frequent in lower‐income countries. Our analysis highlights an important gap in national cancer control initiatives worldwide represented by the overall lack of inclusion of PALM resources. Cancer control will only be effective if laboratory sciences are placed as a priority. Based on the data presented herein, there is a need to increase awareness about the importance of PALM in cancer care, and to incorporate this discipline in the design and implementation of multilevel cancer control strategies.

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“…9,10 The importance of National Cancer Control Plans and the need to include radiotherapy provision and manpower as a priority have been well described. 11 Mongolia was selected as the eighth country to implement the International Atomic Energy Agency (IAEA) Program of Action for Cancer Therapy (PACT), 12 which aims to integrate radiotherapy into comprehensive cancer control. In 2012, Mongolia developed their initial NCCP, The Mongolian Sub-Program on Cancer Prevention and Control 2015-2020 9 and has been implementing activities consistent with the United Nations Declaration on Non-Communicable Diseases (NCDs) Prevention and Control.…”

Section: Cancer Control In Mongoliamentioning

confidence: 99%

Implementation of 3D conformal radiotherapy technology at the National Cancer Centre Mongolia: A successful Asia‐Pacific collaborative initiative

Koh

Gogna

Minjgee³

et al. 2021

J Med Imag Rad Onc

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Introduction: Mongolia has a population of 3.3 million and is classified by the WHO as a lower middle-income country. Cancer is now a major public health issue and one of the leading causes of mortality. Within the framework of an existing national cancer control plan, the National Cancer Centre of Mongolia (NCCM) aimed to implement 3D conformal radiation planning and linac-based treatment delivery. Methods: In 2018, an opportunity arose for collaboration between the Mongolia Society for Radiation Oncology (MOSTRO), the National Cancer Centre Mongolia (NCCM), the Asia-Pacific Radiation Oncology Special Interest Group (APROSIG) of the Royal Australian and New Zealand College of Radiologists (RANZCR) and the Asia-Pacific Special Interest Group (APSIG) of the Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM) and radiation therapists (RTTs) from a range of Australian centres. We describe here the results to date of this collaboration. Results: Despite a number of significant technical and practical barriers, successful linac commissioning was achieved in 2019. Key factors for success included a leadership receptive to change management, stable bureaucracy and health systems, as well as a synchronised effort, regional cooperation and mentorship. Conclusion: Future directions for ongoing collaborative efforts include a continued focus on education, practical training in radiotherapy planning and delivery and postgraduate education initiatives. Radiotherapy safety and quality assurance remain an ongoing priority, particularly as technological advances are sequentially implemented.

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Core elements of national cancer control plans: a tool to support plan development and review

Cited by 42 publications

References 15 publications

Follow-Up Care for Breast and Colorectal Cancer Across the Globe: Survey Findings From 27 Countries

Follow-Up Care for Breast and Colorectal Cancer Across the Globe: Survey Findings From 27 Countries

Pathology and Laboratory Medicine in cancer care: A global analysis of national cancer control plans

Implementation of 3D conformal radiotherapy technology at the National Cancer Centre Mongolia: A successful Asia‐Pacific collaborative initiative

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