The implementation of the Plan Esperanza and response to the imPACT Review

Vidaurre, Tatiana; Santos, Carlos; Gómez, Henry L.; Sarria, Gustavo R.; Amorín, Edgar; López, Marga; Regalado, Roxana; Manrique, Javier; Tarco, Duniska; Ayestas, Carlos; Calderón, Mónica; López, Luis Alberto Moreno; Neciosup, Silvia P.; Salazar, Miriam; Chávez, Juan Carlos; Ubillús, Milward; Limache, Abel; Ubillus, José Carlos; Navarro, Jeannie; Sarwal, Kavita; Sutcliffe, Simon; Gutiérrez-Aguado, Alfonso; Silva, Marianela; Mena, Amalia; Guillén, María Eugenia; Castañeda, Carlos A.; Abugattas, Julio

doi:10.1016/s1470-2045(17)30598-3

Cited by 32 publications

(28 citation statements)

References 7 publications

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“…[24]. It is consistent with the goal of Plan Esperanza to decrease the economic barriers for comprehensive cancer care throughout Peru, mainly for low-income patients [10]. Further, these savings are for each application of chemotherapy, which can be every 3 weeks for 4 or 6 cycles and in some cases weekly.…”

Section: Discussionsupporting

confidence: 60%

“…Plan Esperanza, (the National Cancer Control Plan for Peru), has promulgated implementation strategies bringing oncology services to the most remote areas of the country according to standards similar to the comprehensive cancer care provided by INEN, through a collaborative alliance between institutions at the central and regional levels [10]. Peru is promoting the National Telehealth…”

Section: Discussionmentioning

confidence: 99%

“…Telemedicine applied to teleoncology began with the use of videoconferencing in the evaluation of the care of cancer patients and goes back to 1990 [3]. Subsequently, cancer patient's satisfaction regarding teleoncology has been evaluated in a rural area [4], for medical evaluation and tumor clinical-pathology consultation [5] [6] [7], and to prospectively evaluate the feasibility of administering chemotherapy in rural and remote areas [8] [9] [10].…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a Telechemotherapy Module in the Peruvian Jungle with Adequate Quality of Life: Breaking the Access Gaps to Health with Teleoncology

Vidaurre¹,

Vásquez²,

Valencia³

et al. 2019

JCT

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Background: Cancer is a leading cause of death worldwide as well as in Peru. The national cancer plan includes decentralization, but one of the greatest barriers is our complicated geography. San Martin is a department located in the Peruvian jungle where there are no public services for cancer care. Our aim was to implement a "distance telemedicine-enabled" outpatient chemotherapy module, monitored by oncologists. Methods: The implementation was conducted in 3 stages: 1) Planning and Organization: working teams were formed, a chemotherapy room was developed and people were trained. 2) Execution: patients from San Martín region, aged >18 years with pathological confirmation of cancer, requiring systemic chemotherapy, ECOG <3, and first course of chemotherapy received at INEN without adverse reaction were selected. 3) Evaluation: adverse events, cost-user evaluation and quality of life (QoL) were assessed. Results: By November 2015, a module with a chemotherapy room with 18 chairs, a pharmacy, a hospitalization room, 1 medical office, a training room, a nutrition area, and a nursing station was implemented. 3 physicians, 3 nurses and 1 pharmacist were trained. Through March 2018, 501 sessions of teleoncology were completed to deliver 232 cycles of chemotherapy for 56 patients aged

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation of a Telechemotherapy Module in the Peruvian Jungle with Adequate Quality of Life: Breaking the Access Gaps to Health with Teleoncology

Vidaurre¹,

Vásquez²,

Valencia³

et al. 2019

JCT

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“…Moreover, the high prevalence of breast, cervical and thyroid cancer in our female population accounts for a large share of cases and merits consideration [4][5][6][7]. It is also worth noting that changes in incidence and reduced mortality in YA, such as for cervical cancer, may be related not only to the implementation of public policies (Plan Esperanza [Hope Plan]) but also increased economic resources, access and knowledge of the pathology [15].…”

Section: Reviewmentioning

confidence: 99%

Cancer incidence and mortality trends in Metropolitan Lima young adults, 1990–2012

Luna‐Abanto¹,

Ruiz²,

Laura-Martinez³

et al. 2020

ecancer

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Aims: The purpose of this research was to calculate and compare standardised incidence and mortality ratios in young adults, based on the data published by the population-based cancer registry of Metropolitan Lima. Method: A secondary analysis was carried out on the data published by the population-based cancer registry of Metropolitan Lima in its last five volumes. Calculating the standardised incidence ratio, in accordance with the World Health Organization's standard population, was done using the direct method, and the annual percentage change was calculated using the Joinpoint Regression Program. Results: From 1990 to 2012, 12,380 new cases of cancer in young adults between the ages of 20 and 49 were reported in Metropolitan Lima. The neoplasms with the highest standardised incidence ratio in the young adult male group were testicular cancer, brain and nervous system cancer, stomach cancer, non-Hodgkin's lymphoma and bowel cancer. The neoplasms with the highest standardised mortality ratio for this group were stomach cancer, brain and nervous system cancer, non-Hodgkin's lymphoma, tracheal cancer, bronchial and lung cancer and liver cancer. The neoplasms with the highest standardised incidence ratio in the young adult female group were breast cancer, cervical cancer, thyroid cancer, ovarian cancer and brain and nervous system cancer. The neoplasms with the highest standardised mortality ratio for this group were breast cancer, cervical cancer, stomach cancer, brain and nervous system cancer and non-Hodgkin's lymphoma. Conclusions: Young adults represent a highly unique group, characterised by little diagnostic suspicion, distribution and aggressiveness of the neoplasms that occur in them. Assessing and reporting incidence and mortality ratios in this age group can contribute to decision making.

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“…anual (22). En el 2012, el SIS incluyó como estrategia sanitaria al Plan Esperanza, con el propósito de reducir la morbimortalidad por cáncer, el cual cobertura el diagnóstico y tratamiento en siete tipos de cáncer, entre los que se encuentra el adenocarcinoma gástrico (22).…”

Section: Relevancia En Salud Públicaunclassified

Asociación entre seguro de salud y mortalidad por adenocarcinoma gástrico en un centro especializado en Lima, Perú en el 2014 y 2015

Pereda¹,

Velit²

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The implementation of the Plan Esperanza and response to the imPACT Review

Cited by 32 publications

References 7 publications

Implementation of a Telechemotherapy Module in the Peruvian Jungle with Adequate Quality of Life: Breaking the Access Gaps to Health with Teleoncology

Implementation of a Telechemotherapy Module in the Peruvian Jungle with Adequate Quality of Life: Breaking the Access Gaps to Health with Teleoncology

Cancer incidence and mortality trends in Metropolitan Lima young adults, 1990–2012

Asociación entre seguro de salud y mortalidad por adenocarcinoma gástrico en un centro especializado en Lima, Perú en el 2014 y 2015

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