The role of telepathology in improving cancer diagnostic and research capacity in sub-Saharan Africa.
The role of telepathology in improving cancer diagnostic and research capacity in sub-Saharan Africa.
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心脏病学在改善撒哈拉以南非洲癌症诊断和研究能力方面的作用。
DOI：
10.3389/fmed.2022.978245
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发表时间：
2022
影响因子：
3.9
通讯作者：
中科院分区：
文献类型：
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作者：
包括癌症在内的非传染性疾病（NCD）对中低收入国家（LMIC）的影响尤为严重。这种不平等的部分原因是病理学服务的人力和基础设施有限。虽然在解决这些差距方面取得了重大进展，但仍需要采取创造性的方法，考虑到区域优先事项、文化差异和独特的地方挑战。从这个角度来看，我们将描述远程病理学服务在撒哈拉以南非洲（SSA）的实施，作为直接患者护理，多学科护理协调，研究计划和通过培训建设人力资源的基石。将讨论系统实施，可持续性和病理学家参与的模型和挑战。使用疾病和站点特定的例子，我们将建议质量控制和改进措施的指标，这些措施对于提供高质量的癌症登记数据至关重要，并且对于未来实施治疗和干预性临床试验是必要的。
Non-communicable disease (NCD), including cancer, disproportionately affect Low- and Middle-Income Countries (LMICs). This inequity is in part due to limitations of pathology services, both human and infrastructural. While significant improvements have been made to address these gaps, creative approaches that are mindful of regional priorities, cultural differences, and unique local challenges are needed. In this perspective, we will describe the implementation of telepathology services in sub-Saharan Africa (SSA) that serve as cornerstones for direct patient care, multi-disciplinary care coordination, research programs, and building human capacity through training. Models and challenges of system implementation, sustainability, and pathologist engagement will be discussed. Using disease and site-specific examples, we will suggest metrics for quality control and improvement initiatives that are critical for providing high-quality cancer registry data and necessary for future implementation of therapeutic and interventional clinical trials.
影响因子：
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作者：
Evans AJ;Krupinski EA;Weinstein RS;Pantanowitz L
通讯作者：
Pantanowitz L