Treatment of cervical cancer: overcoming challenges in access to brachytherapy.

Treatment of cervical cancer: overcoming challenges in access to brachytherapy.
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DOI:
10.1080/14737140.2022.2047936
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发表时间:
2022-04
影响因子:
3.3
通讯作者:
Grover, Surbhi
Grover, Surbhi
中科院分区:
医学3区
文献类型:
--
作者:
Lichter, Katie;Akinfenwa, Chidinma Anakwenze;MacDuffie, Emily;Bhatia, Rohini;Small, Christina;Croke, Jennifer;Small, William;Chino, Junzo;Petereit, Daniel;Grover, Surbhi

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近距离放射治疗是宫颈癌治疗模式的重要组成部分,因为它有助于改善临床结局和总生存率。然而,近距离放射治疗在全球范围内仍然没有得到充分利用,在国家和国际两级的获取方面存在差距。该综述探讨了目前近距离放射治疗的使用实践和正在进行的努力,以解决低收入、中等收入和高收入国家实施近距离放射治疗的障碍,以及这些努力预计将如何影响未来近距离放射治疗的使用。所介绍的内容是基于对已发表文献和作者集体临床经验的综述。有一个巨大的机会,扩大获得基本的近距离治疗服务的妇女与宫颈癌。目前有许多国家和国际近距离放射治疗努力;但仍然必须继续加强这种重点努力,并为全世界有需要的妇女提供更多获得这一关键治疗方式的机会。
Brachytherapy is an essential component of the cervical cancer treatment paradigm as it contributes to improved clinical outcomes and overall survival. Yet brachytherapy remains globally underutilized, with disparities in access at both national and international levels. The review explores current brachytherapy utilization practices and efforts being undertaken to address barriers to implementation in low-, middle-, and high-income countries, and how these efforts are projected to impact future brachytherapy access. The content presented is based on a review of published literature and the authors’ collective clinical experiences. There exists a tremendous opportunity to expand access to essential brachytherapy services for women with cervical cancer. Many national and international brachytherapy efforts exist; yet it remains imperative that such focused efforts continue to grow and provide further access to this critical treatment modality for women in need worldwide.
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