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Suggested Citation:"Appendix A: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2016. Cancer Care in Low-Resource Areas: Cancer Prevention and Early Detection: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21892.
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Appendix A

Statement of Task

Ad hoc committees will plan and host a series of two 2-day public workshops to examine policy issues pertaining to the cancer care continuum in low-resource areas, both domestic and international.

The first workshop will focus on cancer prevention and early detection, while the second will focus on cancer treatment, palliative care, and survivorship care in low-resource communities. The workshops will feature invited presentations and panel discussions on topics that may include

  • An overview of disparities in cancer control and outcomes, accounting for cultural and political barriers to access as well as resource constraints
  • The current evidence base and strategies to support effective cancer prevention and risk reduction, diagnosis, and treatment in low-resource settings
  • Key gaps in the evidence base and the challenges and opportunities to address those gaps to improve cancer outcomes for patients in low-resource populations
  • Potential action steps for effectively applying the available evidence on cancer prevention, diagnosis, and treatment in resource-constrained communities
Suggested Citation:"Appendix A: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2016. Cancer Care in Low-Resource Areas: Cancer Prevention and Early Detection: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21892.
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  • Principled evaluations of successes and failures in cancer control efforts in low-resource settings, which could serve as models for how to develop effective and affordable cancer control

The committee will develop the agendas for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. Individually authored workshop summaries of the presentations and discussions at the workshops will be prepared by a designated rapporteur in accordance with institutional guidelines.

Suggested Citation:"Appendix A: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2016. Cancer Care in Low-Resource Areas: Cancer Prevention and Early Detection: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21892.
×
Page 101
Suggested Citation:"Appendix A: Statement of Task." National Academies of Sciences, Engineering, and Medicine. 2016. Cancer Care in Low-Resource Areas: Cancer Prevention and Early Detection: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21892.
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Page 102
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Though cancer was once considered to be a problem primarily in wealthy nations, low- and middle-income countries now bear a majority share of the global cancer burden, and cancer often surpasses the burden of infectious diseases in these countries. Effective low-cost cancer control options are available for some malignancies, with the World Health Organization estimating that these interventions could facilitate the prevention of approximately one-third of cancer deaths worldwide. But these interventions remain inaccessible for many people in the world, especially those residing in low-resource communities that are characterized by a lack of funds – on an individual or societal basis – to cover health infrastructure and care costs.

Few guidelines and strategies for cancer control consider the appropriateness and feasibility of interventions in low-resource settings, and may undermine the effectiveness of these efforts. For example, interventions that are designed for high-resource settings may not account for important considerations in low-resource settings, such as resource constraints, infrastructure requirements, or whether a community has the capacity to deliver downstream cancer care. Patients in resource-constrained communities continue to face delayed diagnoses of cancer, potentially resulting in the diagnosis of later stage cancers and worsened patient outcomes. In addition, social stigmas, geopolitical issues, and cultural norms may limit access to cancer care in certain communities.

Recognizing the challenges of providing cancer care in these settings, the National Academies of Sciences, Engineering, and Medicine developed a workshop series examining cancer care in low-resource communities. This report summarizes the presentations and discussions from the first workshop, which focused on cancer prevention and early detection.

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