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Raez LE, Santos ES, Rolfo C, Lopes G, Barrios C, Cardona A, Mas LA, Arrieta O, Richardet E, Vallejos S C, Wistuba I, Gandara D, Hirsch FR. Challenges in Facing the Lung Cancer Epidemic and Treating Advanced Disease in Latin America. Clin Lung Cancer 2016; 18:e71-e79. [PMID: 27426974 DOI: 10.1016/j.cllc.2016.05.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Revised: 05/18/2016] [Accepted: 05/24/2016] [Indexed: 12/19/2022]
Abstract
Lung cancer, the deadliest cancer worldwide, is of particular concern in Latin America. The rising incidence poses a myriad of challenges for the region, which struggles with limited resources to meet the health care needs of its low- and middle-income populations. In this environment, we are concerned that governments are relatively unaware of the pressing need to implement effective strategies for screening, diagnosis, and treatment of lung cancer. The region has also been slow in adopting molecularly-based therapies in the treatment of advanced disease: testing for epidermal growth factor receptor mutations and anaplastic lymphoma kinase rearrangements are not routine, and access to targeted agents such as monoclonal antibodies and tyrosine kinase inhibitors is problematic. In this paper, we review the current situation in the management of lung cancer in Latin America, hoping that this initiative will help physicians, patient associations, industry, governments, and other stakeholders better face this epidemic in the near future.
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Affiliation(s)
- Luis E Raez
- Memorial Cancer Institute, Pembroke Pines, FL; Herbert Wertheim College of Medicine, Florida International University, Miami, FL.
| | - Edgardo S Santos
- Cancer Research Thoracic and Head and Neck Cancer Programs, Lynn Cancer Institute, Boca Raton, FL
| | - Christian Rolfo
- Clinical Trial Management Program, Oncology Department, Early Clinical Trials Unit, University Hospital Antwerp, Edegem, Belgium
| | - Gilberto Lopes
- Centro Paulista de Oncologia e/and HCor Onco, Oncoclinicas do Brasil, Brasil
| | - Carlos Barrios
- Department of Medicine, PUCRS School of Medicine, Porto Alegre RS, Brazil
| | - Andres Cardona
- Clinical and Translational Oncology Group, Clinical Epidemiology Clinical Research Coordinator, ONCOLGroup/FICMAC, Bogota, Colombia
| | - Luis A Mas
- Department of Medicine/National Cancer Institute (INEN), Lima, Peru
| | - Oscar Arrieta
- Instituto Nacional de Cancerología - Mexico, Mexico City, Mexico
| | | | | | - Ignacio Wistuba
- Department of Translational Molecular Pathology, Anderson Clinical Faculty Chair for Cancer Treatment and Research, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - David Gandara
- Thoracic Oncology Program, UC Davis Comprehensive Cancer Center, Sacramento, CA
| | - Fred R Hirsch
- International Association for the Study of Lung Cancer and University of Colorado, Denver, Colorado
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Morabia A. Has Epidemiology Become Infatuated With Methods? A Historical Perspective on the Place of Methods During the Classical (1945–1965) Phase of Epidemiology. Annu Rev Public Health 2015; 36:69-88. [DOI: 10.1146/annurev-publhealth-031914-122403] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Alfredo Morabia
- Barry Commoner Center for Health and the Environment, Queens College, City University of New York, New York, NY 11367;
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032
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Hillman RW, Reuter M, Demarest E, Smith VM, Wanzer RA. Smoking and illness experience of student nurses. PUBLIC HEALTH REPORTS (WASHINGTON, D.C. : 1896) 1967; 82:633-8. [PMID: 4961435 PMCID: PMC1920016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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