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Ortiz AP, Hospedales CJ, Méndez-Lázaro PA, Hamilton WM, Rolle LD, Shepherd JM, Espinel Z, Gay HA, Nogueira LM, Shultz JM. Protecting Caribbean patients diagnosed with cancer from compounding disasters. Lancet Oncol 2024; 25:e217-e224. [PMID: 38697167 DOI: 10.1016/s1470-2045(24)00071-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 01/23/2024] [Accepted: 01/26/2024] [Indexed: 05/04/2024]
Abstract
Caribbean small island developing states are becoming increasingly vulnerable to compounding disasters, prominently featuring climate-related hazards and pandemic diseases, which exacerbate existing barriers to cancer control in the region. We describe the complexities of cancer prevention and control efforts throughout the Caribbean small island developing states, including the unique challenges of people diagnosed with cancer in the region. We highlight potential solutions and strategies that concurrently address disaster adaptation and cancer control. Because Caribbean small island developing states are affected first and worst by the hazards of compounding disasters, the innovative solutions developed in the region are relevant for climate mitigation, disaster adaptation, and cancer control efforts globally. In the age of complex and cascading disaster scenarios, developing strategies to mitigate their effect on the cancer control continuum, and protecting the health and safety of people diagnosed with cancer from extreme events become increasingly urgent. The equitable development of such strategies relies on collaborative efforts among professionals whose diverse expertise from complementary fields infuses the local community perspective while focusing on implementing solutions.
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Affiliation(s)
- Ana Patricia Ortiz
- Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, San Juan, Puerto Rico; Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico
| | - C James Hospedales
- EarthMedic and EarthNurse Foundation for Planetary Health, Port of Spain, Trinidad and Tobago; Defeat-NCD Partnership Executive Committee Climate and Health, Healthy Caribbean Coalition, Geneva, Switzerland
| | - Pablo A Méndez-Lázaro
- Environmental Health Department, Graduate School of Public Health, University of Puerto Rico, San Juan, Puerto Rico
| | | | - LaShae D Rolle
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
| | - J Marshall Shepherd
- Institute for Resilient Infrastructure Systems, Department of Geography, University of Georgia, Athens, GA, USA
| | - Zelde Espinel
- Department of Psychiatry and Behavioral Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Hiram A Gay
- Department of Radiation Oncology, School of Medicine, Washington University in St Louis, Saint Louis, MO, USA
| | | | - James M Shultz
- Protect & Promote Population Health in Complex Crises, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
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2
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Houpert R, Almont T, Mésenge C, Kleinebreil L, Forlini L, Magnone B, Leroux V, Vestris M, Montabord C, Carmenate J, Galán Y, Rubio MC, Enriquez R, Burte C, Gatimel N, Bujan L, Kara N, Edwige O, Huyghe É, Joachim C, Véronique-Baudin J. International cooperation and the challenge of internet accessibility in Caribbean territories: example of a collaborative platform between the University Hospital of Martinique and Ramón González Coro Hospital in Cuba, through the French PRPH-3 program. BMC MEDICAL EDUCATION 2023; 23:352. [PMID: 37208670 DOI: 10.1186/s12909-023-04321-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 05/04/2023] [Indexed: 05/21/2023]
Abstract
BACKGROUND Martinique shares with the other Caribbean countries specific public health issues, particularly in the diagnostic and therapeutic management of cancer patients. Mutualization of human and material resources by promoting cooperation is the most appropriate response to the challenges of the health systems of the Caribbean territories. Through the French PRPH-3 program, we propose to set up a collaborative digital platform adapted to the specificities of the Caribbean to strengthen professional links and skills in oncofertility and oncosexology and reduce inequalities in access to reproductive and sexual health care for cancer patients. METHODS Within the context of this program, we have developed of an open-source platform based on a Learning Content Management System (LCMS), with an operating system developed by UNFM for low speed internet. LO libraries have been created and interaction between trainers and learners were done in asynchronous mode. This training management platform is based on: a TCC learning system (Training, Coaching, Communities); a web-hosting with pedagogical engineering appropriate to low bandwidth; a reporting system and a responsibility for processing. RESULTS We have carried out a flexible, multilingual and accessible digital learning strategy functionality called e-MCPPO according to low-speed internet ecosystem. In close connection with the e-learning strategy we conceived (i) a multidisciplinary team; (ii) an appropriate training program for expert health professionals and (iii) a responsive design. DISCUSSION AND CONCLUSION This low-speed web-based infrastructure allows communities of experts to cooperate in creating, validating, publishing and managing academic learning content. The self-learning modules provide the digital layer for each learner to extend their skills. Learners, as well as trainers, would gradually take ownership of this platform and encourage its promotion. Innovation in this context is both technological (low-speed Internet broadcasting, free interactive software) and organizational (moderating educational resources). This collaborative digital platform is unique in its form and content. This challenge could contribute to the digital transformation of the Caribbean ecosystem for capacity building in this specifics topics.
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Affiliation(s)
- Rémi Houpert
- Research and Development in Oncology Unit UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique.
- Oncosexology Unit, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique.
| | - Thierry Almont
- Research and Development in Oncology Unit UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
- Oncosexology Unit, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | - Christian Mésenge
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, Saint-Maurice, 94450, France
| | - Line Kleinebreil
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, Saint-Maurice, 94450, France
| | - Laurence Forlini
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, Saint-Maurice, 94450, France
| | - Bruno Magnone
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, Saint-Maurice, 94450, France
| | - Vincent Leroux
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, Saint-Maurice, 94450, France
| | - Mylène Vestris
- Cancerology Department, General Cancer Registry of Martinique UF1441, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | - Christelle Montabord
- Research and Development in Oncology Unit UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
- Cancerology Department, General Cancer Registry of Martinique UF1441, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | | | - Yaima Galán
- National Cancer Registry of Cuba, National Institute of Oncology and Radiobiology, La Havane, Cuba
| | | | | | - Carol Burte
- French Society of Sexual Medicine (SFMS), Lille, France
| | - Nicolas Gatimel
- Embryonic Development, Fertility and Environment Laboratory (DEFE) UMR 1203, Toulouse 3 Paul Sabatier University, Toulouse, France
| | - Louis Bujan
- Embryonic Development, Fertility and Environment Laboratory (DEFE) UMR 1203, Toulouse 3 Paul Sabatier University, Toulouse, France
| | - Norelyakin Kara
- Urology Unit, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | - Olivier Edwige
- EDEO Technologies, 11 rue des Arts et métiers, Fort-de-France, 97200, Martinique
| | - Éric Huyghe
- Embryonic Development, Fertility and Environment Laboratory (DEFE) UMR 1203, Toulouse 3 Paul Sabatier University, Toulouse, France
- French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), Reproductive Medicine Department, Paule de Viguier University Hospital, 330 avenue de Grande-Bretagne, Toulouse cedex 9, 70034, 31059, TSA, France
- Francophone Association for Supportive Care (AFSOS), 76, rue Marcel Sembat, Bègles, 33130, France
| | - Clarisse Joachim
- Cancerology Department, General Cancer Registry of Martinique UF1441, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
- Oncosexology Unit, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | - Jacqueline Véronique-Baudin
- Research and Development in Oncology Unit UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
- Oncosexology Unit, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
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3
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Glasgow L, Lewis R, Charles S. The cancer epidemic in the Caribbean region: Further opportunities to reverse the disease trend. LANCET REGIONAL HEALTH. AMERICAS 2022; 13:100295. [PMID: 36777319 PMCID: PMC9903961 DOI: 10.1016/j.lana.2022.100295] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Cancer incidence has been rising in the Caribbean and is expected to have significant adverse implications for the health of people in the region and health systems in this decade. While developed countries, for the most part, enjoy the benefits of advanced technologies and adaptive systems in cancer control and management, a different experience confronts a large segment of the Caribbean population. The region has experienced some success in enhancing cancer services, however, there is a need to address gaps in several areas through nationally and regionally tailored initiatives. This Review complements previous publications on the challenges, actions, and progress towards cancer prevention and care in Caribbean countries but also further outlines potential positive impacts that can be derived from addressing gaps pertaining to cancer education, data management, screening and risk assessment, navigation services, gender factors, and resource development. The proposed approaches encapsulate concepts of health theories that are applicable across the ecological domains. When implemented in combination, the proposals may effectively contribute to reducing the cancer burden in the region.
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Affiliation(s)
- Lindonne Glasgow
- St. George's University, True Blue, St. George's, Grenada,Corresponding author at: Department of Public Health & Preventive Medicine, St. George's University, P.O. Box 7, True Blue, St. George, Grenada.
| | - Reeba Lewis
- St. George's University, True Blue, St. George's, Grenada
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Contaret C, Cesaire R, Deloumeaux J, Neviere R, Resiere D, Cabie A, Sylvestre E, Joachim C, Drame M. Research challenges and opportunities in the Caribbean area: first bibliometric study in the French West Indies, from 1989 to 2018. Rev Panam Salud Publica 2022; 45:e159. [PMID: 34987279 PMCID: PMC8699030 DOI: 10.26633/rpsp.2021.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 10/07/2021] [Indexed: 11/24/2022] Open
Abstract
Objective. To analyze, describe, and quantify the collaborations and scientific output of the two university teaching hospitals of Martinique and Guadeloupe, at the regional, national, and international level. Methods. A bibliometrics analysis was performed from the international databases Web of Science and PubMed, for the period from 1989 to 2018, inclusive (30 years). Three types of bibliometric indicators were used, namely quantitative indicators, performance indicators, and organization-specific indicators. Affiliations of the first and last authors were identified from PubMed. Results. Between 1989 and 2018, a total of 1 522 indexed articles were published with at least one author affiliated to either the University Hospital of Martinique (n = 827) or the University Hospital of Guadeloupe (n = 685). The majority of articles were in category Q1 (35.8% for Martinique and 35.2% for Guadeloupe). In Martinique, over the last 30 years, the three main research areas have been clinical neurology, ophthalmology, and surgery, together representing 28.7% of all research areas, with the highest number of articles published in the field of clinical neurology (n = 81). In the University Hospital of Guadeloupe, the area of hematology was largely represented, with 79 articles published. For both hospitals, the first and last authors of the articles published were mainly from mainland France. Conclusions. This quantitative analysis shows the development of medical and scientific research in Martinique and Guadeloupe over the last three decades, as well as the extent of their collaborative partnerships at the national and international levels.
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Affiliation(s)
- Cédric Contaret
- Centre Hospitalier Universitaire de Martinique, Fort de France Martinique France Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France
| | - Raymond Cesaire
- Université des Antilles, Pointe-à-Pitre Guadeloupe France Université des Antilles, Pointe-à-Pitre, Guadeloupe, France
| | - Jacqueline Deloumeaux
- Centre Hospitalier Universitaire de la Guadeloupe, Pointe-à-Pitre Guadeloupe France Centre Hospitalier Universitaire de la Guadeloupe, Pointe-à-Pitre, Guadeloupe, France
| | - Rémi Neviere
- Centre Hospitalier Universitaire de Martinique, Fort de France Martinique France Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France
| | - Dabor Resiere
- Centre Hospitalier Universitaire de Martinique, Fort de France Martinique France Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France
| | - André Cabie
- Université des Antilles, Pointe-à-Pitre Guadeloupe France Université des Antilles, Pointe-à-Pitre, Guadeloupe, France
| | - Emmanuelle Sylvestre
- Centre Hospitalier Universitaire de Martinique, Fort de France Martinique France Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France
| | - Clarisse Joachim
- Centre Hospitalier Universitaire de Martinique, Fort de France Martinique France Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France
| | - Moustapha Drame
- Centre Hospitalier Universitaire de Martinique, Fort de France Martinique France Centre Hospitalier Universitaire de Martinique, Fort de France, Martinique, France
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5
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Almont T, Bujan L, Joachim C, Joguet G, Vestris M, Houpert R, Rodriguez RE, Carmenate J, Gutierrez B, Galán Y, Kleinebreil L, Mésenge C, Huyghe É, Véronique-Baudin J. Collaborative digital platform France - Cuba: oncorehabilitation in reproductive and sexual health. BMC MEDICAL EDUCATION 2021; 21:337. [PMID: 34107919 PMCID: PMC8190995 DOI: 10.1186/s12909-021-02774-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 05/27/2021] [Indexed: 05/30/2023]
Abstract
BACKGROUND In the French West-Indies, few studies have been performed on fertility and sexual problems in cancer survivors, which are frequent and recurring issues reported by surveys on unmet needs. Additionally, mutualizing human and material resources and promoting cooperation through a collaborative platform are the most appropriate response to complex health pathways in the Caribbean territories. Implementation of such a collaborative platform will help to launch a strategic Caribbean partnership to transfer theoretical and technical skills and care standards in oncofertility and oncosexuality. METHODS We propose to set up a collaborative digital platform to strengthen, from the French expertise, Cuban health professionals' knowledge, know-how, and skills in oncofertility and oncosexuality. The project will be coordinated by a coordinating, scientific, and supervisory committee, and the main activities will include: 1. Theoretical training in e-learning adapted to low-speed Internet. 2. Practical training in fertility preservation and sexual rehabilitation. 3. Digital multidisciplinary consultation meetings for medical decisions to be taken for complex clinical cases. The platform will benefit from a recurrent evaluation, by the two cancer registries of Martinique and Cuba, with the following performance indicators: number of Cuban professionals trained, number of professionals sensitized, hourly volumes (or number of training courses provided), satisfaction of trained professionals, number of e-RCPs carried out online and number of missionaries supported. These indicators will be set up and analyzed by the registers. This project meets the Cuban and French health policies (cancer plans and national sexual health strategies) and will be implemented in liaison with the Health Agencies of both countries and the Embassy of France in Cuba. DISCUSSION This project aims to provide support through bilateral exchanges to improve reproductive and sexual health in Cuba's cancer patients. This collaboration will be based on a long-lasting French expertise and a solid Cuban health system. Consequently, this collaborative digital platform will contribute to data collection for cancer surveillance, and the two participating countries will ultimately be identified in the Caribbean as having centers of competence and excellence in oncofertility and oncosexuality with care standards.
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Affiliation(s)
- Thierry Almont
- Research on Cancer UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique.
- General Cancer Registry of Martinique UF1441, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique.
- French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), Reproductive Medicine Department, Paule de Viguier University Hospital, 330 avenue de Grande-Bretagne, TSA 70034, 31059, Toulouse cedex 9, France.
| | - Louis Bujan
- EA 3694 Human Fertility Research Group, Reproductive Medicine Department, Toulouse University Hospital, Paule de Viguier, 330 avenue de Grande-Bretagne, TSA 70034, 31059, Toulouse cedex 9, France
| | - Clarisse Joachim
- General Cancer Registry of Martinique UF1441, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | - Guillaume Joguet
- Caribbean Center for Reproductive Medicine, CECOS CARAIBES, Pôle Parents-Enfants CHU de Pointe-à-Pitre 97159, Pointe-à-Pitre, Guadeloupe
| | - Mylène Vestris
- Research on Cancer UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
- General Cancer Registry of Martinique UF1441, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
| | - Rémi Houpert
- French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), Reproductive Medicine Department, Paule de Viguier University Hospital, 330 avenue de Grande-Bretagne, TSA 70034, 31059, Toulouse cedex 9, France
| | - Rodolfo Enriquez Rodriguez
- Hospital Ginecobstétrico Ramón González Coro, Calle 21 No. 854 e/. 4 y 6 Vedado, Plaza de la Revolución, 10400, La Habana, Cuba
| | - Jaylin Carmenate
- Hospital Ginecobstétrico Ramón González Coro, Calle 21 No. 854 e/. 4 y 6 Vedado, Plaza de la Revolución, 10400, La Habana, Cuba
| | - Beatriz Gutierrez
- Hospital Ginecobstétrico Ramón González Coro, Calle 21 No. 854 e/. 4 y 6 Vedado, Plaza de la Revolución, 10400, La Habana, Cuba
| | - Yaima Galán
- Registro Nacional de Cáncer de Cuba, Hospital Ginecobstétrico Ramón González Coro, Calle 21 No. 854 e/. 4 y 6 Vedado, Plaza de la Revolución, 10400, La Habana, Cuba
| | - Line Kleinebreil
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, 94450, Saint-Maurice, France
| | - Christian Mésenge
- World Francophone Digital University, UNFM / HNSM 14 rue du Val d'Osne, 94450, Saint-Maurice, France
| | - Éric Huyghe
- French Education and Research Group in Andrology, Urology and Sexology (GEFRAUS), Reproductive Medicine Department, Paule de Viguier University Hospital, 330 avenue de Grande-Bretagne, TSA 70034, 31059, Toulouse cedex 9, France
- EA 3694 Human Fertility Research Group, Reproductive Medicine Department, Toulouse University Hospital, Paule de Viguier, 330 avenue de Grande-Bretagne, TSA 70034, 31059, Toulouse cedex 9, France
- Francophone Association for Supportive Care (AFSOS), 76, rue Marcel Sembat, 33130, Bègles, France
| | - Jacqueline Véronique-Baudin
- Research on Cancer UF3596, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
- General Cancer Registry of Martinique UF1441, Cancerology Department, Martinique University Hospital (CHU Martinique), Fort-de-France, Martinique
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6
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Joachim C, Almont T, Drame M, Contaret C, Vestris M, Najioullah F, Aline-Fardin A, Escarmant P, Leduc N, Grossat N, Promeyrat X, Bougas S, Papadopoulou E, Vinh-Hung V, Sylvestre E, Veronique-Baudin J. International cooperation in public health in Martinique: geostrategic utility for cancer surveillance in the Caribbean. Global Health 2020; 16:20. [PMID: 32131844 PMCID: PMC7057621 DOI: 10.1186/s12992-020-00551-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Accepted: 02/20/2020] [Indexed: 12/14/2022] Open
Abstract
Background Cooperation in public health and in oncology in particular, is currently a major issue for the island of Martinique, given its geopolitical position in the Caribbean region. The region of Martinique shares certain public health problems with other countries of the Caribbean, notably in terms of diagnostic and therapeutic management of patients with cancer. We present here a roadmap of cooperation priorities and activities in cancer surveillance and oncology in Martinique. Main body The fight against cancer is a key public health priority that features high on the regional health policy for Martinique. In the face of these specific epidemiological conditions, Martinique needs to engage in medical cooperation in the field of oncology within the Caribbean, to improve skills and knowledge in this field, and to promote the creation of bilateral relations that will help to improve cancer management in an international healthcare environment. Conclusions These collaborative exchanges will continue throughout 2020 and will lead to the implementation of mutual research projects across a larger population basin, integrating e-health approaches and epidemiological e-cohorts.
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Affiliation(s)
- Clarisse Joachim
- , CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, UF 1441 Registre des cancers, Martinique, F-97200, France.
| | - Thierry Almont
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, UF3636 INTERREG Surveillance du Cancer Oncofertilité, F-97200, Martinique, France
| | - Moustapha Drame
- CHU de Martinique, Direction de la Recherche, UF 3603, Unité de Soutien Méthodologique à la Recherche, Martinique, F-97200, France
| | - Cédric Contaret
- CHU de Martinique, Direction de la Recherche, UF 3163, Délégation de la Recherche et de l'innovation, Martinique, F-97200, France
| | - Mylène Vestris
- , CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, UF 1441 Registre des cancers, Martinique, F-97200, France
| | - Fatiha Najioullah
- CHU de Martinique, Pôle de Biologie, Laboratoire de Virologie, F-97200, Martinique, France
| | - Aude Aline-Fardin
- CHU de Martinique, Pôle de Biologie, Laboratoire d'anatomopathologie, F-97200, Martinique, France
| | - Patrick Escarmant
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Nicolas Leduc
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Nathalie Grossat
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Xavier Promeyrat
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Stefanos Bougas
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Eva Papadopoulou
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Vincent Vinh-Hung
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, F-97200, Martinique, France
| | - Emmanuelle Sylvestre
- CHU de Martinique, Centre de Données Cliniques, F-97200, Martinique, France.,CHU de Martinique, Pôle de Médecine, Service de Maladies Infectieuses, F-97200, Martinique, France.,INSERM, U1099, F-35000, Rennes, France.,Université de Rennes 1, LTSI, F-35000, Rennes, France
| | - Jacqueline Veronique-Baudin
- CHU de Martinique, Pôle de Cancérologie Hématologie Urologie, UF 3596 Recherche en Cancérologie Hématologie, F-97200, Martinique, France
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