How Useful Are International Treatment Guidelines in Low- and Middle-Income Countries?

نویسندگان

  • Stewart Kerr
  • Abdul-Rahman Jazieh
  • David Kerr
چکیده

Oneof the recent growth industries and, onemight add, great successes in global oncology has been the rise of international treatment guidelines. The most prominent of these guidelines include those by ASCO, the National Comprehensive Cancer Network (NCCN), and the European Society of Medical Oncology (ESMO), which provide timely, evidence-based recommendations for the multidisciplinary management of most cancer types. They provide an international gold standard in a fairly user-friendly format, tend not to be overly proscriptive when evidence favors neither one nor another regimen, and are backed by wellrespected experts who provide additional data on the depth of evidence to support a particular recommendation. International treatment guidelines are updated regularly, which is important when the standard of care may change from quarter to quarter and can provide a point of reference for hard-pressed clinicians. Until recently, only the gold standard existed, with no mention of silver, bronze, or tin! Onewonderswhat fraction of the world’s cancer communitymight be supported by a health care system that could afford full and undiluted access to gold standard care, perhaps on the order of 10%?

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عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2017