Optimisation of the continuum of supportive and palliative care for patients with breast cancer in low-income and middle-income countries: executive summary of the Breast Health Global Initiative, 2014.
Supportive care and palliative care are now recognised as critical components of global cancer control programmes. Many aspects of supportive and palliative care services are already available in some low-income and middle-income countries. Full integration of supportive and palliative care into breast cancer programmes requires a systematic, resource-stratified approach. The Breast Health Global Initiative convened three expert panels to develop resource allocation recommendations for supportive and palliative care programmes in low-income and middle-income countries. Each panel focused on a specific phase of breast cancer care: during treatment, after treatment with curative intent (survivorship), and after diagnosis with metastatic disease. The panel consensus statements were published in October, 2013. This Executive Summary combines the three panels' recommendations into a single comprehensive document covering breast cancer care from diagnosis through curative treatment into survivorship, and metastatic disease and end-of-life care. The recommendations cover physical symptom management, pain management, monitoring and documentation, psychosocial and spiritual aspects of care, health professional education, and patient, family, and caregiver education.
Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Northwest Health Communications, Edmonds, WA, USA.
Sandra R
SR
Distelhorst
University of Wisconsin Comprehensive Cancer Center, Madison, WI, USA.
James F
JF
Cleary
University of California, Los Angeles, CA, USA.
Patricia A
PA
Ganz
Acibadem Maslak Hospital Breast Health, Istanbul, Turkey.
Nuran
N
Bese
Programme of Action for Cancer Therapy, International Atomic Energy Agency, Lisbon, Portugal.
Rolando
R
Camacho-Rodriguez
Champalimaud Cancer Center, Lisbon, Portugal.
Fatima
F
Cardoso
Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Uganda Cancer Institute, Kampala, Uganda.
Henry
H
Ddungu
Fred Hutchinson Cancer Research Center, Seattle, WA, USA; University of Washington, Seattle Cancer Care Alliance, Seattle, WA, USA.
Julie R
JR
Gralow
University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Cheng-Har
CH
Yip
Fred Hutchinson Cancer Research Center, Seattle, WA, USA; University of Washington, Seattle Cancer Care Alliance, Seattle, WA, USA. Electronic address: banderso@fredhutch.org.
Benjamin O
BO
Anderson
D001943:Breast Neoplasms / Q000175:diagnosis / Q000191:economics / Q000523:psychology / Q000628:therapy*; D032921:Consensus; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000592:standards*; D003906:Developing Countries / Q000191:economics*; D005260:Female; D006297:Health Services Accessibility / Q000191:economics / Q000592:standards*; D006801:Humans; D007182:Income; D010166:Palliative Care / Q000191:economics / Q000592:standards*; D010348:Patient Care Team / Q000191:economics / Q000592:standards; D011203:Poverty / Q000191:economics*; D011787:Quality of Health Care / Q000191:economics / Q000592:standards*