Global cancer surgery: delivering safe, affordable, and timely cancer surgery.
Identifieur interne : 002986 ( PubMed/Corpus ); précédent : 002985; suivant : 002987Global cancer surgery: delivering safe, affordable, and timely cancer surgery.
Auteurs : Richard Sullivan ; Olusegun Isaac Alatise ; Benjamin O. Anderson ; Riccardo Audisio ; Philippe Autier ; Ajay Aggarwal ; Charles Balch ; Murray F. Brennan ; Anna Dare ; Anil D'Cruz ; Alexander M M. Eggermont ; Kenneth Fleming ; Serigne Magueye Gueye ; Lars Hagander ; Cristian A. Herrera ; Hampus Holmer ; André M. Ilbawi ; Anton Jarnheimer ; Jia-Fu Ji ; T Peter Kingham ; Jonathan Liberman ; Andrew J M. Leather ; John G. Meara ; Swagoto Mukhopadhyay ; Shilpa S. Murthy ; Sherif Omar ; Groesbeck P. Parham ; C S Pramesh ; Robert Riviello ; Danielle Rodin ; Luiz Santini ; Shailesh V. Shrikhande ; Mark Shrime ; Robert Thomas ; Audrey T. Tsunoda ; Cornelis Van De Velde ; Umberto Veronesi ; Dehannathparambil Kottarathil Vijaykumar ; David Watters ; Shan Wang ; Yi-Long Wu ; Moez Zeiton ; Arnie PurushothamSource :
- The Lancet. Oncology [ 1474-5488 ] ; 2015.
English descriptors
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- MESH :
Abstract
Surgery is essential for global cancer care in all resource settings. Of the 15.2 million new cases of cancer in 2015, over 80% of cases will need surgery, some several times. By 2030, we estimate that annually 45 million surgical procedures will be needed worldwide. Yet, less than 25% of patients with cancer worldwide actually get safe, affordable, or timely surgery. This Commission on global cancer surgery, building on Global Surgery 2030, has examined the state of global cancer surgery through an analysis of the burden of surgical disease and breadth of cancer surgery, economics and financing, factors for strengthening surgical systems for cancer with multiple-country studies, the research agenda, and the political factors that frame policy making in this area. We found wide equity and economic gaps in global cancer surgery. Many patients throughout the world do not have access to cancer surgery, and the failure to train more cancer surgeons and strengthen systems could result in as much as US $6.2 trillion in lost cumulative gross domestic product by 2030. Many of the key adjunct treatment modalities for cancer surgery--e.g., pathology and imaging--are also inadequate. Our analysis identified substantial issues, but also highlights solutions and innovations. Issues of access, a paucity of investment in public surgical systems, low investment in research, and training and education gaps are remarkably widespread. Solutions include better regulated public systems, international partnerships, super-centralisation of surgical services, novel surgical clinical trials, and new approaches to improve quality and scale up cancer surgical systems through education and training. Our key messages are directed at many global stakeholders, but the central message is that to deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.
DOI: 10.1016/S1470-2045(15)00223-5
PubMed: 26427363
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Global cancer surgery: delivering safe, affordable, and timely cancer surgery.</title><author><name sortKey="Sullivan, Richard" sort="Sullivan, Richard" uniqKey="Sullivan R" first="Richard" last="Sullivan">Richard Sullivan</name><affiliation><nlm:affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; King's Centre for Global Health, King's Health Partners and King's College London, London, UK. Electronic address: richard.sullivan@kcl.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Alatise, Olusegun Isaac" sort="Alatise, Olusegun Isaac" uniqKey="Alatise O" first="Olusegun Isaac" last="Alatise">Olusegun Isaac Alatise</name><affiliation><nlm:affiliation>Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Anderson, Benjamin O" sort="Anderson, Benjamin O" uniqKey="Anderson B" first="Benjamin O" last="Anderson">Benjamin O. Anderson</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Seattle, WA, USA; Fred Hutchinson Cancer Research Center, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Audisio, Riccardo" sort="Audisio, Riccardo" uniqKey="Audisio R" first="Riccardo" last="Audisio">Riccardo Audisio</name><affiliation><nlm:affiliation>University of Liverpool, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Autier, Philippe" sort="Autier, Philippe" uniqKey="Autier P" first="Philippe" last="Autier">Philippe Autier</name><affiliation><nlm:affiliation>International Prevention Research Institute, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Aggarwal, Ajay" sort="Aggarwal, Ajay" uniqKey="Aggarwal A" first="Ajay" last="Aggarwal">Ajay Aggarwal</name><affiliation><nlm:affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK; London School of Hygiene & Tropical Medicine, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Balch, Charles" sort="Balch, Charles" uniqKey="Balch C" first="Charles" last="Balch">Charles Balch</name><affiliation><nlm:affiliation>Division of Surgical Oncology, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Brennan, Murray F" sort="Brennan, Murray F" uniqKey="Brennan M" first="Murray F" last="Brennan">Murray F. Brennan</name><affiliation><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Dare, Anna" sort="Dare, Anna" uniqKey="Dare A" first="Anna" last="Dare">Anna Dare</name><affiliation><nlm:affiliation>Centre for Global Health Research, St Michael's Hospital, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="D Cruz, Anil" sort="D Cruz, Anil" uniqKey="D Cruz A" first="Anil" last="D'Cruz">Anil D'Cruz</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</nlm:affiliation></affiliation></author><author><name sortKey="Eggermont, Alexander M M" sort="Eggermont, Alexander M M" uniqKey="Eggermont A" first="Alexander M M" last="Eggermont">Alexander M M. Eggermont</name><affiliation><nlm:affiliation>Gustave Roussy Cancer Institute, Villejuif, France; University Paris Sud, Orsay, France.</nlm:affiliation></affiliation></author><author><name sortKey="Fleming, Kenneth" sort="Fleming, Kenneth" uniqKey="Fleming K" first="Kenneth" last="Fleming">Kenneth Fleming</name><affiliation><nlm:affiliation>Green Templeton College, University of Oxford, Oxford, UK; Oxford University Hospitals NHS Trust, Oxford, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Gueye, Serigne Magueye" sort="Gueye, Serigne Magueye" uniqKey="Gueye S" first="Serigne Magueye" last="Gueye">Serigne Magueye Gueye</name><affiliation><nlm:affiliation>University Cheikh Anta Diop, Dakar, Senegal; Grand Yoff General Hospital, Dakar, Senegal.</nlm:affiliation></affiliation></author><author><name sortKey="Hagander, Lars" sort="Hagander, Lars" uniqKey="Hagander L" first="Lars" last="Hagander">Lars Hagander</name><affiliation><nlm:affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Herrera, Cristian A" sort="Herrera, Cristian A" uniqKey="Herrera C" first="Cristian A" last="Herrera">Cristian A. Herrera</name><affiliation><nlm:affiliation>Cabinet of the Minister, Ministry of Health, Santiago, Chile; Department of Public Health, School of Medicine, Pontificia Universidad Católica, Santiago, Chile.</nlm:affiliation></affiliation></author><author><name sortKey="Holmer, Hampus" sort="Holmer, Hampus" uniqKey="Holmer H" first="Hampus" last="Holmer">Hampus Holmer</name><affiliation><nlm:affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Ilbawi, Andre M" sort="Ilbawi, Andre M" uniqKey="Ilbawi A" first="André M" last="Ilbawi">André M. Ilbawi</name><affiliation><nlm:affiliation>University of Texas MD Anderson Cancer Centre, Houston, TX, USA; Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Jarnheimer, Anton" sort="Jarnheimer, Anton" uniqKey="Jarnheimer A" first="Anton" last="Jarnheimer">Anton Jarnheimer</name><affiliation><nlm:affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Ji, Jia Fu" sort="Ji, Jia Fu" uniqKey="Ji J" first="Jia-Fu" last="Ji">Jia-Fu Ji</name><affiliation><nlm:affiliation>Peking University Cancer Hospital and Institute, Beijing, China; Chinese Anti-Cancer Association, Tianjin, China.</nlm:affiliation></affiliation></author><author><name sortKey="Kingham, T Peter" sort="Kingham, T Peter" uniqKey="Kingham T" first="T Peter" last="Kingham">T Peter Kingham</name><affiliation><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Liberman, Jonathan" sort="Liberman, Jonathan" uniqKey="Liberman J" first="Jonathan" last="Liberman">Jonathan Liberman</name><affiliation><nlm:affiliation>McCabe Centre for Law and Cancer, Melbourne, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Leather, Andrew J M" sort="Leather, Andrew J M" uniqKey="Leather A" first="Andrew J M" last="Leather">Andrew J M. Leather</name><affiliation><nlm:affiliation>King's Centre for Global Health, King's Health Partners and King's College London, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Meara, John G" sort="Meara, John G" uniqKey="Meara J" first="John G" last="Meara">John G. Meara</name><affiliation><nlm:affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mukhopadhyay, Swagoto" sort="Mukhopadhyay, Swagoto" uniqKey="Mukhopadhyay S" first="Swagoto" last="Mukhopadhyay">Swagoto Mukhopadhyay</name><affiliation><nlm:affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Murthy, Shilpa S" sort="Murthy, Shilpa S" uniqKey="Murthy S" first="Shilpa S" last="Murthy">Shilpa S. Murthy</name><affiliation><nlm:affiliation>Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, USA; Department of General Surgery, Indiana University, Bloomington, IN, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Omar, Sherif" sort="Omar, Sherif" uniqKey="Omar S" first="Sherif" last="Omar">Sherif Omar</name><affiliation><nlm:affiliation>Cairo University, Cairo, Egypt.</nlm:affiliation></affiliation></author><author><name sortKey="Parham, Groesbeck P" sort="Parham, Groesbeck P" uniqKey="Parham G" first="Groesbeck P" last="Parham">Groesbeck P. Parham</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA; University of Zambia, Lusaka, Zambia.</nlm:affiliation></affiliation></author><author><name sortKey="Pramesh, C S" sort="Pramesh, C S" uniqKey="Pramesh C" first="C S" last="Pramesh">C S Pramesh</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</nlm:affiliation></affiliation></author><author><name sortKey="Riviello, Robert" sort="Riviello, Robert" uniqKey="Riviello R" first="Robert" last="Riviello">Robert Riviello</name><affiliation><nlm:affiliation>Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rodin, Danielle" sort="Rodin, Danielle" uniqKey="Rodin D" first="Danielle" last="Rodin">Danielle Rodin</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Santini, Luiz" sort="Santini, Luiz" uniqKey="Santini L" first="Luiz" last="Santini">Luiz Santini</name><affiliation><nlm:affiliation>INCA (Brazilian National Cancer Institute), Rio de Janeiro, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Shrikhande, Shailesh V" sort="Shrikhande, Shailesh V" uniqKey="Shrikhande S" first="Shailesh V" last="Shrikhande">Shailesh V. Shrikhande</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</nlm:affiliation></affiliation></author><author><name sortKey="Shrime, Mark" sort="Shrime, Mark" uniqKey="Shrime M" first="Mark" last="Shrime">Mark Shrime</name><affiliation><nlm:affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Thomas, Robert" sort="Thomas, Robert" uniqKey="Thomas R" first="Robert" last="Thomas">Robert Thomas</name><affiliation><nlm:affiliation>Department of Health & Human Services, Melbourne, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Tsunoda, Audrey T" sort="Tsunoda, Audrey T" uniqKey="Tsunoda A" first="Audrey T" last="Tsunoda">Audrey T. Tsunoda</name><affiliation><nlm:affiliation>Gyne-Oncology Department, Barretos Cancer Hospital, Barretos, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Van De Velde, Cornelis" sort="Van De Velde, Cornelis" uniqKey="Van De Velde C" first="Cornelis" last="Van De Velde">Cornelis Van De Velde</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Endocrine and Gastrointestinal Surgery, Leiden University Medical Centre, Leiden, Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Veronesi, Umberto" sort="Veronesi, Umberto" uniqKey="Veronesi U" first="Umberto" last="Veronesi">Umberto Veronesi</name><affiliation><nlm:affiliation>European Institute of Oncology, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vijaykumar, Dehannathparambil Kottarathil" sort="Vijaykumar, Dehannathparambil Kottarathil" uniqKey="Vijaykumar D" first="Dehannathparambil Kottarathil" last="Vijaykumar">Dehannathparambil Kottarathil Vijaykumar</name><affiliation><nlm:affiliation>Department of Gynaecological Oncology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.</nlm:affiliation></affiliation></author><author><name sortKey="Watters, David" sort="Watters, David" uniqKey="Watters D" first="David" last="Watters">David Watters</name><affiliation><nlm:affiliation>Deakin University, Geelong, VIC, Australia; Barwon Health, Geelong, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Shan" sort="Wang, Shan" uniqKey="Wang S" first="Shan" last="Wang">Shan Wang</name><affiliation><nlm:affiliation>Peking University People's Hospital, Beijing, China; Chinese College of Surgeons, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Yi Long" sort="Wu, Yi Long" uniqKey="Wu Y" first="Yi-Long" last="Wu">Yi-Long Wu</name><affiliation><nlm:affiliation>Guangdong Lung Cancer Institute, Guangdong General Hospital, Guangzhou, China; Guangdong Academy of Medical Sciences, Guangzhou, China; Chinese Society of Clinical Oncology, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zeiton, Moez" sort="Zeiton, Moez" uniqKey="Zeiton M" first="Moez" last="Zeiton">Moez Zeiton</name><affiliation><nlm:affiliation>Sadeq Institute, Tripoli, Libya; Trauma and Orthopaedic Rotation, North-West Deanery, Manchester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Purushotham, Arnie" sort="Purushotham, Arnie" uniqKey="Purushotham A" first="Arnie" last="Purushotham">Arnie Purushotham</name><affiliation><nlm:affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; King's Centre for Global Health, King's Health Partners and King's College London, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:26427363</idno><idno type="pmid">26427363</idno><idno type="doi">10.1016/S1470-2045(15)00223-5</idno><idno type="wicri:Area/PubMed/Corpus">002986</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002986</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Global cancer surgery: delivering safe, affordable, and timely cancer surgery.</title><author><name sortKey="Sullivan, Richard" sort="Sullivan, Richard" uniqKey="Sullivan R" first="Richard" last="Sullivan">Richard Sullivan</name><affiliation><nlm:affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; King's Centre for Global Health, King's Health Partners and King's College London, London, UK. Electronic address: richard.sullivan@kcl.ac.uk.</nlm:affiliation></affiliation></author><author><name sortKey="Alatise, Olusegun Isaac" sort="Alatise, Olusegun Isaac" uniqKey="Alatise O" first="Olusegun Isaac" last="Alatise">Olusegun Isaac Alatise</name><affiliation><nlm:affiliation>Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.</nlm:affiliation></affiliation></author><author><name sortKey="Anderson, Benjamin O" sort="Anderson, Benjamin O" uniqKey="Anderson B" first="Benjamin O" last="Anderson">Benjamin O. Anderson</name><affiliation><nlm:affiliation>University of Washington School of Medicine, Seattle, WA, USA; Fred Hutchinson Cancer Research Center, Seattle, WA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Audisio, Riccardo" sort="Audisio, Riccardo" uniqKey="Audisio R" first="Riccardo" last="Audisio">Riccardo Audisio</name><affiliation><nlm:affiliation>University of Liverpool, Liverpool, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Autier, Philippe" sort="Autier, Philippe" uniqKey="Autier P" first="Philippe" last="Autier">Philippe Autier</name><affiliation><nlm:affiliation>International Prevention Research Institute, Lyon, France.</nlm:affiliation></affiliation></author><author><name sortKey="Aggarwal, Ajay" sort="Aggarwal, Ajay" uniqKey="Aggarwal A" first="Ajay" last="Aggarwal">Ajay Aggarwal</name><affiliation><nlm:affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK; London School of Hygiene & Tropical Medicine, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Balch, Charles" sort="Balch, Charles" uniqKey="Balch C" first="Charles" last="Balch">Charles Balch</name><affiliation><nlm:affiliation>Division of Surgical Oncology, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Brennan, Murray F" sort="Brennan, Murray F" uniqKey="Brennan M" first="Murray F" last="Brennan">Murray F. Brennan</name><affiliation><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Dare, Anna" sort="Dare, Anna" uniqKey="Dare A" first="Anna" last="Dare">Anna Dare</name><affiliation><nlm:affiliation>Centre for Global Health Research, St Michael's Hospital, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="D Cruz, Anil" sort="D Cruz, Anil" uniqKey="D Cruz A" first="Anil" last="D'Cruz">Anil D'Cruz</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</nlm:affiliation></affiliation></author><author><name sortKey="Eggermont, Alexander M M" sort="Eggermont, Alexander M M" uniqKey="Eggermont A" first="Alexander M M" last="Eggermont">Alexander M M. Eggermont</name><affiliation><nlm:affiliation>Gustave Roussy Cancer Institute, Villejuif, France; University Paris Sud, Orsay, France.</nlm:affiliation></affiliation></author><author><name sortKey="Fleming, Kenneth" sort="Fleming, Kenneth" uniqKey="Fleming K" first="Kenneth" last="Fleming">Kenneth Fleming</name><affiliation><nlm:affiliation>Green Templeton College, University of Oxford, Oxford, UK; Oxford University Hospitals NHS Trust, Oxford, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Gueye, Serigne Magueye" sort="Gueye, Serigne Magueye" uniqKey="Gueye S" first="Serigne Magueye" last="Gueye">Serigne Magueye Gueye</name><affiliation><nlm:affiliation>University Cheikh Anta Diop, Dakar, Senegal; Grand Yoff General Hospital, Dakar, Senegal.</nlm:affiliation></affiliation></author><author><name sortKey="Hagander, Lars" sort="Hagander, Lars" uniqKey="Hagander L" first="Lars" last="Hagander">Lars Hagander</name><affiliation><nlm:affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Herrera, Cristian A" sort="Herrera, Cristian A" uniqKey="Herrera C" first="Cristian A" last="Herrera">Cristian A. Herrera</name><affiliation><nlm:affiliation>Cabinet of the Minister, Ministry of Health, Santiago, Chile; Department of Public Health, School of Medicine, Pontificia Universidad Católica, Santiago, Chile.</nlm:affiliation></affiliation></author><author><name sortKey="Holmer, Hampus" sort="Holmer, Hampus" uniqKey="Holmer H" first="Hampus" last="Holmer">Hampus Holmer</name><affiliation><nlm:affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Ilbawi, Andre M" sort="Ilbawi, Andre M" uniqKey="Ilbawi A" first="André M" last="Ilbawi">André M. Ilbawi</name><affiliation><nlm:affiliation>University of Texas MD Anderson Cancer Centre, Houston, TX, USA; Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Jarnheimer, Anton" sort="Jarnheimer, Anton" uniqKey="Jarnheimer A" first="Anton" last="Jarnheimer">Anton Jarnheimer</name><affiliation><nlm:affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Ji, Jia Fu" sort="Ji, Jia Fu" uniqKey="Ji J" first="Jia-Fu" last="Ji">Jia-Fu Ji</name><affiliation><nlm:affiliation>Peking University Cancer Hospital and Institute, Beijing, China; Chinese Anti-Cancer Association, Tianjin, China.</nlm:affiliation></affiliation></author><author><name sortKey="Kingham, T Peter" sort="Kingham, T Peter" uniqKey="Kingham T" first="T Peter" last="Kingham">T Peter Kingham</name><affiliation><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Liberman, Jonathan" sort="Liberman, Jonathan" uniqKey="Liberman J" first="Jonathan" last="Liberman">Jonathan Liberman</name><affiliation><nlm:affiliation>McCabe Centre for Law and Cancer, Melbourne, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Leather, Andrew J M" sort="Leather, Andrew J M" uniqKey="Leather A" first="Andrew J M" last="Leather">Andrew J M. Leather</name><affiliation><nlm:affiliation>King's Centre for Global Health, King's Health Partners and King's College London, London, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Meara, John G" sort="Meara, John G" uniqKey="Meara J" first="John G" last="Meara">John G. Meara</name><affiliation><nlm:affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mukhopadhyay, Swagoto" sort="Mukhopadhyay, Swagoto" uniqKey="Mukhopadhyay S" first="Swagoto" last="Mukhopadhyay">Swagoto Mukhopadhyay</name><affiliation><nlm:affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Murthy, Shilpa S" sort="Murthy, Shilpa S" uniqKey="Murthy S" first="Shilpa S" last="Murthy">Shilpa S. Murthy</name><affiliation><nlm:affiliation>Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, USA; Department of General Surgery, Indiana University, Bloomington, IN, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Omar, Sherif" sort="Omar, Sherif" uniqKey="Omar S" first="Sherif" last="Omar">Sherif Omar</name><affiliation><nlm:affiliation>Cairo University, Cairo, Egypt.</nlm:affiliation></affiliation></author><author><name sortKey="Parham, Groesbeck P" sort="Parham, Groesbeck P" uniqKey="Parham G" first="Groesbeck P" last="Parham">Groesbeck P. Parham</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA; University of Zambia, Lusaka, Zambia.</nlm:affiliation></affiliation></author><author><name sortKey="Pramesh, C S" sort="Pramesh, C S" uniqKey="Pramesh C" first="C S" last="Pramesh">C S Pramesh</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</nlm:affiliation></affiliation></author><author><name sortKey="Riviello, Robert" sort="Riviello, Robert" uniqKey="Riviello R" first="Robert" last="Riviello">Robert Riviello</name><affiliation><nlm:affiliation>Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Rodin, Danielle" sort="Rodin, Danielle" uniqKey="Rodin D" first="Danielle" last="Rodin">Danielle Rodin</name><affiliation><nlm:affiliation>Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Santini, Luiz" sort="Santini, Luiz" uniqKey="Santini L" first="Luiz" last="Santini">Luiz Santini</name><affiliation><nlm:affiliation>INCA (Brazilian National Cancer Institute), Rio de Janeiro, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Shrikhande, Shailesh V" sort="Shrikhande, Shailesh V" uniqKey="Shrikhande S" first="Shailesh V" last="Shrikhande">Shailesh V. Shrikhande</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</nlm:affiliation></affiliation></author><author><name sortKey="Shrime, Mark" sort="Shrime, Mark" uniqKey="Shrime M" first="Mark" last="Shrime">Mark Shrime</name><affiliation><nlm:affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Thomas, Robert" sort="Thomas, Robert" uniqKey="Thomas R" first="Robert" last="Thomas">Robert Thomas</name><affiliation><nlm:affiliation>Department of Health & Human Services, Melbourne, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Tsunoda, Audrey T" sort="Tsunoda, Audrey T" uniqKey="Tsunoda A" first="Audrey T" last="Tsunoda">Audrey T. Tsunoda</name><affiliation><nlm:affiliation>Gyne-Oncology Department, Barretos Cancer Hospital, Barretos, Brazil.</nlm:affiliation></affiliation></author><author><name sortKey="Van De Velde, Cornelis" sort="Van De Velde, Cornelis" uniqKey="Van De Velde C" first="Cornelis" last="Van De Velde">Cornelis Van De Velde</name><affiliation><nlm:affiliation>Department of Surgical Oncology, Endocrine and Gastrointestinal Surgery, Leiden University Medical Centre, Leiden, Netherlands.</nlm:affiliation></affiliation></author><author><name sortKey="Veronesi, Umberto" sort="Veronesi, Umberto" uniqKey="Veronesi U" first="Umberto" last="Veronesi">Umberto Veronesi</name><affiliation><nlm:affiliation>European Institute of Oncology, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vijaykumar, Dehannathparambil Kottarathil" sort="Vijaykumar, Dehannathparambil Kottarathil" uniqKey="Vijaykumar D" first="Dehannathparambil Kottarathil" last="Vijaykumar">Dehannathparambil Kottarathil Vijaykumar</name><affiliation><nlm:affiliation>Department of Gynaecological Oncology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.</nlm:affiliation></affiliation></author><author><name sortKey="Watters, David" sort="Watters, David" uniqKey="Watters D" first="David" last="Watters">David Watters</name><affiliation><nlm:affiliation>Deakin University, Geelong, VIC, Australia; Barwon Health, Geelong, VIC, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Shan" sort="Wang, Shan" uniqKey="Wang S" first="Shan" last="Wang">Shan Wang</name><affiliation><nlm:affiliation>Peking University People's Hospital, Beijing, China; Chinese College of Surgeons, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Yi Long" sort="Wu, Yi Long" uniqKey="Wu Y" first="Yi-Long" last="Wu">Yi-Long Wu</name><affiliation><nlm:affiliation>Guangdong Lung Cancer Institute, Guangdong General Hospital, Guangzhou, China; Guangdong Academy of Medical Sciences, Guangzhou, China; Chinese Society of Clinical Oncology, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zeiton, Moez" sort="Zeiton, Moez" uniqKey="Zeiton M" first="Moez" last="Zeiton">Moez Zeiton</name><affiliation><nlm:affiliation>Sadeq Institute, Tripoli, Libya; Trauma and Orthopaedic Rotation, North-West Deanery, Manchester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Purushotham, Arnie" sort="Purushotham, Arnie" uniqKey="Purushotham A" first="Arnie" last="Purushotham">Arnie Purushotham</name><affiliation><nlm:affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; King's Centre for Global Health, King's Health Partners and King's College London, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The Lancet. Oncology</title><idno type="eISSN">1474-5488</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Delivery of Health Care</term><term>Global Health</term><term>Health Services Needs and Demand</term><term>Humans</term><term>Neoplasms (surgery)</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Delivery of Health Care</term><term>Global Health</term><term>Health Services Needs and Demand</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgery is essential for global cancer care in all resource settings. Of the 15.2 million new cases of cancer in 2015, over 80% of cases will need surgery, some several times. By 2030, we estimate that annually 45 million surgical procedures will be needed worldwide. Yet, less than 25% of patients with cancer worldwide actually get safe, affordable, or timely surgery. This Commission on global cancer surgery, building on Global Surgery 2030, has examined the state of global cancer surgery through an analysis of the burden of surgical disease and breadth of cancer surgery, economics and financing, factors for strengthening surgical systems for cancer with multiple-country studies, the research agenda, and the political factors that frame policy making in this area. We found wide equity and economic gaps in global cancer surgery. Many patients throughout the world do not have access to cancer surgery, and the failure to train more cancer surgeons and strengthen systems could result in as much as US $6.2 trillion in lost cumulative gross domestic product by 2030. Many of the key adjunct treatment modalities for cancer surgery--e.g., pathology and imaging--are also inadequate. Our analysis identified substantial issues, but also highlights solutions and innovations. Issues of access, a paucity of investment in public surgical systems, low investment in research, and training and education gaps are remarkably widespread. Solutions include better regulated public systems, international partnerships, super-centralisation of surgical services, novel surgical clinical trials, and new approaches to improve quality and scale up cancer surgical systems through education and training. Our key messages are directed at many global stakeholders, but the central message is that to deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26427363</PMID><DateCreated><Year>2015</Year><Month>10</Month><Day>02</Day></DateCreated><DateCompleted><Year>2016</Year><Month>01</Month><Day>05</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1474-5488</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>11</Issue><PubDate><Year>2015</Year><Month>Sep</Month></PubDate></JournalIssue><Title>The Lancet. Oncology</Title><ISOAbbreviation>Lancet Oncol.</ISOAbbreviation></Journal><ArticleTitle>Global cancer surgery: delivering safe, affordable, and timely cancer surgery.</ArticleTitle><Pagination><MedlinePgn>1193-224</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/S1470-2045(15)00223-5</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1470-2045(15)00223-5</ELocationID><Abstract><AbstractText>Surgery is essential for global cancer care in all resource settings. Of the 15.2 million new cases of cancer in 2015, over 80% of cases will need surgery, some several times. By 2030, we estimate that annually 45 million surgical procedures will be needed worldwide. Yet, less than 25% of patients with cancer worldwide actually get safe, affordable, or timely surgery. This Commission on global cancer surgery, building on Global Surgery 2030, has examined the state of global cancer surgery through an analysis of the burden of surgical disease and breadth of cancer surgery, economics and financing, factors for strengthening surgical systems for cancer with multiple-country studies, the research agenda, and the political factors that frame policy making in this area. We found wide equity and economic gaps in global cancer surgery. Many patients throughout the world do not have access to cancer surgery, and the failure to train more cancer surgeons and strengthen systems could result in as much as US $6.2 trillion in lost cumulative gross domestic product by 2030. Many of the key adjunct treatment modalities for cancer surgery--e.g., pathology and imaging--are also inadequate. Our analysis identified substantial issues, but also highlights solutions and innovations. Issues of access, a paucity of investment in public surgical systems, low investment in research, and training and education gaps are remarkably widespread. Solutions include better regulated public systems, international partnerships, super-centralisation of surgical services, novel surgical clinical trials, and new approaches to improve quality and scale up cancer surgical systems through education and training. Our key messages are directed at many global stakeholders, but the central message is that to deliver safe, affordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sullivan</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; King's Centre for Global Health, King's Health Partners and King's College London, London, UK. Electronic address: richard.sullivan@kcl.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alatise</LastName><ForeName>Olusegun Isaac</ForeName><Initials>OI</Initials><AffiliationInfo><Affiliation>Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>Benjamin O</ForeName><Initials>BO</Initials><AffiliationInfo><Affiliation>University of Washington School of Medicine, Seattle, WA, USA; Fred Hutchinson Cancer Research Center, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Audisio</LastName><ForeName>Riccardo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>University of Liverpool, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Autier</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>International Prevention Research Institute, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aggarwal</LastName><ForeName>Ajay</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK; London School of Hygiene & Tropical Medicine, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Balch</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brennan</LastName><ForeName>Murray F</ForeName><Initials>MF</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dare</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Centre for Global Health Research, St Michael's Hospital, Toronto, ON, Canada; Department of Surgery, University of Toronto, Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Cruz</LastName><ForeName>Anil</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eggermont</LastName><ForeName>Alexander M M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Gustave Roussy Cancer Institute, Villejuif, France; University Paris Sud, Orsay, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fleming</LastName><ForeName>Kenneth</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Green Templeton College, University of Oxford, Oxford, UK; Oxford University Hospitals NHS Trust, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gueye</LastName><ForeName>Serigne Magueye</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>University Cheikh Anta Diop, Dakar, Senegal; Grand Yoff General Hospital, Dakar, Senegal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hagander</LastName><ForeName>Lars</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Herrera</LastName><ForeName>Cristian A</ForeName><Initials>CA</Initials><AffiliationInfo><Affiliation>Cabinet of the Minister, Ministry of Health, Santiago, Chile; Department of Public Health, School of Medicine, Pontificia Universidad Católica, Santiago, Chile.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holmer</LastName><ForeName>Hampus</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ilbawi</LastName><ForeName>André M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>University of Texas MD Anderson Cancer Centre, Houston, TX, USA; Union for International Cancer Control, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jarnheimer</LastName><ForeName>Anton</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Paediatric Surgery and Global Paediatrics, Department of Paediatrics, Lund University, Lund, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ji</LastName><ForeName>Jia-Fu</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Peking University Cancer Hospital and Institute, Beijing, China; Chinese Anti-Cancer Association, Tianjin, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kingham</LastName><ForeName>T Peter</ForeName><Initials>TP</Initials><AffiliationInfo><Affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liberman</LastName><ForeName>Jonathan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>McCabe Centre for Law and Cancer, Melbourne, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leather</LastName><ForeName>Andrew J M</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>King's Centre for Global Health, King's Health Partners and King's College London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meara</LastName><ForeName>John G</ForeName><Initials>JG</Initials><AffiliationInfo><Affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mukhopadhyay</LastName><ForeName>Swagoto</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Murthy</LastName><ForeName>Shilpa S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, USA; Department of General Surgery, Indiana University, Bloomington, IN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Omar</LastName><ForeName>Sherif</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cairo University, Cairo, Egypt.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parham</LastName><ForeName>Groesbeck P</ForeName><Initials>GP</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA; University of Zambia, Lusaka, Zambia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pramesh</LastName><ForeName>C S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Riviello</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard School of Public Health, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodin</LastName><ForeName>Danielle</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Santini</LastName><ForeName>Luiz</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>INCA (Brazilian National Cancer Institute), Rio de Janeiro, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shrikhande</LastName><ForeName>Shailesh V</ForeName><Initials>SV</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shrime</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Program in Global Surgery and Social Change, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thomas</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Health & Human Services, Melbourne, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tsunoda</LastName><ForeName>Audrey T</ForeName><Initials>AT</Initials><AffiliationInfo><Affiliation>Gyne-Oncology Department, Barretos Cancer Hospital, Barretos, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van de Velde</LastName><ForeName>Cornelis</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, Endocrine and Gastrointestinal Surgery, Leiden University Medical Centre, Leiden, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Veronesi</LastName><ForeName>Umberto</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>European Institute of Oncology, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vijaykumar</LastName><ForeName>Dehannathparambil Kottarathil</ForeName><Initials>DK</Initials><AffiliationInfo><Affiliation>Department of Gynaecological Oncology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Watters</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Deakin University, Geelong, VIC, Australia; Barwon Health, Geelong, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Shan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Peking University People's Hospital, Beijing, China; Chinese College of Surgeons, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Yi-Long</ForeName><Initials>YL</Initials><AffiliationInfo><Affiliation>Guangdong Lung Cancer Institute, Guangdong General Hospital, Guangzhou, China; Guangdong Academy of Medical Sciences, Guangzhou, China; Chinese Society of Clinical Oncology, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zeiton</LastName><ForeName>Moez</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Sadeq Institute, Tripoli, Libya; Trauma and Orthopaedic Rotation, North-West Deanery, Manchester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Purushotham</LastName><ForeName>Arnie</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Institute of Cancer Policy, King's Health Partners Comprehensive Cancer Centre, London, UK; King's Centre for Global Health, King's Health Partners and King's College London, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Lancet Oncol</MedlineTA><NlmUniqueID>100957246</NlmUniqueID><ISSNLinking>1470-2045</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Lancet Oncol. 2015 Sep;16(11):1187</RefSource><PMID Version="1">26427358</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Lancet Oncol. 2015 Sep;16(11):1191-2</RefSource><PMID Version="1">26427362</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Lancet Oncol. 2015 Sep;16(11):1188-9</RefSource><PMID Version="1">26427359</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Lancet Oncol. 2015 Sep;16(11):1190-1</RefSource><PMID Version="1">26427361</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Lancet Oncol. 2015 Sep;16(11):1189-90</RefSource><PMID Version="1">26427360</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Eur J Surg Oncol. 2016 Jun;42(6):767-78</RefSource><PMID Version="1">27156146</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="Y">Delivery of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014943" MajorTopicYN="N">Global Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006301" MajorTopicYN="Y">Health Services Needs and Demand</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>07</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>08</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>08</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26427363</ArticleId><ArticleId IdType="pii">S1470-2045(15)00223-5</ArticleId><ArticleId IdType="doi">10.1016/S1470-2045(15)00223-5</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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