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@ARTICLE{Henke:286275,
      author       = {O. Henke and A. Q. Qader and G. L. Malle and J. R. Kuiate
                      and L. Hennig and T. Demeke and C. Stroetmann and A. A.
                      Henke and T. T. Alaric and M. Rushanyan and C. Enssle and H.
                      Bussmann$^*$},
      title        = {{I}nternational cooperation to fight cancer's late-stage
                      presentation in low- and middle-income countries.},
      journal      = {Clinical $\&$ experimental metastasis},
      volume       = {40},
      number       = {1},
      issn         = {0262-0898},
      address      = {Dordrecht},
      publisher    = {Springer Science + Business Media B.V.},
      reportid     = {DKFZ-2023-02762},
      pages        = {1 - 3},
      year         = {2023},
      note         = {#LA:F210#},
      abstract     = {Cancer is becoming a massive public health burden in low-
                      and middle-income countries (LMIC). $70\%$ of all cancer
                      deaths globally are attributed to LMIC while the incidence
                      proportion is below $60\%.$ The main reason for the higher
                      mortality rate is 'late-stage presentation' of patients with
                      stage III or IV diseases when being diagnosed. Main reasons
                      for this are limited (financial) resources, poor knowledge
                      of health service provider about cancer, misbelieves and
                      fear among patients as well as low health literacy rate.
                      During the 1st International Conference on Hospital
                      Partnerships, conducted by the German Agency for
                      International Cooperation (GIZ), cancer specialists from
                      seven LMIC and Germany discussed opportunities, challenges
                      and solutions of the development of cancer services. Two
                      days of in-depths discussion identified five topics to be
                      playing a key role in the effort to reduce the cancer burden
                      in LMIC: Health Policy $\&$ Financing, Barriers to Access,
                      Capacity Building, Cancer Registries and Adapted Treatment
                      Guidelines. By using mind-mapping technique, stakeholders,
                      core topics, main and important topics were visualized and
                      interconnections displayed. Many topics can be addressed
                      through international cooperations but political willingness
                      and commitment in the respective countries plays the crucial
                      role. An essential contribution will be to assist policy
                      makers in formulating and endorsing affordable and effective
                      health policies. Another lesson learned from this workshop
                      is the similarity of challenges among the participating
                      representatives from different LMIC. The authors of this
                      letter emphasize on the importance of building international
                      long-term cooperations to advance oncology care on a global
                      scale.},
      subtyp        = {Letter},
      keywords     = {Humans / Developing Countries / International Cooperation /
                      Neoplasms: diagnosis / Neoplasms: therapy / Germany / Cancer
                      (Other) / Cooperation (Other) / Global oncology (Other) /
                      LMIC (Other) / Metastasis (Other)},
      cin          = {F210},
      ddc          = {610},
      cid          = {I:(DE-He78)F210-20160331},
      pnm          = {316 - Infektionen, Entzündung und Krebs (POF4-316)},
      pid          = {G:(DE-HGF)POF4-316},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:36646888},
      pmc          = {pmc:PMC9898318},
      doi          = {10.1007/s10585-022-10196-1},
      url          = {https://inrepo02.dkfz.de/record/286275},
}