Building Evidence During Crisis: Breast Cancer Care Pathways in a Resource-Constrained Setting

Building Evidence During Crisis: Breast Cancer Care Pathways in a Resource-Constrained Setting
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          Conducting this study required a true multidisciplinary task force involving attending physicians, breast surgery residents, and collaborators from different medical specialties, both during and after the pandemic period. Data collection itself became a major challenge, as clinical workflows were constantly changing and healthcare professionals were simultaneously balancing patient care, surgical backlogs, academic responsibilities, and the emotional burden imposed by the pandemic.

          One of the strongest motivations behind this project was the belief that experiences from resource-constrained public healthcare systems also deserve scientific visibility and international discussion. Despite the limitations inherent to retrospective analyses performed in middle-income settings, we believed that documenting the experience of a large public oncology center during the pandemic could provide valuable external perspectives on how cancer care pathways behave under healthcare system stress.

           In many ways, this study was also an exercise in resilience — not only in maintaining cancer care during a global crisis, but also in sustaining academic collaboration, clinical research, and scientific production in a setting with limited resources and continuously shifting priorities.

“This experience reinforced our conviction that meaningful clinical research can emerge even under adverse conditions when collaborative academic networks remain active.”

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Breast Cancer
Life Sciences > Biological Sciences > Cancer Biology > Cancers > Breast Cancer
Surgical Oncology
Life Sciences > Biological Sciences > Cancer Biology > Cancer Therapy > Surgical Oncology
Public Health
Life Sciences > Health Sciences > Public Health
Oncology
Life Sciences > Health Sciences > Clinical Medicine > Oncology
COVID19
Life Sciences > Health Sciences > Clinical Medicine > Diseases > Infectious Diseases > COVID19
  • BMC Cancer BMC Cancer

    This is an open access, peer-reviewed journal that considers articles on all aspects of cancer research, including the pathophysiology, prevention, diagnosis and treatment of cancers.

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Cancer control in low- and middle-income countries – Part II

In recent years, non-communicable diseases, including cancer, have shown a disproportionate increase in incidence and related mortality in low- and middle-income countries (LMICs). By 2030, approximately three-quarters of all cancer deaths will occur in LMICs, with one in eight people experiencing a cancer diagnosis in their lifetime. Reasons for disparate trends include better risk factor control in high-income countries (lower infection-associated cancers, anti-smoking campaigns, and other preventive measures), educational resources, increased number of screening and surveillance programs with earlier detection of disease, and access to more effective cancer therapies. In contrast, many LMICs experience rising cancer incidence rates due to demographic transitions marked by aging population structures and a shift in prevalent risk factors (e.g., increasing tobacco use, alcohol consumption, unhealthy diets, physical inactivity). The underlying factors are complex and interrelated, contextualized to each country's setting, and merit further study.

In 2015, the United National General Assembly adopted the 2030 Agenda for Sustainable Development Goals (SDGs), built on the principle of “leaving no one behind.” The goals highlighted the importance of fighting inequalities across the world, and specifically, two goals, SDG 3: Good Health and Well-Being and SDG 10: Reduced Inequalities, have the ambitious aim of reducing disparities within and among countries and ensuring healthy lives for all at all ages. In addition, the 2020 WHO report on cancer clearly states that cancer control is an integral component of the path toward universal health coverage and achieving SDGs. By investing wisely and equitably, cancer cases and deaths can be avoided, and premature mortality can be reduced by 2030.

Hence, to combat the high mortality of preventable and treatable cancer in LMICs, urgent efforts are needed to improve cancer control programs and educate the public to bridge knowledge gaps, address misconceptions, and debunk myths. In addition, several gaps in the research enterprise of LMICs, such as the scarcity of reliable data, a lack of clinical trials, as well as the lack of infrastructure and trained human resources, must be addressed to solve local and regional problems with acceptable, feasible, effective, and implementable solutions.

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All manuscripts submitted to this journal, including those submitted to collections and special issues, are assessed in line with our editorial policies and the journal’s peer-review process. Reviewers and editors are required to declare competing interests and can be excluded from the peer review process if a competing interest exists.

This Collection supports and amplifies research related to SDG 3: Good Health and Well-Being and SDG 10: Reduced Inequalities.

Publishing Model: Open Access

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All manuscripts submitted to this journal, including those submitted to collections and special issues, are assessed in line with our editorial policies and the journal’s peer review process. Reviewers and editors are required to declare competing interests and can be excluded from the peer review process if a competing interest exists.

Publishing Model: Open Access

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