Recommendations for streamlining precision medicine in breast cancer care in Latin America.


Journal

Cancer reports (Hoboken, N.J.)
ISSN: 2573-8348
Titre abrégé: Cancer Rep (Hoboken)
Pays: United States
ID NLM: 101747728

Informations de publication

Date de publication:
12 2021
Historique:
revised: 27 03 2021
received: 21 02 2021
accepted: 30 03 2021
pubmed: 4 5 2021
medline: 8 3 2022
entrez: 3 5 2021
Statut: ppublish

Résumé

The incidence of breast cancer (BC) in LMICs has increased by more than 20% within the last decade. In areas such as Latin America (LA), addressing BC at national levels evoke discussions surrounding fragmented care, limited resources, and regulatory barriers. Precision Medicine (PM), specifically companion diagnostics (CDx), links disease diagnosis and treatment for better patient outcomes. Thus, its application may aid in overcoming these barriers. A panel of LA experts in fields related to BC and PM were provided with a series of relevant questions to address prior to a multi-day conference. Within this conference, each narrative was edited by the entire group, through numerous rounds of discussion until a consensus was achieved. The panel proposes specific, realistic recommendations for implementing CDx in BC in LA and other LMIC regions. In these recommendations, the authors strived to address all barriers to the widespread use and access mentioned previously within this manuscript. This manuscript provides a review of the current state of CDx for BC in LA. Of most importance, the panel proposes practical and actionable recommendations for the implementation of CDx throughout the Region in order to identify the right patient at the right time for the right treatment.

Sections du résumé

BACKGROUND
The incidence of breast cancer (BC) in LMICs has increased by more than 20% within the last decade. In areas such as Latin America (LA), addressing BC at national levels evoke discussions surrounding fragmented care, limited resources, and regulatory barriers. Precision Medicine (PM), specifically companion diagnostics (CDx), links disease diagnosis and treatment for better patient outcomes. Thus, its application may aid in overcoming these barriers.
RECENT FINDINGS
A panel of LA experts in fields related to BC and PM were provided with a series of relevant questions to address prior to a multi-day conference. Within this conference, each narrative was edited by the entire group, through numerous rounds of discussion until a consensus was achieved. The panel proposes specific, realistic recommendations for implementing CDx in BC in LA and other LMIC regions. In these recommendations, the authors strived to address all barriers to the widespread use and access mentioned previously within this manuscript.
CONCLUSION
This manuscript provides a review of the current state of CDx for BC in LA. Of most importance, the panel proposes practical and actionable recommendations for the implementation of CDx throughout the Region in order to identify the right patient at the right time for the right treatment.

Identifiants

pubmed: 33939336
doi: 10.1002/cnr2.1400
pmc: PMC8714537
doi:

Substances chimiques

Biomarkers, Tumor 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e1400

Subventions

Organisme : Health Foundation

Informations de copyright

© 2021 The Authors. Cancer Reports published by Wiley Periodicals LLC.

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Auteurs

Isabel Alvarado-Cabrero (I)

Department of Pathology, Mexican Oncology Hospital, IMSS, Mexico, Mexico.

Franco Doimi (F)

Department of Pathology, Oncosalud AUNA, Lima, Peru.

Virginia Ortega (V)

Department of Pathology, Diagnostico SRL, Montevideo, Uruguay.

Jurema Telles de Oliveira Lima (JT)

Department of Pathology, IMIP, Recife, Brazil.

Rubén Torres (R)

Rector de la Universidad ISALUD, R.Argentina.

Lilian Torregrosa (L)

Department of Breast and Soft Tissue Surgery, Pontificia Universidad Javeriana, Bogotá, Colombia.

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Classifications MeSH