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Spence D , Dyer R , Andall-Brereton G , Barton M , Stanway S , Argentieri MA , Bray F , Cawich S , Edwards-Bennett S , Fosker C , Gabriel O , Greaves N , Hanchard B , Hospedales J , Luciani S , Martin D , Nimrod M , Ragin C , Simeon D , Tortolero-Luna G , Wharfe G , Sarfati D
Cancer control in the Caribbean island countries and territories: some progress but the journey continues
Lancet Oncol. 2019 Sep;20(9) :e503-e521
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Cancer causes a fifth of deaths in the Caribbean region and its incidence is increasing. Incidence and mortality patterns of cancer in the Caribbean reflect globally widespread epidemiological transitions, and show cancer profiles that are unique to the region. Providing comprehensive and locally responsive cancer care is particularly challenging in the Caribbean because of the geographical spread of the islands, the frequently under-resourced health-care systems, and the absence of a cohesive approach to cancer control. In many Caribbean countries and territories, cancer surveillance systems are poorly developed, advanced disease presentations are commonplace, and access to cancer screening, diagnostics, and treatment is often suboptimal, with many patients with cancer seeking treatment abroad. Capacity building across the cancer-control continuum in the region is urgently needed and can be accomplished through collaborative efforts and increased investment in health care and cancer control.
1474-5488 Spence, Dingle Dyer, Rachel Andall-Brereton, Glennis Barton, Michael Stanway, Susannah Argentieri, M Austin Bray, Freddie Cawich, Shamir Edwards-Bennett, Sophia Fosker, Christopher Gabriel, Owen Greaves, Natalie Hanchard, Barrie Hospedales, James Luciani, Silvana Martin, Damali Nimrod, Marisa Ragin, Camille Simeon, Donald Tortolero-Luna, Guillermo Wharfe, Gilian Sarfati, Diana Journal Article Review England Lancet Oncol. 2019 Sep;20(9):e503-e521. doi: 10.1016/S1470-2045(19)30512-1. Epub 2019 Aug 5.