International Radiotherapy Referrals From Rural Rwanda: Implementation Processes and Early Clinical Outcomes | Zendy

Maud Hanappe | Zendy; Lowell T. Nicholson | Zendy; Shekinah N.C. Elmore | Zendy; Alexandra Fehr | Zendy; Jean Bosco Bigirimana | Zendy; Ryan C. Borg | Zendy; John Butonzi | Zendy; Cyprien Shyirambere | Zendy; Egide Mpanumusingo | Zendy; Marie O. Benewe | Zendy; Dan M. Kanyike | Zendy; Scott A. Triedman | Zendy; Lawrence N. Shulman | Zendy; Christian Rusangwa | Zendy; Paul H. Park | Zendy

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International Radiotherapy Referrals From Rural Rwanda: Implementation Processes and Early Clinical Outcomes

Author(s) -

Maud Hanappe,

Lowell T. Nicholson,

Shekinah N.C. Elmore,

Alexandra Fehr,

Jean Bosco Bigirimana,

Ryan C. Borg,

John Butonzi,

Cyprien Shyirambere,

Egide Mpanumusingo,

Marie O. Benewe,

Dan M. Kanyike,

Scott A. Triedman,

Lawrence N. Shulman,

Christian Rusangwa,

Paul H. Park

Publication year - 2018

Publication title -

journal of global oncology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.002

H-Index - 17

ISSN - 2378-9506

DOI - 10.1200/jgo.18.00089

Subject(s) - medicine , radiation therapy , referral , cervical cancer , cancer , excellence , colorectal cancer , family medicine , surgery , political science , law

Low- and middle-income countries disproportionately comprise 65% of cancer deaths. Cancer care delivery in resource-limited settings, especially low-income countries in sub-Saharan Africa, is exceedingly complex, requiring multiple modalities of diagnosis and treatment. Given the vast human, technical, and financial resources required, access to radiotherapy remains limited in sub-Saharan Africa. Through 2017, Rwanda has not had in-country radiotherapy services. The aim of this study was to describe the implementation and early outcomes of the radiotherapy referral program at the Butaro Cancer Centre of Excellence and to identify both successful pathways and barriers to care.

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