A5037293577- Global Cancer Incidence and Screening
- Economic and Financial Impacts of Cancer
- Advances in Oncology and Radiotherapy
- Cancer Genomics and Diagnostics
- Health Systems, Economic Evaluations, Quality of Life
- Global Health and Surgery
- BRCA gene mutations in cancer
- Hepatitis B Virus Studies
- Cancer Risks and Factors
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Multiple and Secondary Primary Cancers
- Nutritional Studies and Diet
- Breast Cancer Treatment Studies
- Nuts composition and effects
- Global Maternal and Child Health
- Neutropenia and Cancer Infections
- Colorectal Cancer Surgical Treatments
- Global Health Workforce Issues
- Travel-related health issues
- Diversity and Career in Medicine
- Genetics, Bioinformatics, and Biomedical Research
- Molecular Biology Techniques and Applications
- Colorectal Cancer Treatments and Studies
- COVID-19 and healthcare impacts
Harvard University
2021-2025
Dana-Farber Cancer Institute
2015-2024
University of Miami
2024
Harvard Global Health Institute
2022
Dana-Farber/Harvard Cancer Center
2022
Ministry of Health
2015-2016
University of Global Health Equity
2016
Partners In Health
2016
Center for Global Health
2016
Rwanda Biomedical Center
2015
PURPOSE To provide expert guidance to clinicians and policymakers in resource-constrained settings on the management of patients with late-stage colorectal cancer. METHODS ASCO convened a multidisciplinary, multinational Expert Panel that reviewed existing guidelines, conducted modified ADAPTE process, used formal consensus process additional experts for two rounds ratings. RESULTS Existing sets guidelines from four guideline developers were identified reviewed; adapted recommendations five...
Abstract Background Butaro Cancer Center of Excellence (BCCOE) was founded to serve Rwanda’s rural low-income population, providing subsidized cancer diagnosis and treatment with transport stipends for the lowest-income patients. We examined whether travel distance BCCOE associated advanced-stage diagnoses completion. Methods conducted a retrospective cohort study using medical record data from patients pathologically-confirmed breast 2012–2016. Women no prior surgery were included in stage...
Purpose Observational studies have reported increased colon cancer recurrence and mortality in patients with states of hyperinsulinemia, including type 2 diabetes, obesity, sedentary lifestyle, high glycemic load diet. Nut intake has been associated a lower risk metabolic syndrome, insulin resistance. However, the effect nut on survival is not known. Patients Methods We conducted prospective, observational study 826 eligible stage III who dietary food frequency questionnaires while enrolled...
Rwanda is a densely populated low-income country in East Africa. Previously considered failed state after the genocide against Tutsi 1994, has seen remarkable growth over past 2 decades. Health care predominantly delivered through public hospitals and emerging private sector. More than 80% of patients are covered by community-based health insurance (Mutuelle de Santé). The cancer unit at Biomedical Center (a branch Ministry Health) responsible for setting implementing policy. made progress...
Authorship gender disparities persist across academic disciplines, including oncology. However, little is known about global variation in authorship distribution.This retrospective cross-sectional study describes the distribution of author as determined from first name variables such position (first, middle, and last), country region, income level. The 608 articles with 5,302 authors included this analysis were published Journal Clinical Oncology Global Oncology, its inception October 2015...
The COVID-19 pandemic has disrupted cancer care globally. There are limited data of its impact in Africa. This study aims to characterize response strategies and on explore misconceptions
Local researchers must be engaged in research conducted their populations. However, local authors from low- and middle-income countries are often under-represented global health journals. This report aims to assess describe the representation of Journal Clinical Oncology Global (JCO GO).This retrospective cross-sectional study describes data JCO GO articles published between October 2015 March 2020. Data were collected on studied countries, authorship position, classified as first, middle,...
Cancer is an increasing global public health burden. Lately, more emphasis has emerged on the importance of heredity in cancer, mostly driven by introduction germline genetic variants-directed therapeutics. It true that 40% cancer risk attributed to modifiable environmental and lifestyle factors; still, 16% cancers could be heritable, accounting for 2.9 18.1 million cases diagnosed worldwide. At least two third those will countries with limited resources-low- middle-income countries,...
The coronavirus disease 2019 (COVID-19) pandemic has forced oncology clinicians and administrators in the United States to set priorities for cancer care owing resource constraints. As practices adapt a contracted health system, expertise gained from partnerships low-resource settings can be used guidance. This article provides primer on priority setting ethical guidance based lessons learned experience with settings.Lessons real-world experiences are myriad. First, of limited resources,...
Geographic access to care is an important measure of health equity. In this study, we describe geographic cancer centers (CCCs) in Rwanda with the current facilities providing and examine how could change expanded infrastructure. Health included are public hospitals administered by Ministry Health. The WorldPop Project was used estimate population distribution, OpenStreetMap determine travel routes. On basis geolocations facilities, AccessMod 5 percentage that live within 1 hour, 2 hours, 4...
Success in treating nephroblastoma high-income countries has been transferred to some resource-constrained settings; multicenter studies report disease-free survival of greater than 70%. However, few reports present care models with rural-based components, tasks shifted internists and pediatricians, data collection structured for monitoring evaluation. Here, we clinical outcomes protocol compliance patients evaluated at Butaro Cancer Center Excellence Rwanda.This retrospective study the 53...
Abstract Background There are few studies on breast cancer outcomes in the Caribbean region. This study identified a retrospective cohort of female patients with nonmetastatic Haiti and conducted survival analyses to identify prognostic factors that may affect patient outcomes. Methods The included 341 presenting between June 2012 December 2016. primary endpoint was event-free (EFS), defined as time disease progression, recurrence, or death. Descriptive summaries characteristics treatments...
To compare the financial and time cost of breast cancer biomarker analysis by immunohistochemistry with that Xpert