Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings

Melissa S. Lopez, Ellen S. Baker, Andrea M. Milbourne, Rose M. Gowen, Ana Rodriguez, Cesaltina Lorenzoni, Catherine Mwaba, Susan Citonje Msadabwe, Jose Humberto Tavares, Georgia Fontes-Cintra, Gustavo Zucca-Matthes, Donato Callegaro-Filho, Danielle Ramos-Martin, Icaro Thiago de Carvalho, Robson Coelho, Renato Moretti Marques, Thiago Chulam, Mila Pontremoli-Salcedo, Fernanda Nozar, Veronica Fiol & 4 others Mauricio Maza, Sanjeev Arora, Ernest T. Hawk, Kathleen M. Schmeler

Research output: Contribution to journalArticle

Abstract

Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes) program, a low-cost telementoring model previously proven to be successful in increasing local capacity, improving patient management skills, and ultimately improving patient outcomes in rural and underserved areas. We use the Project ECHO model to educate local providers in the management of cervical dysplasia in a low-resource region of Texas and have adapted it to inform strategies for the management of advanced cervical and breast cancer in Latin America and sub-Saharan Africa. This innovative approach, using ECHO, is part of a larger strategy to enhance clinical skills and develop collaborative projects between academic centers and partners in low-resource regions.
Original languageEnglish (US)
Pages (from-to)JGO005504
JournalJournal of global oncology
StatePublished - 2016

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Community Health Services
Uterine Cervical Neoplasms
Uterine Cervical Dysplasia
Clinical Competence
Latin America
Mortality
Africa South of the Sahara
Mexico
Developed Countries
Therapeutics
Breast Neoplasms
Costs and Cost Analysis
Incidence
Neoplasms

Cite this

Lopez, M. S., Baker, E. S., Milbourne, A. M., Gowen, R. M., Rodriguez, A., Lorenzoni, C., ... Schmeler, K. M. (2016). Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings. Journal of global oncology, JGO005504.

Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings. / Lopez, Melissa S.; Baker, Ellen S.; Milbourne, Andrea M.; Gowen, Rose M.; Rodriguez, Ana; Lorenzoni, Cesaltina; Mwaba, Catherine; Citonje Msadabwe, Susan; Humberto Tavares, Jose; Fontes-Cintra, Georgia; Zucca-Matthes, Gustavo; Callegaro-Filho, Donato; Ramos-Martin, Danielle; Thiago de Carvalho, Icaro; Coelho, Robson; Moretti Marques, Renato; Chulam, Thiago; Pontremoli-Salcedo, Mila; Nozar, Fernanda; Fiol, Veronica; Maza, Mauricio; Arora, Sanjeev; Hawk, Ernest T.; Schmeler, Kathleen M.

In: Journal of global oncology, 2016, p. JGO005504.

Research output: Contribution to journalArticle

Lopez, MS, Baker, ES, Milbourne, AM, Gowen, RM, Rodriguez, A, Lorenzoni, C, Mwaba, C, Citonje Msadabwe, S, Humberto Tavares, J, Fontes-Cintra, G, Zucca-Matthes, G, Callegaro-Filho, D, Ramos-Martin, D, Thiago de Carvalho, I, Coelho, R, Moretti Marques, R, Chulam, T, Pontremoli-Salcedo, M, Nozar, F, Fiol, V, Maza, M, Arora, S, Hawk, ET & Schmeler, KM 2016, 'Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings', Journal of global oncology, pp. JGO005504.
Lopez, Melissa S. ; Baker, Ellen S. ; Milbourne, Andrea M. ; Gowen, Rose M. ; Rodriguez, Ana ; Lorenzoni, Cesaltina ; Mwaba, Catherine ; Citonje Msadabwe, Susan ; Humberto Tavares, Jose ; Fontes-Cintra, Georgia ; Zucca-Matthes, Gustavo ; Callegaro-Filho, Donato ; Ramos-Martin, Danielle ; Thiago de Carvalho, Icaro ; Coelho, Robson ; Moretti Marques, Renato ; Chulam, Thiago ; Pontremoli-Salcedo, Mila ; Nozar, Fernanda ; Fiol, Veronica ; Maza, Mauricio ; Arora, Sanjeev ; Hawk, Ernest T. ; Schmeler, Kathleen M. / Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings. In: Journal of global oncology. 2016 ; pp. JGO005504.
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T1 - Project ECHO: A telementoring program for cervical cancer prevention and treatment in low-resource settings

AU - Lopez, Melissa S.

AU - Baker, Ellen S.

AU - Milbourne, Andrea M.

AU - Gowen, Rose M.

AU - Rodriguez, Ana

AU - Lorenzoni, Cesaltina

AU - Mwaba, Catherine

AU - Citonje Msadabwe, Susan

AU - Humberto Tavares, Jose

AU - Fontes-Cintra, Georgia

AU - Zucca-Matthes, Gustavo

AU - Callegaro-Filho, Donato

AU - Ramos-Martin, Danielle

AU - Thiago de Carvalho, Icaro

AU - Coelho, Robson

AU - Moretti Marques, Renato

AU - Chulam, Thiago

AU - Pontremoli-Salcedo, Mila

AU - Nozar, Fernanda

AU - Fiol, Veronica

AU - Maza, Mauricio

AU - Arora, Sanjeev

AU - Hawk, Ernest T.

AU - Schmeler, Kathleen M.

PY - 2016

Y1 - 2016

N2 - Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes) program, a low-cost telementoring model previously proven to be successful in increasing local capacity, improving patient management skills, and ultimately improving patient outcomes in rural and underserved areas. We use the Project ECHO model to educate local providers in the management of cervical dysplasia in a low-resource region of Texas and have adapted it to inform strategies for the management of advanced cervical and breast cancer in Latin America and sub-Saharan Africa. This innovative approach, using ECHO, is part of a larger strategy to enhance clinical skills and develop collaborative projects between academic centers and partners in low-resource regions.

AB - Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes) program, a low-cost telementoring model previously proven to be successful in increasing local capacity, improving patient management skills, and ultimately improving patient outcomes in rural and underserved areas. We use the Project ECHO model to educate local providers in the management of cervical dysplasia in a low-resource region of Texas and have adapted it to inform strategies for the management of advanced cervical and breast cancer in Latin America and sub-Saharan Africa. This innovative approach, using ECHO, is part of a larger strategy to enhance clinical skills and develop collaborative projects between academic centers and partners in low-resource regions.

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JO - Journal of global oncology

JF - Journal of global oncology

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