TY - JOUR
T1 - Project ECHO
T2 - 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 M.
AU - Lorenzoni, Cesaltina
AU - Mwaba, Catherine
AU - Msadabwe, Susan Citonje
AU - Tavar, José Humberto
AU - Fontes-Cintra, Georgia
AU - Zucca-Matthes, Gustavo
AU - Callegaro-Filho, Donato
AU - Ramos-Martin, Danielle
AU - de Carvalho, Icaro Thiago
AU - Coelho, Robson
AU - Marques, Renato Moretti
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.
N1 - Funding Information:
Project ECHO for the management of cervical and breast cancer in Mozambique includes clinicians from the Hospital Central de Maputo. This project is a multicenter partnership between the MD Anderson Cancer Center and three MD Anderson sister institutions in Brazil (Barretos Cancer Hospital, Hospital Israelita Albert Einstein, and A.C. Camargo Cancer Center). These teleconferences are held in Portuguese, with a multidisciplinary team of specialists present at each session. To date, nine sessions have been held, with an average of six attendees per session including gynecologists, radiation oncologists, medical oncologists, surgeons, and fellows (Table 1). This program is complemented by hands-on training; in January 2015, 10 physicians, including specialists in breast surgical oncology, pediatric oncology, head and neck surgery, gynecologic oncology, medical oncology, and radiation therapy, visited Maputo, Mozambique, to deliver surgical and clinical training for these different specialties. Clinicians from Mozambique participated in training sessions in Brazil in April 2016. An ongoing relationship is supported by the ECHO infrastructure.
Publisher Copyright:
© 2016 by American Society of Clinical Oncology
PY - 2017/10/1
Y1 - 2017/10/1
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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U2 - 10.1200/JGO.2016.005504
DO - 10.1200/JGO.2016.005504
M3 - Article
C2 - 29094102
AN - SCOPUS:85046640647
SN - 2378-9506
VL - 3
SP - 658
EP - 665
JO - Journal of global oncology
JF - Journal of global oncology
IS - 5
ER -