Supportive care during treatment for breast cancer: Resource allocations in low- and middle-income countries: A Breast Health Global Initiative 2013 consensus statement

Fatima Cardoso, Nuran Bese, Sandra R. Distelhorst, Jose Luiz B Bevilacqua, Ophira Ginsburg, Steven M. Grunberg, Richard J. Gralla, Ann Steyn, Olivia Pagani, Ann H. Partridge, Felicia Marie Knaul, Matti S. Aapro, Barbara L. Andersen, Beti Thompson, Julie R. Gralow, Benjamin O. Anderson

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Breast cancer patients may have unmet supportive care needs during treatment, including symptom management of treatment-related toxicities, and educational, psychosocial, and spiritual needs. Delivery of supportive care is often a low priority in low- and middle-income settings, and is also dependent on resources available. This consensus statement describes twelve key recommendations for supportive care during treatment in low- and middle-income countries, identified by an expert international panel as part of the 5th Breast Health Global Initiative (BHGI) Global Summit for Supportive Care, which was held in October 2012, in Vienna, Austria. Panel recommendations are presented in a 4-tier resource-stratified table to illustrate how health systems can provide supportive care services during treatment to breast cancer patients, starting at a basic level of resource allocation and incrementally adding program resources as they become available. These recommendations include: health professional and patient and family education; management of treatment related toxicities, management of treatment-related symptoms of fatigue, insomnia and non-specific pain, and management of psychosocial and spiritual issues related to breast cancer treatment. Establishing supportive care during breast cancer treatment will help ensure that breast cancer patients receive comprehensive care that can help 1) improve adherence to treatment recommendations, 2) manage treatment-related toxicities and other treatment related symptoms, and 3) address the psychosocial and spiritual aspects of breast cancer and breast cancer treatments.

Original languageEnglish (US)
Pages (from-to)593-605
Number of pages13
JournalBreast
Volume22
Issue number5
DOIs
StatePublished - Oct 2013

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Resource Allocation
Consensus
Breast
Breast Neoplasms
Therapeutics
Global Health
Austria
Health
Sleep Initiation and Maintenance Disorders
Patient Education
Pain Management
Fatigue

Keywords

  • Breast cancer
  • Low- and middle-income countries
  • Resource allocations
  • Supportive care
  • Treatment toxicities

ASJC Scopus subject areas

  • Surgery

Cite this

Supportive care during treatment for breast cancer : Resource allocations in low- and middle-income countries: A Breast Health Global Initiative 2013 consensus statement. / Cardoso, Fatima; Bese, Nuran; Distelhorst, Sandra R.; Bevilacqua, Jose Luiz B; Ginsburg, Ophira; Grunberg, Steven M.; Gralla, Richard J.; Steyn, Ann; Pagani, Olivia; Partridge, Ann H.; Knaul, Felicia Marie; Aapro, Matti S.; Andersen, Barbara L.; Thompson, Beti; Gralow, Julie R.; Anderson, Benjamin O.

In: Breast, Vol. 22, No. 5, 10.2013, p. 593-605.

Research output: Contribution to journalArticle

Cardoso, F, Bese, N, Distelhorst, SR, Bevilacqua, JLB, Ginsburg, O, Grunberg, SM, Gralla, RJ, Steyn, A, Pagani, O, Partridge, AH, Knaul, FM, Aapro, MS, Andersen, BL, Thompson, B, Gralow, JR & Anderson, BO 2013, 'Supportive care during treatment for breast cancer: Resource allocations in low- and middle-income countries: A Breast Health Global Initiative 2013 consensus statement', Breast, vol. 22, no. 5, pp. 593-605. https://doi.org/10.1016/j.breast.2013.07.050
Cardoso, Fatima ; Bese, Nuran ; Distelhorst, Sandra R. ; Bevilacqua, Jose Luiz B ; Ginsburg, Ophira ; Grunberg, Steven M. ; Gralla, Richard J. ; Steyn, Ann ; Pagani, Olivia ; Partridge, Ann H. ; Knaul, Felicia Marie ; Aapro, Matti S. ; Andersen, Barbara L. ; Thompson, Beti ; Gralow, Julie R. ; Anderson, Benjamin O. / Supportive care during treatment for breast cancer : Resource allocations in low- and middle-income countries: A Breast Health Global Initiative 2013 consensus statement. In: Breast. 2013 ; Vol. 22, No. 5. pp. 593-605.
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