Shailja C. Shah|Violet Kayamba|Richard M. Peek|Douglas C. Heimburger
Cancer Control in Low- and Middle-Income Countries: Is It Time to Consider Screening?
Vanderbilt University Medical Center|University of Zambia|Vanderbilt University Medical Center|Vanderbilt University Medical Center
rising prevalence noncommunicable diseases globally strikingly disproportionate increase prevalence related mortality low middleincome countries lmics major threat sustainable development epidemiologic trend cancers lmics particular concern despite lower incidence cancer lmics compared highincome countries total cancerrelated mortality significantly higher lmics especially people younger 65 years age enormous economic impact premature mortality lost productive life years highlights critical importance galvanizing cancer prevention management achieve sustainable development rising burden cancer lmics stresses already weak health care economic infrastructure poses unique challenges although acknowledges effective management cancer relies early detection accurate diagnosis access appropriate multimodal therapy placement priority early detection cannot assumed effective lmics limited downstream resources may overwhelmed inevitable increases number diagnoses review discusses several factors considerations may compromise success cancer control programs lmics particularly focus early detection screening surveillance intended guide optimal implementation cancer control programs accentuating challenges common lmics emphasizing importance cancer prevention relevant communities stakeholders work together devise optimal means combatting growing burden cancer