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Les derniers abstracts de la revue The Lancet :

    Date de mise en ligne : Samedi 25 février 2017
    The Lancet
    [Editorial] Who cares for the carer?
    The Health and Care of Older People in England 2017, a comprehensive new report from Age UK released on Feb 16, invites medical professionals to take a closer look at an under-appreciated group—people in England who provide unpaid social care for family and friends. With almost a fifth of the population fitting into this description as of 2015, this group is substantial. More than 2 million of these carers are aged 65 years and older, and 417 000 of those are more than 80 years old. Two-thirds of carers older than 65 years themselves have a health condition or disability.

    Date de mise en ligne : Samedi 25 février 2017
    The Lancet
    [Editorial] Big challenges ahead for Indigenous health in Australia
    Last week, the Australian Prime Minister, Malcolm Turnbull, presented the ninth Closing the Gap report to Parliament. This annual report card examines health, education, and employment outcomes for Aboriginal and Torres Strait Islanders in comparison with the non-Indigenous population. Overall, despite some progress in improving the health and wealth of its Indigenous people, Australia is on target to fail in six of seven key outcomes.

    Date de mise en ligne : Samedi 25 février 2017
    The Lancet
    [Editorial] Our polluted planet
    Smog-filled streets in Delhi or Beijing have become familiar images in relation to air pollution. But how is the rest of India and China, and indeed, the world, faring against the leading cause of environmental death in the world? The State of Global Air 2017 report, published last week by the Health Effects Institute in collaboration with the Institute of Health Metrics and Evaluation, is the first edition of an annual publication that aims to provide a global, regional, and country level look at air pollution.

    Date de mise en ligne : Lundi 16 janvier 2017
    Matthew P Crotty, Patricia J Jackson
    [Comment] Terminal room disinfection: how much BETR can it get?
    Multidrug-resistant organisms and Clostridium difficile infection are continued threats to human health.1 Acquisition of these organisms through environmental exposure in the hospital has long been recognised as a primary source of infection.2–4 Other methods of acquisition exist, including environmental sources outside health-care settings;5 however, hospital acquisition remains the most important means of spread of these infections. Curbing environmental transmission of resistant pathogens in the hospital through modifiable factors that are not solely dependent on human efforts, such as hospital cleaning, is vital to maintaining the utility of antimicrobial treatment.

    Date de mise en ligne : Lundi 23 janvier 2017
    James E Thompson, Phillip D Stricker
    [Comment] Diagnostic accuracy of multi-parametric MRI and transrectal ultrasound-guided biopsy in prostate cancer
    Recent randomised controlled trials of prostate cancer screening and treatment have reported disappointing results. PLCO1 failed to demonstrate a benefit for population-based prostate-specific antigen (PSA) screening, while ERSPC2 reported a survival benefit, but 781 men needed to be invited for screening and 27 diagnosed with cancer to prevent one death. Furthermore, the PIVOT3 (2012) and ProtecT4 (2016) studies investigated treatment versus observation for localised PSA-detected prostate cancer and reported no mortality benefit for treatment over observation.

    Date de mise en ligne : Mardi 24 janvier 2017
    K Michael Cummings, Matthew J Carpenter
    [Comment] Selling smoking cessation
    Most people who have smoked for any significant length of time would like to stop smoking. Findings from prospective studies examining the natural history of efforts to stop smoking show that smokers often make frequent efforts to stop smoking or reduce their consumption, with little long-term success.1 Findings also show that most attempts to stop smoking are unplanned and are typically made without any professional assistance, even though effective support combining behavioural counselling and pharmacotherapy can substantially increase the odds of successfully remaining smoke-free.

    Date de mise en ligne : Mercredi 11 janvier 2017
    Ilze Bot, Johan Kuiper
    [Comment] Stressed brain, stressed heart?
    In the past decade, more and more individuals experience psychosocial stress on a daily basis. Heavy workloads, job insecurity, or living in poverty are circumstances that can result in chronically increased stress, which in turn can lead to chronic psychological disorders such as depression. Besides the heavy psychological burden, chronic stress is also associated with an increased risk of cardiovascular disease.1,2 Individuals with increased stress perception have a substantially higher prevalence of myocardial infarction than controls, as was reported by Rosengren and colleagues in 2004.

    Date de mise en ligne : Mardi 01 novembre 2016
    Udani Samarasekera, Richard Horton
    [Comment] Women’s cancers: shining a light on a neglected health inequity
    Breast and cervical cancers receive far less funding, advocacy, and public and political attention in low-income and middle-income countries (LMICs) than in high-income countries (HICs). Yet women in these settings have higher burdens of these diseases, poorer access to care, present with more advanced stages of disease, and are more likely to die from their disease than women in HICs. Why the discrepancy? Reasons include a belief that breast and cervical cancers are not a priority when compared with other women’s health issues, such as reproductive and maternal health, and that they are too difficult and expensive to prevent and treat in these settings.

    Date de mise en ligne : Samedi 25 février 2017
    Michelle Bachelet
    [Comment] Women, power, and the cancer divide
    Almost 100 years ago, Gabriela Mistral, Chilean poet and Nobel Prize winner, said that “every law, every freedom or culture movement, has left us for a long time in the shadows; that we always have arrived to the feast not as the reluctant guest who is arriving late, but as a comrade who is invited late and then hides in the banquet”.1 Mistral reminds us that, despite many hard won achievements, women in many parts of the world still remain “in the shadows”. Gender inequality and disempowerment of women have deep roots that plunge into the furthest recesses of our societies.

    Date de mise en ligne : Mardi 01 novembre 2016
    Otis W Brawley, Sally G Cowal
    [Comment] Civil society’s role in efforts to control women’s cancers
    Increasing attention is being paid to the growing global burden of non-communicable diseases (NCDs), especially cancer. Cancer is now a leading cause of mortality worldwide, accounting for one in seven deaths.1 Efforts to reduce cancer incidence and mortality have matured during the past five decades. Civil society—non-governmental and non-business organisations as well as individuals and communities—has an important role in implementing cancer control efforts. Members of civil society provide education to the public and support health-care providers by providing training, equipment, and supplies.

    Date de mise en ligne : Samedi 25 février 2017
    Margaret Chan, Chris Elias, Anthony Fauci, Anthony Lake, Seth Berkley
    [Comment] Reaching everyone, everywhere with life-saving vaccines
    In 2015, world leaders agreed to a new development plan—a set of Sustainable Development Goals (SDGs). Expanding access to immunisation is crucial to achieving the SDGs.1,2 Not only do vaccinations prevent the suffering and death associated with infectious diseases such as pneumonia, diarrhoea, whooping cough, measles, and polio, they also help enable national priorities like education and economic development to take hold.

    Date de mise en ligne : Samedi 25 février 2017
    Jonathan Barasch, Richard Zager, Joseph V Bonventre
    [Comment] Acute kidney injury: a problem of definition
    Individuals with acute kidney impairment can have defects in the excretion of water, salts, and metabolic products, including creatinine. Classical nephrology taught that defective kidney excretion should be described on the basis of aetiology and anatomy. We learned to approach the patient with a pathophysiological focus: was the cause of defective excretion due to extrarenal volume deficiency, impaired blood perfusion, intrinsic kidney causes, or post-renal causes? If intrinsic damage was found, was the cause primarily related to sepsis, ischaemia, drugs or toxins, interstitial or glomerular causes, or a combination of the above? These categories were useful because they provided prospective insights into the clinical course and suggested appropriate therapeutic interventions.

    Date de mise en ligne : Samedi 25 février 2017
    J Kevin Baird
    [Comment] Telling the human story of Asia's invisible malaria burden
    Malaria in Asia is a pervasive and diverse problem with about 2 billion people at risk.1 Although Plasmodium falciparum and Plasmodium vivax account for most clinical attacks of malaria in Asia, all four human plasmodia occur, as do zoonoses involving plasmodia of southeast Asian macaques2 and several dozen species of anopheline mosquito carry malaria in a wide variety of ecological habitats.3 Despite the broad scope and complexity of malaria in Asia, it represents a fairly small fraction of research endeavour and public funding in global malaria control efforts.

    Date de mise en ligne : Samedi 25 février 2017
    Malcolm Molyneux
    [Comment] Ombudsman's annual report for 2016
    2016 was notable especially for the chronicity of one of the cases that came my way as Ombudsman of the Lancet journals.

    Date de mise en ligne : Samedi 25 février 2017
    Richard Horton
    [Comment] Offline: The Paris Spring for public health policy
    A “society of anxiety” is how Yann Algan, Dean of the School of Public Affairs at Sciences Po in Paris, described our present era. He was opening, with an understandably sombre and pessimistic spirit, the annual gathering of the Global Public Policy Network, a collaboration between seven of the world's leading schools of public policy. Most scientists and scholars today exude the same sense of disquiet and apprehension. The bonfire of the elites is underway, and their existential crisis is being especially felt in Europe.

    Date de mise en ligne : Samedi 25 février 2017
    Susan Jaffe
    [World Report] US health-care groups voice concerns about replacing ACA
    Few details have emerged regarding a replacement for the US health law. Susan Jaffe, The Lancet's Washington correspondent, speaks to stakeholders about the problems they foresee.

    Date de mise en ligne : Samedi 25 février 2017
    Rita Rubin
    [World Report] Profile: Mexico's National Institute of Public Health at 30
    Back in 1983, Julio Frenk became only the second Mexican to earn a doctoral degree in public health—half a century after the first Mexican had accomplished that feat. Today, though, more than 100 people in Mexico have public health doctoral degrees, and a “very substantial number” earned them at the country's National Institute of Public Health (INSP), said Frenk, who, 30 years ago, became the founding director general of that institution.

    Date de mise en ligne : Samedi 25 février 2017
    Andrew Green
    [World Report] Frontline: Responding to Malawi's health needs
    Patrick Phiri is the health coordinator for the Malawi Red Cross based in the country's capital, Lilongwe. He originally joined the organisation in 2002 and took over his current position in 2006. He holds a diploma in clinical medicine and masters degrees in public health and in strategic management.

    Date de mise en ligne : Samedi 25 février 2017
    Pearl Gan
    [Perspectives] Picturing health: making malaria visible in Asia-Pacific
    I tell stories with images. The story captured in these photographs is the human face of malaria in remote communities in the Asia-Pacific region where isolated and impoverished people bear the burden of malaria. These pictures were taken as part of my collaboration with the Wellcome Trust, Oxford University's Eijkman-Oxford Clinical Research Unit in Jakarta, and the Oxford University Clinical Research Unit in Ho Chi Minh City for the See Malaria in Asia Project. The images shown here are a selection from the photographs I have taken for this project that will be shown at exhibitions in Asia later this year.

    Date de mise en ligne : Samedi 25 février 2017
    Thomas Seisen, Alexander P Cole, Maxine Sun, Adam S Kibel, Quoc-Dien Trinh
    [Correspondence] Assessing robot-assisted laparoscopic prostatectomy
    In their randomised trial, John Yaxley and colleagues (Sept 10, p 1057)1 found little difference in short-term outcomes between robot-assisted laparoscopic and open radical retropubic prostatectomy. This study has garnered attention and the authors should be congratulated for the first prospective trial comparing the two techniques. With that said, we noted key limitations.

    Date de mise en ligne : Samedi 25 février 2017
    Miguel Angel Arrabal-Polo, Miguel Arrabal-Martin, Jose Luis Mijan-Ortiz, Fernando Vazquez-Alonso, Jose Manuel Cozar-Olmo
    [Correspondence] Assessing robot-assisted laparoscopic prostatectomy
    In the phase 3 clinical trial by John Yaxley and colleagues,1 the only significant differences between radical retropubic prostatectomy and robot-assisted prostatectomy were observed in hospital stay, blood loss, duration of surgery (minutes), time in operating room (minutes), and stress levels, which were all lower in the robot-assisted surgery group. However, the authors did not perform a cost-benefit and cost-effectiveness study, which could be very interesting because there are no significant differences in oncological or functional outcomes.

    Date de mise en ligne : Samedi 25 février 2017
    Paolo Capogrosso, Eugenio Ventimiglia, Andrea Salonia
    [Correspondence] Assessing robot-assisted laparoscopic prostatectomy
    Randomised controlled trials (RCTs) are designed to test a therapeutic hypothesis under virtually perfect experimental conditions; overall, these features make RCTs the gold standard design of any prospective study to test a particular type of therapeutic intervention so it can be supported, confirmed, or even refuted.1 For the same reasons, it has been argued that RCTs could only partially represent a real-life scenario, casting doubts over the external validity of their results in routine circumstances.

    Date de mise en ligne : Samedi 25 février 2017
    John W Yaxley, Geoffrey D Coughlin, Suzanne K Chambers, Nigel Dunglison, Robert A Gardiner
    [Correspondence] Assessing robot-assisted laparoscopic prostatectomy – Authors' reply
    We thank the authors of these three letters. Since some of the points raised have been repeated, we will address the issues rather than individual letters.

    Date de mise en ligne : Samedi 25 février 2017
    David Zhang, Norbert F Banhidy
    [Correspondence] Effects of early physical exercise on later health
    We read with great interest the Article by Ulf Ekelund and colleagues (Sept 24, p 1302)1 and congratulate them on reporting the first large-scale meta-analysis of the association of physical activity and sedentary behaviour with all-cause mortality. We concur that the findings have far-reaching implications for future public health campaigns and are important in highlighting the beneficial effects of exercise on health.

    Date de mise en ligne : Samedi 25 février 2017
    Ulf Ekelund, Adrian Bauman, I-Min Lee
    [Correspondence] Effects of early physical exercise on later health – Authors' reply
    We thank David Zhang and Norbert Banhidy for their appreciation of our recently published paper,1 suggesting physical activity of at least moderate intensity eliminated the detrimental association between sitting time and all-cause mortality.

    Date de mise en ligne : Samedi 25 février 2017
    Sudhvir Singh, Jessica Beagley
    [Correspondence] Health and the New Urban Agenda: a mandate for action
    In October, 35 000 representatives of global, national, and local authorities, civil society, business, and academia gathered in Quito, Ecuador for the Third UN Conference on Housing and Sustainable Urban Development (Habitat III). The conference culminated in the adoption of the New Urban Agenda,1 which defines priorities for sustainable urbanisation over the next two decades. This letter summarises the relevance of the New Urban Agenda to the health community and the mandate for health professionals to engage in multisectoral approaches to sustainable urbanisation.

    Date de mise en ligne : Samedi 25 février 2017
    Jonathan Kennedy, David McCoy
    [Correspondence] WHO and the health crisis among the Rohingya people of Myanmar
    Syed Mahmood and colleagues1 (Dec 1) barely mention WHO in their analysis of how the Myanmar Government's persecution of the Rohingya people has created a health crisis. WHO categorises the situation in Rakhine State as a protracted humanitarian emergency in its 2016 Humanitarian Response Plans.2 The 2013 Emergency Response Framework states that WHO should have a leading role in responding to the health aspects of such crises and pay “special attention to vulnerable and marginalised groups”.3 However, in practice WHO is doing little to resolve the health crisis and does not specifically refer to the Rohingya—a term not recognised by the Myanmar Government—in its latest Humanitarian Response Plans or Country Cooperation Strategy.

    Date de mise en ligne : Samedi 25 février 2017
    Colm T Leonard, Derek Ward, Carole Longson
    [Correspondence] Antimicrobial resistance: a light at the end of the tunnel?
    Antimicrobial resistance (AMR) is an area of grave concern globally,1,2 reflected in the recent UN meeting on the subject to rally worldwide coordinated action to combat the AMR threat.3 A multipronged approach is required, including reduction in use of antibiotics in agriculture, better stewardship of antibiotics in human medicine, and encouraging development of new antibiotics. Margaret Chan, Director General of WHO commented that, “with few replacement products in the pipeline the world is heading to a post-antibiotic era in which common infections…will once again kill”.

    Date de mise en ligne : Samedi 25 février 2017
    Antonio Preti
    [Correspondence] Italian Abilitazione Scientifica Nazionale
    On July 29, 2016, a new version of the Italian Abilitazione Scientifica Nazionale (ASN; National Scientific Qualification) was launched. Contrary to initial expectations, the new qualification thresholds are lower than those of the first edition from 2012. For psychiatry, for example, the minimal H indexes have now been lowered from 8·5 for associate professor to 7 and from 12·5 for full professor to 12. Retirement of some high-ranking academics is unlikely to have had such a large effect on the bibliometric indicators that are used in the ASN.

    Date de mise en ligne : Mardi 07 février 2017
    Kristoffer Lassen, Bjørn Atle Bjørnbeth, Pål-Dag Line, Andreas Abildgaard, Jon Arne Søreide, Kim Mortensen, Jon Erik Grønbech, Erling Bringeland, Arild Horn
    [Correspondence] Trump's ban on colleagues from Islamic countries
    President Trump has closed the borders of the United States for all citizens from a selected group of Islamic countries.1 This ban will affect a large number of our colleague surgeons and physicians in their work as clinicians and academics. We view this as unjustified and unacceptable discrimination on the basis of religion, citizenship and culture.

    Date de mise en ligne : Jeudi 12 janvier 2017
    [Department of Error] Department of Error
    Takawol A, Ishai A, Takx RAP, et al. Relation between resting amygdalar activity and cardiovascular events: a longitudinal and cohort study. Lancet 2017; 389: 837–45—in figure 2, the right-hand heading has been corrected to read “High amygdalar activity with subsequent cardiovascular disease” (a previous version read “High amygdalar activity with no subsequent cardiovascular disease”). This correction has been made to the online version as of Jan 12, 2017, and the printed Article is correct.

    Date de mise en ligne : Samedi 25 février 2017
    [Department of Error] Department of Error
    Takawol A, Ishai A, Takx RAP, et al. Relation between resting amygdalar activity and cardiovascular events: a longitudinal and cohort study. Lancet 2017; 389: 834–45—In figure 5C of this Article, the units for C-reactive protein should have been in mg/L. This correction has been made to the online version as of Feb 23, 2017, and the printed Article is correct.

    Date de mise en ligne : Samedi 25 février 2017
    [Department of Error] Department of Error
    Serruys PW, Chevalier B, Sotomi Y, et al. Comparison of an everolimus-eluting bioresorbable scaffold with an everolimus-eluting metallic stent for the treatment of coronary artery stenosis (ABSORB II): a 3 year, randomised, controlled, single-blind, multicentre clinical trial. Lancet 2016; 388: 2479–91—In the appendix of this Article, table 1, footnotes clarifying the information on post-procedure intravascular ultrasound for patient 100 609-1002 and incomplete stent/scaffold apposition for patients 118 501–1006 and 120 314–1001 have been added.

    Date de mise en ligne : Vendredi 10 février 2017
    [Department of Error] Department of Error
    Thomusch O, Wiesener M, Opgenoorth M, et al. Rabbit-ATG or basiliximab induction for rapid steroid withdrawal after renal transplantation (Harmony): an open-label, multicentre, randomised controlled trial. Lancet 2016; 388: 3006–16—Two supplementary figures that were missing from the online appendix have now been added. This correction has been made to the online version as of Feb 10, 2017.

    Date de mise en ligne : Lundi 16 janvier 2017
    Deverick J Anderson, Luke F Chen, David J Weber, Rebekah W Moehring, Sarah S Lewis, Patricia F Triplett, Michael Blocker, Paul Becherer, J Conrad Schwab, Lauren P Knelson, Yuliya Lokhnygina, William A Rutala, Hajime Kanamori, Maria F Gergen, Daniel J Sexton, CDC Prevention Epicenters Program
    [Articles] Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study
    A contaminated health-care environment is an important source for acquisition of pathogens; enhanced terminal room disinfection decreases this risk.

    Date de mise en ligne : Jeudi 19 janvier 2017
    Hashim U Ahmed, Ahmed El-Shater Bosaily, Louise C Brown, Rhian Gabe, Richard Kaplan, Mahesh K Parmar, Yolanda Collaco-Moraes, Katie Ward, Richard G Hindley, Alex Freeman, Alex P Kirkham, Robert Oldroyd, Chris Parker, Mark Emberton, PROMIS study group
    [Articles] Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study
    Using MP-MRI to triage men might allow 27% of patients avoid a primary biopsy and diagnosis of 5% fewer clinically insignificant cancers. If subsequent TRUS-biopsies were directed by MP-MRI findings, up to 18% more cases of clinically significant cancer might be detected compared with the standard pathway of TRUS-biopsy for all. MP-MRI, used as a triage test before first prostate biopsy, could reduce unnecessary biopsies by a quarter. MP-MRI can also reduce over-diagnosis of clinically insignificant prostate cancer and improve detection of clinically significant cancer.

    Date de mise en ligne : Mardi 24 janvier 2017
    Hazel Gilbert, Stephen Sutton, Richard Morris, Irene Petersen, Simon Galton, Qi Wu, Steve Parrott, Irwin Nazareth
    [Articles] Effectiveness of personalised risk information and taster sessions to increase the uptake of smoking cessation services (Start2quit): a randomised controlled trial
    Delivery of personalised risk information alongside an invitation to an introductory session more than doubled the odds of attending the SSS compared with a standard generic invitation to contact the service. This result suggests that a more proactive approach, combined with an opportunity to experience local services, can reduce patient barriers to receiving treatment and has high potential to increase uptake.

    Date de mise en ligne : Mercredi 11 janvier 2017
    Ahmed Tawakol, Amorina Ishai, Richard AP Takx, Amparo L Figueroa, Abdelrahman Ali, Yannick Kaiser, Quynh A Truong, Chloe JE Solomon, Claudia Calcagno, Venkatesh Mani, Cheuk Y Tang, Willem JM Mulder, James W Murrough, Udo Hoffmann, Matthias Nahrendorf, Lisa M Shin, Zahi A Fayad, Roger K Pitman
    [Articles] Relation between resting amygdalar activity and cardiovascular events: a longitudinal and cohort study
    In this first study to link regional brain activity to subsequent cardiovascular disease, amygdalar activity independently and robustly predicted cardiovascular disease events. Amygdalar activity is involved partly via a path that includes increased bone-marrow activity and arterial inflammation. These findings provide novel insights into the mechanism through which emotional stressors can lead to cardiovascular disease in human beings.

    Date de mise en ligne : Jeudi 22 septembre 2016
    Justyn M Thomas, Alana Durack, Anne Sterling, Pamela M Todd, Nevianna Tomson
    [Clinical Picture] Aquagenic wrinkling of the palms: a diagnostic clue to cystic fibrosis carrier status and non-classic disease
    In early 2015, a 22-year-old white woman with no medical history and an unrelated 25-year-old white man with an 8-year history of idiopathic chronic pancreatitis requiring Creon supplementation presented independently to two of our dermatology clinics. Within the preceding 12 months both had developed pruritic wrinkling of the palmar skin after even brief contact with water. In both cases, initial examination of the hands was normal but after immersion of the hands in water for 3 min, they developed substantial oedema and wrinkling of the palmar skin (figure).

    Date de mise en ligne : Mardi 01 novembre 2016
    Ophira Ginsburg, Freddie Bray, Michel P Coleman, Verna Vanderpuye, Alexandru Eniu, S Rani Kotha, Malabika Sarker, Tran Thanh Huong, Claudia Allemani, Allison Dvaladze, Julie Gralow, Karen Yeates, Carolyn Taylor, Nandini Oomman, Suneeta Krishnan, Richard Sullivan, Dominista Kombe, Magaly M Blas, Groesbeck Parham, Natasha Kassami, Lesong Conteh
    [Series] The global burden of women’s cancers: a grand challenge in global health
    Every year, more than 2 million women worldwide are diagnosed with breast or cervical cancer, yet where a woman lives, her socioeconomic status, and agency largely determines whether she will develop one of these cancers and will ultimately survive. In regions with scarce resources, fragile or fragmented health systems, cancer contributes to the cycle of poverty. Proven and cost-effective interventions are available for both these common cancers, yet for so many women access to these is beyond reach.

    Date de mise en ligne : Mardi 01 novembre 2016
    Lynette Denny, Silvia de Sanjose, Miriam Mutebi, Benjamin O Anderson, Jane Kim, Jose Jeronimo, Rolando Herrero, Karen Yeates, Ophira Ginsburg, Rengaswamy Sankaranarayanan
    [Series] Interventions to close the divide for women with breast and cervical cancer between low-income and middle-income countries and high-income countries
    Breast and cervical cancers are the commonest cancers diagnosed in women living in low-income and middle-income countries (LMICs), where opportunities for prevention, early detection, or both, are few. Yet several cost-effective interventions could be used to reduce the burden of these two cancers in resource-limited environments. Population- wide vaccination against human papillomavirus (HPV) linked to cervical screening, at least once, for adult women has the potential to reduce the incidence of cervical cancer substantially.

    Date de mise en ligne : Mardi 01 novembre 2016
    Ophira Ginsburg, Rajan Badwe, Peter Boyle, Gemma Derricks, Anna Dare, Tim Evans, Alexandru Eniu, Jorge Jimenez, Tezer Kutluk, Gilberto Lopes, Sulma I Mohammed, You-Lin Qiao, Sabina Faiz Rashid, Diane Summers, Diana Sarfati, Marleen Temmerman, Edward L Trimble, Aasim I Padela, Ajay Aggarwal, Richard Sullivan
    [Series] Changing global policy to deliver safe, equitable, and affordable care for women’s cancers
    Breast and cervical cancer are major threats to the health of women globally, particularly in low-income and middle-income countries. Radical progress to close the global cancer divide for women requires not only evidence-based policy making, but also broad multisectoral collaboration that capitalises on recent progress in the associated domains of women’s health and innovative public health approaches to cancer care and control. Such multisectoral collaboration can serve to build health systems for cancer, and more broadly for primary care, surgery, and pathology.