How international organizations can support the development of CardioOncology in the Latin American and the Caribbean (LAC) region

Amelia Peix, Manuel Bazan, Jorge E Aguiar, Jesus Sanchez, E. Estrada, Aurelio Mendoza, Diana Paez
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Abstract

Health problems in the Latin American and the Caribbean (LAC) region are highly concentrated on non-communicable diseases (NCDs), being cardiovascular diseases (CVDs) and cancer the leading causes of death. Different countries of the region are at different stages of development in addressing CVDs and cancer. Opportunities for training and continuing education in cardio-oncology, as well as active cardio-oncology groups, are primarily limited to large academic institutions in major metropolitan areas. In addition, the development of advanced imaging modalities in LAC faces challenges such as the high cost of equipment, a lack of equipment maintenance and service, as well as insufficient specific training for both imaging specialists and referring clinicians. To contribute to the implementation of actionable strategies ensuring equitable access to care for all, international organizations, such as the IAEA, offer support for the regional development of health projects that address educational needs. In this context, a new IAEA regional cooperation project for LAC titled “Strengthening of regional capacities on the use of Nuclear Medicine techniques in a Cardio-oncology multimodality approach in patients with cancer” will be developed during 2024-2025. The experience of some centers, as well as national experiences in certain countries of the region, that have been previously involved in other regional projects, can be leveraged for the benefit of the entire region. We present a proposed road map for cross-institutional/countries collaboration in the development of cardio-oncology in the LAC region, contributing to decreasing the barriers to the growth of the subspecialty.
国际组织如何支持拉丁美洲及加勒比地区(LAC)肿瘤心脏病学的发展
拉丁美洲和加勒比地区(LAC)的健康问题高度集中于非传染性疾病(NCDs),其中心血管疾病(CVDs)和癌症是导致死亡的主要原因。该地区不同国家在应对心血管疾病和癌症方面处于不同的发展阶段。心脏肿瘤学的培训和继续教育机会以及活跃的心脏肿瘤学团体主要局限于大都市地区的大型学术机构。此外,拉丁美洲和加勒比地区先进成像模式的发展还面临着设备成本高、缺乏设备维护和服务以及对成像专家和转诊临床医生的专门培训不足等挑战。为了促进实施可行的战略,确保所有人都能公平地获得医疗服务,国际原子能机构等国际组织为满足教育需求的地区卫生项目的发展提供了支持。在此背景下,原子能机构将在 2024-2025 年期间为拉丁美洲和加勒比地区制定一个新的区域合作项目,题为 "加强癌症患者在心 脏肿瘤学多模式方法中使用核医学技术的地区能力"。一些中心的经验以及该地区某些国家以前参与其他地区项目的国家经验可以为整个地区的利益服务。我们提出了在拉丁美洲和加勒比地区发展心脏肿瘤学的跨机构/国家合作路线图,以减少该亚专科发展的障碍。
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