建立非洲脑肿瘤联盟:推进非洲脑肿瘤的合作研究和宣传。

IF 3.7 Q1 CLINICAL NEUROLOGY
Neuro-oncology advances Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI:10.1093/noajnl/vdae198
Lateef A Odukoya, Kwadwo Darko, Francis Zerd, Nathalie C Ghomsi, Gloria Kabare, David O Kamson, Jeanette E Eckel-Passow, Robert B Jenkins, Gaspar J Kitange, Andrea O Akinjo, Kabir B Badmos, Olufemi Bankole, Olufemi E Idowu, Claire Karekezi, Elias Edrick, Chukwuyem Ekhator, Victoria M Katasi, Desmond A Brown, Jason Huse, Henry Llewellyn, Margreth Magambo, Michael Magoha, Umaru Barrie, Advera Ngaiza, Arsene D Nyalundja, Minda Okemwa, Lawrence Osei-Tutu, Bernard Petershie, W Elorm Yevudza, Charles C Anunobi, Liadi Tiamiyu, Gbetoho Fortuné Gankpe, Kashaigili Heronima, Dominique Higgins, Kristin Schroeder, Teddy Totimeh, James Balogun, Beverly Cheserem, Arnold B Etame, Ekokobe Fonkem
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引用次数: 0

摘要

背景:脑肿瘤是一项重大的全球健康挑战,其发病率和死亡率的上升影响着全世界的个人,并导致癌症相关的发病率和死亡率。在非洲,由于获得先进诊断、治疗选择和多学科护理的机会有限,加之缺乏标准化的癌症登记和肿瘤生物库,这一负担进一步加重。正如世界卫生组织2021年中枢神经系统(CNS)肿瘤分类所概述的那样,分子诊断的引入增加了脑肿瘤管理的复杂性,特别是在资源稀缺地区。方法:为了解决这些问题,非洲脑肿瘤联盟(BTCA)于2023年成立,汇集了专家,以提高中枢神经系统肿瘤的诊断,患者护理和研究。最初的项目通过电子问卷进行,旨在评估撒哈拉以南非洲地区的神经肿瘤学能力。结果:该研究揭示了显著的差距,有限数量的机构将分子分型纳入其诊断算法。该联盟的工作重点是加强当地数据的使用,为公共政策提供信息,并促进合作,以推进非洲的神经肿瘤学实践。通过建立一个网络,网罗神经外科、神经病学、神经病理学、解剖病理学、医学和放射肿瘤学等领域的专家,BTCA寻求通过更好的诊断、基础设施和政策倡导来改善脑肿瘤管理。未来的方向包括扩大分子诊断能力,标准化脑肿瘤生物银行,加强数据收集,并倡导在国家卫生议程中改善脑肿瘤护理。结论:BTCA代表了在应对非洲脑肿瘤护理的独特挑战方面开展合作和创新的开创性模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Establishment of a brain tumor consortium of Africa: Advancing collaborative research and advocacy for brain tumors in Africa.

Background: Brain tumors represent a significant global health challenge, with rising incidence and mortality impacting individuals worldwide and contributing to cancer-related morbidity and mortality. In Africa, this burden is exacerbated by limited access to advanced diagnostics, treatment options, and multidisciplinary care, compounded by the absence of standardized cancer registration and tumor biobanking. The introduction of molecular diagnostics, as outlined in the 2021 World Health Organization central nervous system (CNS) tumor classification, adds complexity to brain tumor management, particularly in regions with scarce resources.

Methods: To address these issues, the Brain Tumor Consortium for Africa (BTCA) was established in 2023, bringing together experts to improve CNS tumor diagnosis, patient care, and research. The initial project, conducted via an electronic questionnaire, aimed to assess neuro-oncology capacity across Sub-Saharan Africa.

Results: The study revealed significant gaps, with a limited number of institutions incorporating molecular subtyping into their diagnostic algorithms. The consortium's efforts focus on enhancing local data use, informing public policy, and promoting collaboration to advance neuro-oncology practices in Africa. By fostering a network enlisting the expertise of collaborators in the fields of neurosurgery, neurology, neuropathology, anatomic pathology, and medical and radiation oncology, the BTCA seeks to improve brain tumor management through better diagnostics, infrastructure, and policy advocacy. Future directions include expanding molecular diagnostic capabilities, standardizing brain tumor biobanking, enhancing data collection, and advocating for improved brain tumor care in national health agendas.

Conclusions: The BTCA represents a pioneering model of collaboration and innovation in addressing the unique challenges of brain tumor care in Africa.

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