Project ECHO: A Telementoring Program for Cervical Cancer Prevention and Treatment in Low-Resource Settings

Journal of Global Oncology
Melissa S LopezKathleen M Schmeler

Abstract

Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes) program, a low-cost telementoring model previously proven to be successful in increasing local capacity, improving patient management skills, and ultimately improving patient outcomes in rural and underserved areas. We use the Project ECHO model to educate local providers in the management of cervical dysplasia in a low-resource region of Texas and have adapted it to inform strategies for the management of advanced cervical and breast cancer in Latin America and sub-Saharan Africa. This innovative approach, using ECHO, is part of a larger strategy to enhance clinical skills and develop collaborative proj...Continue Reading

References

Nov 15, 2008·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Joseph StengerJudith A Savageau
Jul 8, 2010·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Sanjeev AroraWesley Pak
Jun 3, 2011·The New England Journal of Medicine·Sanjeev AroraClifford Qualls
Jun 29, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jyoti D PatelPatrick J Loehrer
Sep 27, 2012·Journal of Immigrant and Minority Health·Belinda M ReiningerSusan P Fisher-Hoch
Nov 23, 2013·The Journal of Physician Assistant Education : the Official Journal of the Physician Assistant Education Association·P Eugene Jones, Roderick S Hooker
Jan 9, 2014·CA: a Cancer Journal for Clinicians·Rebecca SiegelAhmedin Jemal
Mar 22, 2014·The Journal of Continuing Education in the Health Professions·Joanna G KatzmanSanjeev Arora
Sep 16, 2014·International Journal of Cancer. Journal International Du Cancer·Jacques FerlayFreddie Bray
Jun 26, 2015·PloS One·Cesaltina LorenzoniJaume Ordi
Nov 3, 2015·The Lancet Oncology·Kathrin Strasser-WeipplPaul E Goss
Aug 4, 2016·The Breast : Official Journal of the European Society of Mastology·Danielle RodinMary Gospodarowicz

❮ Previous
Next ❯

Citations

Feb 12, 2019·Obstetrics and Gynecology·Sonia ParraUNKNOWN Rice360 Student Team,
Mar 7, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Elizabeth M VaughanDavid J Hyman
Aug 2, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Mila P SalcedoCesaltina Lorenzoni
Apr 6, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Mila Pontremoli SalcedoKathleen M Schmeler
Jun 12, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Melissa Lopez VaronRene Pareja
Feb 9, 2017·Journal of Surgical Oncology·Melissa S LopezKathleen M Schmeler
Apr 1, 2020·American Society of Clinical Oncology Educational Book·Wilfred NgwaKathleen M Schmeler
Jul 20, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Renato Moretti-MarquesKathleen M Schmeler
Dec 3, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Megan E McLeodBenjamin C Li
Jun 17, 2021·International nursing review·Erica Lorrie Troncoso, Jennifer Breads
Jul 23, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Melissa Lopez VaronSanjeev Arora
Aug 10, 2019·The Lancet Oncology·Diana SarfatiJames Hospedales

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsies

Software Mentioned

ECHO
TeleECHO

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
ACOG, FIGO
JAMA : the Journal of the American Medical Association
Eric J SubaStephen S Raab
JAMA : the Journal of the American Medical Association
Imre Boncz
© 2022 Meta ULC. All rights reserved