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dc.contributor.author
Piñero, Federico
dc.contributor.author
Poniachik, Jaime
dc.contributor.author
Ridruejo, Ezequiel
dc.contributor.author
Silva, Marcelo
dc.date.available
2019-10-18T19:19:33Z
dc.date.issued
2018-10
dc.identifier.citation
Piñero, Federico; Poniachik, Jaime; Ridruejo, Ezequiel; Silva, Marcelo; Hepatocellular carcinoma in Latin America: Diagnosis and treatment challenges; W J G Press; World Journal of Gastroenterology; 24; 37; 10-2018; 4224-4229
dc.identifier.issn
1007-9327
dc.identifier.uri
http://hdl.handle.net/11336/86462
dc.description.abstract
Latin America, a region with a population greater than 600000000 individuals, is well known due to its wide geographic, socio-cultural and economic heterogeneity. Access to health care remains as the main barrier that challenges routine screening, early diagnosis and proper treatment of hepatocellular carcinoma (HCC). Therefore, identification of population at risk, implementation of surveillance programs and access to curative treatments has been poorly obtained in the region. Different retrospective cohort studies from the region have shown flaws in the implementation process of routine surveillance and early HCC diagnosis. Furthermore, adherence to clinical practice guidelines recommendations assessed in two studies from Brazil and Argentina demonstrated that there is also room for improvement in this field, similarly than the one observed in Europe and the United States. In summary, Latin America shares difficulties in HCC decision-making processes similar to those from developed countries. However, a transversal limitation in the region is the poor access to health care with the consequent limitation to standard treatments for overall population. Specifically, universal health care access to the different World Health Organization levels is crucial, including improvement in research, education and continuous medical training in order to expand knowledge and generation of data promoting a continuous improvement in the care of HCC patients.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
W J G Press
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
CHALLENGE
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LATIN AMERICA
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LIMITATIONS
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LIVER CANCER
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Gastroenterología y Hepatología
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Hepatocellular carcinoma in Latin America: Diagnosis and treatment challenges
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2019-10-09T20:46:02Z
dc.identifier.eissn
2219-2840
dc.journal.volume
24
dc.journal.number
37
dc.journal.pagination
4224-4229
dc.journal.pais
China
dc.description.fil
Fil: Piñero, Federico. Educational And Awareness Network; Argentina. Hospital Universitario Austral; Argentina
dc.description.fil
Fil: Poniachik, Jaime. Hospital Clinico de la Universidad de Chile; Chile. Clinica Santa Maria; Chile
dc.description.fil
Fil: Ridruejo, Ezequiel. Hospital Universitario Austral; Argentina. Educational And Awareness Network; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET; Argentina
dc.description.fil
Fil: Silva, Marcelo. Hospital Universitario Austral; Argentina. Educational And Awareness Network; Argentina
dc.journal.title
World Journal of Gastroenterology
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.3748/wjg.v24.i37.4224


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