The role of relative advantage for development of sequencing‐based diagnostics for pediatric cancer in low‐ and middle‐income countries

Author:

Berger Anissa1,Rennie Stuart1,Aijaz Javeria2,Johnson Liza‐Marie3ORCID,Antillon Federico4,Roberts Megan C.5ORCID,Chitsike Inam6,Kambugu Joyce7,Saha Vaskar8ORCID,Bhakta Nickhill9ORCID,Davis Arlene M.1,Alexander Thomas B.1011ORCID

Affiliation:

1. Department of Social Medicine University of North Carolina Chapel Hill North Carolina USA

2. Department of Pathology Indus Health and Hospital Network Karachi Pakistan

3. Department of Oncology St. Jude Children’s Research Hospital Memphis Tennessee USA

4. Unidad Nacional de Oncologia Guatemala City Guatemala

5. Eshelman School of Pharmacy University of North Carolina Chapel Hill North Carolina USA

6. University of Zimbabwe Harare Zimbabwe

7. Uganda Cancer Institute Kampala Uganda

8. Tata Translational Cancer Research Center Kolkata India

9. Department of Global Pediatric Medicine St. Jude Children’s Research Hospital Memphis Tennessee USA

10. Department of Pediatrics University of North Carolina Chapel Hill North Carolina USA

11. Department of Pathology and Laboratory Medicine University of North Carolina Chapel Hill North Carolina USA

Abstract

Efforts to address limitations in cancer diagnostics in low‐ and middle‐income countries should follow an approach that avoids two extremes: unproductive attempts to require implementation of high‐income country gold standards or acquiescence to the diagnostic status quo. The relative advantage of implementing new diagnostic tests (including sequencing‐based approaches) should be determined through comparison to local standards of care, with context‐specific clinical utility determined using locally available therapeutic options.

Publisher

Wiley

Subject

Cancer Research,Oncology

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