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dc.contributor.authorPiñero, Federico.
dc.contributor.authorPoniachk, Jaime.
dc.contributor.authorRidruejo, Ezequiel.
dc.contributor.authorSilva, Marcelo.
dc.date.accessioned2020-09-24T16:18:19Z
dc.date.available2020-09-24T16:18:19Z
dc.date.issued2018-10-07
dc.identifier.citationWorld J Gastroenterol . 2018 Oct 7;24(37):4224-4229.en_US
dc.identifier.issn2219-2840
dc.identifier.urihttps://riu.austral.edu.ar/handle/123456789/962
dc.description.abstractAbstract 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.en_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Groupen_US
dc.subjectChallengeen_US
dc.subjectLatin Americaen_US
dc.subjectLimitationsen_US
dc.subjectLiver canceren_US
dc.titleHepatocellular carcinoma in Latin America: Diagnosis and treatment challengesen_US
dc.typeArticleen_US


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