Background/Objectives:Colorectal cancer remains a significant global health challenge, particularly in resource-limited settings where patient-centered outcomes following surgery are often suboptimal. Although more prevalent in low- and middle-income countries (LMICs), segments of the United States have similarly limited healthcare resources, resulting in stark inequities even within close geographic proximity.Methods:This review compares and contrasts colorectal cancer outcomes in LMICs with those in resource-constrained communities in rural America, utilizing an established implementation science framework to identify key determinants of practice for delivering high-quality colorectal cancer care.Results: Barriers and innovative, community-based strategies aimed at improving patient-centered outcomes for colorectal cancer patients in low resource settings are identified. We explore innovative approaches and community-based strategies aimed at improving patient-centered outcomes, highlighting the newly developed colorectal surgery fellowship in Sub-Saharan Africa as a model of innovation in this field.Conclusions:By exploring these diverse contexts, this paper proposes actionable solutions and strategies to enhance surgical care of colorectal cancer and patient outcomes, ultimately aiming to inform global health practices, inspire collaboration between LMIC and rural communities, and improve care delivery across various resource settings.
背景/目的：结直肠癌仍是全球重大健康挑战，在资源有限地区尤为突出，这些地区以患者为中心的手术治疗效果往往不尽如人意。虽然中低收入国家更为普遍，但美国部分地区同样面临医疗资源匮乏的问题，导致即使在相邻地理区域内也存在显著的不平等。 方法：本综述采用成熟的实施科学框架，比较和对比了中低收入国家与美国农村资源受限社区的结直肠癌治疗结果，以确定提供高质量结直肠癌护理的关键实践决定因素。 结果：研究识别了在资源匮乏环境中改善结直肠癌患者以患者为中心的治疗效果的障碍及创新性、基于社区的策略。我们探讨了旨在改善以患者为中心的治疗效果的创新方法和社区策略，重点介绍了撒哈拉以南非洲地区新设立的结直肠外科专科培训项目，作为该领域创新模式的典范。 结论：通过分析这些不同背景，本文提出了可操作的解决方案和策略，以加强结直肠癌的外科治疗并改善患者预后，最终旨在为全球卫生实践提供参考，促进中低收入国家与农村社区之间的合作，并改善不同资源环境下的医疗服务提供。
肿瘤(癌症)患者之家