Transforming Cancer Care in Bolivia

The Northwestern/NIH PROMIS technology being used by a rural indigenous woman with advanced cervical cancer. Steven Schuetz, ’13 MD, chief surgical resident at Northwestern Medicine and founder of PROMIS Bolivia, said this photo “brings me to tears, simply from the thought of such underserved patients being able to benefit from the same technologies used here at Northwestern.”

Northwestern and National Comprehensive Cancer Network working with health officials in Bolivia to improve cancer care

A delegation from the National Comprehensive Cancer Network (NCCN), including Northwestern oncology leaders, recently met with health leaders in The Plurinational State of Bolivia to begin generating cancer treatment recommendations to fit the country’s unique needs.

The new guidelines will be based on NCCN’s frameworks and guidelines, but the new versions will be translated into Spanish and will be the first to be adapted to the specific cancer care circumstances in Bolivia.

William Gradishar, MD, chief of Hematology and Oncology in the Department of Medicine and the Betsy Bramsen Professorship of Breast Oncology, attended as chair of the NCCN’s Guidelines Panel for Breast Cancer, while Al B. Benson, MD, professor of Medicine in the Division of Hematology and Oncology, attended as chair of the Guidelines Panel for Rectal Cancer. Both also traveled as representatives of the Robert H. Lurie Comprehensive Cancer Center of Northwestern University.

This work is possible thanks to the organization and funding of PROMIS Bolivia, with generous support from Northwestern Medicine’s Global Health Initiative and the Lurie Cancer Center. PROMIS Bolivia is a charitable foundation whose mission is to adapt, disseminate and implement state-of-the-science, international healthcare interventions throughout Bolivia in order to maximize the health outcomes of patients and their families.

“This collaboration is an important step forward for cancer care in Bolivia,” said Steven Schuetz, ’13 MD, chief surgical resident at Northwestern Medicine and founder of PROMIS Bolivia. “Cancer care in Bolivia remains geographically and financially inaccessible to a large proportion of the population, with high rates of medical impoverishment and early termination of treatment. The development of NCCN resource-stratified cancer guidelines adapted to the Bolivian healthcare system will allow every cancer patient in Bolivia — regardless of socioeconomic status — to be provided evidence-based cancer care that promotes treatment completion, minimizes impoverishment and results in better outcomes for the patient and their family.”

For more information about NCCN’s global work to improve and standardize cancer care practices worldwide, visit NCCN.org/global, and join the conversation online with the hashtag #NCCNGlobal.

Read the full release at NCCN.org.

Steven Schuetz, ’13 MD, right, along with the governor of the state of Chuquisaca (center) and representatives of the regional and national ministries of health, and WHO/PAHO-Bolivia. Schuetz is wearing a traditional Bolivian poncho given as a gift by the governor in honor of PROMIS Bolivia’s work with the Chuquisaca Cancer Institute. From left to right are: Sandra Mallo, PanAmerican Health Organization – Bolivia; Dr. Limber Soruco, Director of the Ministry of Health – Chuquisaca; Dr. Lenildo de Moura, Director of Non-Communicable Diseases, World Health Organizaiton/PanAmerican Health Organization – Bolivia; Esteban Urquizu, Governor of Chuquisaca; Dr. Maribel Marmol, Director of the Chuquisaca Cancer Institute; Dr. Claudia Carvajal, Consultant for the National Cancer Program, National Ministry of Health; and Scheutz.