Setting Research Priorities to Reduce Burden of Cancer in Iran: an Institutional Experience

Abachizadeh, Kambiz;Mohagheghi, Mohammad-Ali;Mosavi-Jarrahi, Alireza

  • Published : 20110900

Abstract

Objective: The aim of this study was to draw a set of priority areas of cancer research in order to utilize these priorities as broader policy for decision-making on a comprehensive cancer control program at the national level in Iran. Materials and Methods: A steering committee consisting of scientists from the three major areas of clinical, basic research and public health sciences recommended a qualitative study of ranking an exhaustive outlines of cancer science topics by cancer scientists throughout country. Scientists were identified through Medline search and contacting cancer research centers all over the country. An exhausting outline of cancer science topics was modified and posed to Iranian cancer scientists. Doing research on each outlined topic was judged based on its state of being necessary, appropriate, practical or yielding in the Iranian societal context. An electronic system of communication was developed and all scientists were asked to rank each topic based in order of 1 to 5. As the areas of expertise of scientists were diverse, the participants had the option to rank the outlined topics that they think suitable to their areas. Results: Out of 135 identified scientists, 108 participated of whom 56 were clinicians (M.D's with university appointment), 35 basic scientists and 17 epidemiologists and public health scientists. As the top first five areas of research priorities, the overall assessment indicated as research topics: 1) cancer surveillance and registration as the first priority; followed by 2) exogenous factors in the origin and cause of cancer; 3) surveillance - patient care and survivorship issues; 4) issues of end-of-life care; and 5) cost analyses and health care delivery of cancer services. Conclusion: The study concluded that research on infrastructure of cancer control programs, cancer registration, service delivery and patient quality of life bears higher priority in Iran.

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References

  1. Baltussen R, Niessen L (2006). Priority setting of health interventions: the need for multi-criteria decision analysis. Cost Eff Resour Alloc, 4, 14. https://doi.org/10.1186/1478-7547-4-14
  2. Baltussen R, Stolk E, Chisholm D, et al (2006). Towards a multi-criteria approach for priority setting: an application to Ghana. Health Econ, 15, 689-96. https://doi.org/10.1002/hec.1092
  3. Garvey G, Cunningham J, Valery PC, et al (2011). Reducing the burden of cancer for Aboriginal and Torres Strait Islander Australians: time for a coordinated, collaborative, priority-driven, Indigenous-led research program. Med J Aust, 194, 530-1.
  4. Goddard M, Hauck K, Smith PC (2006). Priority setting in health - a political economy perspective. Health Econ Policy Law, 1, 79-90.
  5. Ham C (1997). Priority setting in health care: learning from international experience. Health Policy, 42, 49-66. https://doi.org/10.1016/S0168-8510(97)00054-7
  6. Khosravi A, Taylor R, Naghavi M, et al (2007). Mortality in the Islamic Republic of Iran, 1964-2004. Bull WHO, 85, 607-14.
  7. Mohagheghi MA, Mosavi-Jarrahi A, Malekzadeh R, et al (2009). Cancer incidence in Tehran metropolis: the first report from the Tehran Population-based Cancer Registry, 1998-2001. Arch Iran Med, 12, 15-23.
  8. Mosavi-Jarrahi A, Azargashb E, Mousavi-Jarrahi Y, et al (2011). The state of cancer epidemiology curricula in postgraduate schools worldwide. J Cancer Educ, 26, 566-71. https://doi.org/10.1007/s13187-011-0246-7
  9. Norheim OF (2008). Clinical priority setting. BMJ, 337, 1846. https://doi.org/10.1136/bmj.a1846
  10. Orem J, Wabinga H (2009). The roles of national cancer research institutions in evolving a comprehensive cancer control program in a developing country: experience from Uganda. Oncology, 77, 272-80. https://doi.org/10.1159/000259258
  11. Pereira JA, Foisy J, Kwong JC, et al (2011). A cost comparison of electronic and hybrid data collection systems in Ontario during pandemic and seasonal influenza vaccination campaigns. BMC Health Serv Res, 11, 210. https://doi.org/10.1186/1472-6963-11-21
  12. Ross B, Marine M, Chou M, et al (2011). Measuring compliance with transmission-based isolation precautions: Comparison of paper-based and electronic data collection. Am J Infect Control, 39, 839-43. https://doi.org/10.1016/j.ajic.2011.01.020
  13. Sabin JE, Daniels N (1997). Setting behavioral health priorities: good news and crucial lessons from the Oregon Health Plan. Psychiatr Serv, 48, 883-4. https://doi.org/10.1176/ps.48.7.883
  14. Shibuya K, Mathers CD, Boschi-Pinto C, et al (2002). Global and regional estimates of cancer mortality and incidence by site: II. Results for the global burden of disease 2000. BMC Cancer, 2, 37. https://doi.org/10.1186/1471-2407-2-37
  15. Singer PA, Mapa J (1998). Ethics of resource allocation: dimensions for healthcare executives. Hosp Q, 1, 29-31.
  16. The International Cancer Research Portfolio (ICRP). Http://www.cancerportfolio.org/index.jsp Accessed on 11/02/2010 . 2010.
  17. Viergever RF, Olifson S, Ghaffar A et al (2010). A checklist for health research priority setting: nine common themes of good practice. Health Res Policy Syst, 8, 36. https://doi.org/10.1186/1478-4505-8-36
  18. WHO. Summary Report on Priority Setting Methodologies in Health Research, A workshop convened by WHO's Cluster on Information, Evidence and Research (IER), its Department for Research Policy and Cooperation (RPC) and the Special Programme for Research and Training in Tropical Diseases (TDR). 11-4-2008. Geneva, Switzerland , World Health Organization.
  19. Yazdizadeh B, Mosavi-Jarrahi A, Mortazavi H, et al (2005). Time trends in the occurrence of major GI cancers in Iran. Asian Pacific J Cancer Prev, 6, 130-4.
  20. Youngkong S, Kapiriri L, Baltussen R (2009). Setting priorities for health interventions in developing countries: a review of empirical studies. Trop Med Int Health, 14, 930-9. https://doi.org/10.1111/j.1365-3156.2009.02311.x