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American Society of Clinical Oncology (ASCO) framework of resource stratification[1,2]

American Society of Clinical Oncology (ASCO) framework of resource stratification[1,2]
Setting Description
Basic Core resources or fundamental services are absolutely necessary for any public health/primary health care system to function; basic-level services typically are applied in a single clinical interaction.
Limited Second-tier resources or services are intended to produce major improvements in outcome, such as incidence and cost effectiveness, and are attainable with limited financial means and modest infrastructure; limited-level services may involve single or multiple interactions. Universal public health interventions are feasible for a greater percentage of the population than the primary target group.
Enhanced Third-tier resources or services are optional but important; enhanced-level resources should produce further improvements in outcome and increase the number and quality of options and individual choice (perhaps ability to track patients and links to registries).
Maximal* May use high-resource-setting guidelines.
High-level/state-of-the-art resources or services may be used or are available in some high-resource countries and/or may be recommended by high-resource-setting guidelines that do not adapt to resource constraints, but that nonetheless should be considered a lower priority than those resources or services listed in the other categories on the basis of extreme cost and/or impracticality for broad use in a resource-limited environment.
* To be useful, maximal-level resources typically depend on the existence and functionality of all lower-level resources.
References:
  1. Anderson BO, Shyyan R, Eniu A, et al. Breast cancer in limited-resource countries: An overview of the Breast Health Global Initiative 2005 guidelines. Breast J 2006; 12:S3.
  2. Horton S, Gauvreau CL. Cancer in low- and middle-income countries: An economic overview. In: Cancer: Disease Control Priorities, 3rd ed, Gelband H, Jha P, Sankaranarayanan R, et al (Eds), The International Bank for Reconstruction and Development/The World Bank, Washington, DC 2015.
From: Costas-Chavarri A, Nandakumar G, Temin S, et al. Treatment of Patients With Early-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline. J Glob Oncol 2019; 5:1. Available at: http://ascopubs.org/doi/10.1200/JGO.18.00214. Copyright © 2019 Costas-Chavarri A, Nandakumar G, Temin S, et al. Reproduced under the terms of the Creative Commons Attribution License 4.0.
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