{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:59:37Z","timestamp":1790189977222,"version":"4.1.0"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Asia bears a disproportionate share of the global sarcoma burden in absolute terms, coupled with socioeconomic challenges.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Centers in Asia seek to deliver oncologically sound care while consciously optimizing resource utilization.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Providing the greatest overall benefit within the inherent constraints of a resource-limited setting has served as a stimulus for indigenous development of limb-salvage prostheses and innovative procedures.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Government-led policy initiatives, better opportunities for training for sarcoma specialists, and increased intraregional collaboration can bridge the existing disparities that are currently prevalent in sarcoma care in Asia.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Lessons learned from cancer care in Asia could help to define global priorities around sustainable health care.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.26.00674","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:03:06Z","timestamp":1790186586000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Orthopaedic Oncology in India and Asia"],"prefix":"10.2106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4323-753X","authenticated-orcid":false,"given":"Ajay","family":"Puri","sequence":"first","affiliation":[{"name":"Orthopaedic Oncology, Department of Surgical Oncology, Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"issue":"6","key":"bib1-20260923","doi-asserted-by":"crossref","first-page":"5631","DOI":"10.3390\/curroncol30060424","article-title":"Investigation of the Incidence and Geographic Distribution of Bone and Soft Tissue Sarcomas in Canada: A National Population-Based Study","volume":"30","author":"Alkazemi","year":"2023","journal-title":"Curr Oncol."},{"issue":"4","key":"bib2-20260923","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/cac2.12653","article-title":"Incidence of and survival with bone and soft tissue sarcoma: A nation-wide study over four decades","volume":"45","author":"Smolle","year":"2025","journal-title":"Cancer Commun (Lond)."},{"issue":"1","key":"bib3-20260923","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1186\/s12885-025-14136-6","article-title":"Global patterns and burden of soft tissue and extraosseous sarcomas: trends from 1990 to 2021","volume":"25","author":"Zhu","year":"2025","journal-title":"BMC Cancer."},{"key":"bib4-20260923","doi-asserted-by":"crossref","first-page":"117212","DOI":"10.1016\/j.bone.2024.117212","article-title":"Global, regional, and national burden and trends analysis of malignant neoplasm of bone and articular cartilage from 1990 to 2021: A systematic analysis for the Global Burden of Disease Study 2021","volume":"188","author":"Lai","year":"2024","journal-title":"Bone."},{"issue":"2","key":"bib6-20260923","doi-asserted-by":"crossref","first-page":"631","DOI":"10.31557\/APJCP.2022.23.2.631","article-title":"Predictors and Treatment Outcomes of Pediatric Osteosarcoma in Diverse Socioeconomic Backgrounds in Southeast Asia: A Retrospective Multicenter Study","volume":"23","author":"Monsereenusorn","year":"2022","journal-title":"Asian Pac J Cancer Prev."},{"issue":"4","key":"bib7-20260923","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1038\/s41591-022-01738-x","article-title":"Priorities for cancer research in low- and middle-income countries: a global perspective","volume":"28","author":"Pramesh","year":"2022","journal-title":"Nat Med."},{"issue":"3 cz 2","key":"bib8-20260923","doi-asserted-by":"crossref","first-page":"678","DOI":"10.36740\/WLek202103221","article-title":"Health Care Expenditures of 179 Countries with Different GNI per Capita in 2018","volume":"74","author":"Vezhnovets","year":"2021","journal-title":"Wiad Lek."},{"key":"bib9-20260923","first-page":"100667","article-title":"Disparities in access to cancer diagnostics in ASEAN member countries","volume":"32","author":"Alberto","year":"2023","journal-title":"Lancet Reg Health West Pac."},{"issue":"4","key":"bib10-20260923","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1302\/2633-1462.64.BJO-2024-0208.R1","article-title":"BOOM consensus meeting participants. Global and regional disparities in access to specialist sarcoma services","volume":"6","author":"Zamora","year":"2025","journal-title":"Bone Jt Open."},{"key":"bib11-20260923","doi-asserted-by":"crossref","first-page":"100514","DOI":"10.1016\/j.lansea.2024.100514","article-title":"Access to timely cancer treatment initiation in India: extent, determinants and trends","volume":"32","author":"Halder","year":"2024","journal-title":"Lancet Reg Health Southeast Asia."},{"issue":"5","key":"bib12-20260923","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/S1607-551X(09)70111-1","article-title":"Impact of national health insurance on the survival rate of patients with osteosarcoma in Taiwan: review of 74 patients","volume":"20","author":"Poon","year":"2004","journal-title":"Kaohsiung J Med Sci."},{"key":"bib13-20260923","doi-asserted-by":"crossref","first-page":"101473","DOI":"10.1016\/j.jcot.2021.06.003","article-title":"Musculoskeletal oncology reconstructions in India - Changes in this millennium","volume":"20","author":"Puri","year":"2021","journal-title":"J Clin Orthop Trauma."},{"issue":"4","key":"bib14-20260923","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.knee.2011.06.012","article-title":"Primary cement spacers: a cost-effective, durable limb salvage option for knee tumors","volume":"19","author":"Puri","year":"2012","journal-title":"Knee."},{"issue":"4","key":"bib15-20260923","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.jseint.2024.01.018","article-title":"Endoprosthesis vs. nail-cement spacer application for reconstruction after oncologic proximal humeral resection: is there a difference in functional outcome?","volume":"8","author":"Sehrawat","year":"2024","journal-title":"JSES Int."},{"issue":"1","key":"bib16-20260923","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1002\/jso.25092","article-title":"Reconstructing diaphyseal tumors using radiated (50 Gy) autogenous tumor bone graft","volume":"118","author":"Puri","year":"2018","journal-title":"J Surg Oncol."},{"issue":"2","key":"bib17-20260923","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1302\/0301-620X.87B2.15325","article-title":"Reconstruction using an autograft containing tumour treated by liquid nitrogen","volume":"87","author":"Tsuchiya","year":"2005","journal-title":"J Bone Joint Surg Br."},{"issue":"459","key":"bib18-20260923","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1097\/BLO.0b013e31805470f0","article-title":"Rotationplasty for bone tumors: is there still a role?","volume":"459","author":"Agarwal","year":"2007","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib19-20260923","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1007\/s00776-012-0278-9","article-title":"Indications for and surgical complications of rotationplasty","volume":"17","author":"Sawamura","year":"2012","journal-title":"J Orthop Sci."},{"issue":"4","key":"bib20-20260923","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s40137-014-0047-0","article-title":"Use of Computer Navigation in Orthopedic Oncology","volume":"2","author":"Wong","year":"2014","journal-title":"Curr Surg Rep."},{"issue":"2","key":"bib21-20260923","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1302\/0301-620X.100B2.BJJ-2017-0789.R1","article-title":"Does a less intensive surveillance protocol affect the survival of patients after treatment of a sarcoma of the limb? Updated results of the randomized TOSS study","volume":"100-B","author":"Puri","year":"2018","journal-title":"Bone Joint J."},{"issue":"6","key":"bib22-20260923","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1093\/heapol\/czt053","article-title":"Dual practice by doctors working in South and East Asia: a review of its origins, scope and impact, and the options for regulation","volume":"29","author":"Hipgrave","year":"2014","journal-title":"Health Policy Plan."},{"issue":"10","key":"bib23-20260923","doi-asserted-by":"crossref","first-page":"e0204927","DOI":"10.1371\/journal.pone.0204927","article-title":"Post-radiation sarcoma: A study by the Eastern Asian Musculoskeletal Oncology Group","volume":"13","author":"Joo","year":"2018","journal-title":"PLoS One."},{"issue":"11","key":"bib24-20260923","doi-asserted-by":"crossref","first-page":"3557","DOI":"10.1245\/s10434-015-4414-6","article-title":"Osteosarcoma in Asian Populations Over the Age of 40 Years: A Multicenter Study","volume":"22","author":"Joo","year":"2015","journal-title":"Ann Surg Oncol."},{"issue":"8","key":"bib25-20260923","doi-asserted-by":"crossref","first-page":"e009584","DOI":"10.1136\/bmjgh-2022-009584","article-title":"Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach","volume":"7","author":"Sengar","year":"2022","journal-title":"BMJ Glob Health."},{"issue":"1","key":"bib26-20260923","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1186\/s12889-025-22782-5","article-title":"Global burden of soft tissue sarcomas in 204 countries and territories from 1990 to 2021: data from the Global Burden of Disease Study 2021","volume":"25","author":"Zhou","year":"2025","journal-title":"BMC Public Health."},{"key":"bib27-20260923","doi-asserted-by":"crossref","first-page":"100319","DOI":"10.1016\/j.jbo.2020.100319","article-title":"Limb-salvage surgery offers better five-year survival rate than amputation in patients with limb osteosarcoma treated with neoadjuvant chemotherapy. A systematic review and meta-analysis","volume":"25","author":"Papakonstantinou","year":"2020","journal-title":"J Bone Oncol."},{"issue":"19","key":"bib28-20260923","doi-asserted-by":"crossref","first-page":"2605","DOI":"10.4103\/0366-6999.166025","article-title":"The Surgical Treatment and Outcome of Nonmetastatic Extremity Osteosarcoma with Pathological Fractures","volume":"128","author":"Deng","year":"2015","journal-title":"Chin Med J (Engl)."}],"container-title":["Journal of Bone and Joint Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.26.00674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:03:09Z","timestamp":1790186589000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.26.00674"}},"subtitle":["A Report on Disease Burden, Access, Current Status, and Improving Care Delivery"],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":27,"URL":"https:\/\/doi.org\/10.2106\/jbjs.26.00674","relation":{},"ISSN":["0021-9355","1535-1386"],"issn-type":[{"value":"0021-9355","type":"print"},{"value":"1535-1386","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]}}}