{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:19:39Z","timestamp":1788542379235,"version":"build-2803163510"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>In India, less than 10% of cancer care is accessible to the country\u2019s 70% of rural residents. Providing all-encompassing cancer care in a remote setting with limited resources is a difficult undertaking. Despite having the best of intentions, many centers struggle to treat patients in accordance with current standards because they lack the necessary resources and guidance. This leads to a worsened prognosis for millions of cancer patients, with detrimental effects on the person, the family, and society at large. The situation is presumably similar in other developing countries. The purpose of this article is to identify challenges and try to find their solutions that suits practical situation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The contents of this article were the result of deliberations in a recently concluded Indian Cancer Congress 2023, Mumbai, which was one of the largest conglomerations of around 6000 oncologists across India and the world. The session included clinicians and other stakeholders with years of experience working in rural India. The contributors worked in groups based on their strengths and experience for the past few months to develop appropriate recommendations for each section.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary:<\/jats:title>\n                    <jats:p>The ideal system to deliver comprehensive cancer treatment should include various aspects like prevention, early detection, protocol-based treatment, rehabilitation, palliation, data collection, and research. As of now, there are no clear guidelines or structure available for stakeholders in rural areas to build their care delivery. This article proposes a district-based cancer control program that covers all aspects of cancer care using available resources, with the aim of creating a uniform, modular, and multi-tier structure to establish a care delivery pathway for districts that can be replicated in any region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijc.ijc_436_24","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T06:00:28Z","timestamp":1781071228000},"page":"90-98","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["District cancer control program: A white paper to optimize cancer care in rural India by developing a uniform, modular, and multi-tier system"],"prefix":"10.4103","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6035-1265","authenticated-orcid":false,"given":"Nirav P.","family":"Trivedi","sequence":"first","affiliation":[{"name":"Department of Head and Neck Cancer Surgery, Shanku\u2019s Medicity Hospital, Mehsana, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. D.","family":"Balamurugan","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Govt Arignar Anna Memorial Cancer Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5888-5225","authenticated-orcid":false,"given":"R. Ravi","family":"Kannan","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Cachar Cancer Hospital and Research Centre, Silchar, Assam, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harit K.","family":"Chaturvedi","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Max Superspeciality Hospital, Saket, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Kulgod","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, RadOn Cancer Centre, Hubballi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asit","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Max Superspeciality Hospital, Saket, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9844-1565","authenticated-orcid":false,"given":"Shehnaz","family":"Kantharia","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Cancer Surgery, Bankers Group of Hospitals, Varoda, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1786-1731","authenticated-orcid":false,"given":"Aksat","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Max Superspeciality Hospital, Saket, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirali N.","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology and Haematology, Shanku\u2019s Medicity Hospital, Mehsana, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3871-897X","authenticated-orcid":false,"given":"Yash","family":"Merchant","sequence":"additional","affiliation":[{"name":"Department of Dental Research Cell, Dr. D.Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth Pimpri, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8917-678X","authenticated-orcid":false,"given":"Debashish","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Max Hospital, Gurugram, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"R1-20260904","first-page":"209","article-title":"Global Cancer Statistics 2020: Globocan Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"R2-20260904","doi-asserted-by":"crossref","first-page":"128","DOI":"10.4103\/0971-5851.158848","article-title":"Delivery of cancer care in rural India: Experiences of establishing a rural comprehensive cancer care facility","volume":"36","author":"Banavali","year":"2015","journal-title":"Indian J Med Paediatr Oncol"},{"key":"R3-20260904","doi-asserted-by":"crossref","first-page":"4967","DOI":"10.3390\/cancers14194967","article-title":"Challenges in the early diagnosis of oral cancer, evidence gaps and strategies for improvement: A scoping review of systematic reviews","volume":"14","author":"Gonz\u00e1lez-Moles","year":"2022","journal-title":"Cancers (Basel)"},{"key":"R4-20260904","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1016\/S0140-6736(05)66658-5","article-title":"Effect of screening on oral cancer mortality in Kerala, India: A cluster-randomised controlled trial","volume":"365","author":"Sankaranarayanan","year":"2005","journal-title":"Lancet"},{"key":"R5-20260904","doi-asserted-by":"crossref","first-page":"811","DOI":"10.3109\/08958378.2014.955932","article-title":"Screening tests: A review with examples","volume":"26","author":"Maxim","year":"2014","journal-title":"Inhal Toxicol"},{"key":"R6-20260904","doi-asserted-by":"crossref","first-page":"3133","DOI":"10.31557\/APJCP.2022.23.9.3133","article-title":"A distributed cancer care model with a technology-driven hub-and-spoke and further spoke hierarchy: Findings from a pilot implementation programme in Kerala, India","volume":"23","author":"Ramachandran","year":"2022","journal-title":"Asian Pac J Cancer Prev"},{"key":"R7-20260904","doi-asserted-by":"crossref","first-page":"e2200348","DOI":"10.1200\/GO.22.00348","article-title":"National cancer grid virtual tumor boards of head and neck cancers: An innovative approach to multidisciplinary care","volume":"9","author":"Thiagarajan","year":"2023","journal-title":"JCO Glob Oncol"},{"key":"R8-20260904","first-page":"RA258","article-title":"Understanding the biology of oral cancer","volume":"8","author":"Das","year":"2002","journal-title":"Med Sci Monit"},{"key":"R9-20260904","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4103\/picr.PICR_208_19","article-title":"New drugs and clinical trials rules 2019: Changes in responsibilities of the ethics committee","volume":"11","author":"Singh","year":"2020","journal-title":"Perspect Clin Res"},{"key":"R10-20260904","doi-asserted-by":"crossref","first-page":"e198","DOI":"10.3346\/jkms.2023.38.e198","article-title":"Ethics committees: Structure, roles, and issues","volume":"38","author":"Mehta","year":"2023","journal-title":"J Korean Med Sci"},{"key":"R11-20260904","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/S1470-2045(24)00010-X","article-title":"World oncology forum amplifies its appeal in global fight against cancer","volume":"25","author":"Cavalli","year":"2024","journal-title":"Lancet Oncol"}],"container-title":["Indian Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_436_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:02:29Z","timestamp":1788541349000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijc.ijc_436_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijc.ijc_436_24","relation":{},"ISSN":["0019-509X","1998-4774"],"issn-type":[{"value":"0019-509X","type":"print"},{"value":"1998-4774","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-06-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}