Treatment of glioblastoma in Greenlandic patients

ABSTRACTGlioblastoma (GBM), WHO grade IV, is the most common primary malignant brain tumour among adults with a devastating overall survival of 14–22 months. Standard treatment of GBM includes maximum safe resection, radiotherapy plus concomitant and adjuvant temozolomide (TMZ), given over a period...

Full description

Bibliographic Details
Main Authors: Simone Frandsen, Alice Juhl Pedersen, Ole Gredal, Søren Møller, Uka Wilhjelm Geissler, Dorte Schou Nørøxe
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2023.2285077
_version_ 1797385597911826432
author Simone Frandsen
Alice Juhl Pedersen
Ole Gredal
Søren Møller
Uka Wilhjelm Geissler
Dorte Schou Nørøxe
author_facet Simone Frandsen
Alice Juhl Pedersen
Ole Gredal
Søren Møller
Uka Wilhjelm Geissler
Dorte Schou Nørøxe
author_sort Simone Frandsen
collection DOAJ
description ABSTRACTGlioblastoma (GBM), WHO grade IV, is the most common primary malignant brain tumour among adults with a devastating overall survival of 14–22 months. Standard treatment of GBM includes maximum safe resection, radiotherapy plus concomitant and adjuvant temozolomide (TMZ), given over a period of approximately 9 months. Treatment and follow-up for Greenlandic patients with GBM are managed at Rigshospitalet (RH), Copenhagen. Greenlandic GBM patients, therefore, travel back and forth to RH, often unaccompanied, and challenged by cognitive failure or other symptoms from their disease and/or treatment. Few Greenlandic patients are diagnosed with GBM annually, but considering the poor prognosis and short remaining lifespan, it would be preferable to limit their travels. TMZ is administrated as capsules. Health personnel at Queen Ingrid’s Hospital (DIH), Nuuk, are trained in treating other oncological diseases and handling side effects. Hence, it could be investigated whether administration of adjuvant TMZ at DIH could be feasible after personnel education as well as economic consideration and compensation, in close collaboration with neuro oncologists at RH. In this article, we describe the Greenlandic cancer treatment, and the typical workflow from diagnosis of GBM to treatment to progression.
first_indexed 2024-03-08T21:56:28Z
format Article
id doaj.art-e4a1520eaa1747a3a180ecf3576ad7c6
institution Directory Open Access Journal
issn 2242-3982
language English
last_indexed 2024-03-08T21:56:28Z
publishDate 2023-12-01
publisher Taylor & Francis Group
record_format Article
series International Journal of Circumpolar Health
spelling doaj.art-e4a1520eaa1747a3a180ecf3576ad7c62023-12-19T21:44:11ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822023-12-0182110.1080/22423982.2023.2285077Treatment of glioblastoma in Greenlandic patientsSimone Frandsen0Alice Juhl Pedersen1Ole Gredal2Søren Møller3Uka Wilhjelm Geissler4Dorte Schou Nørøxe5Department of Medicine, Queen Ingrid’s Hospital, Nuuk, GreenlandDepartment of Medicine, Queen Ingrid’s Hospital, Nuuk, GreenlandDepartment of Medicine, Queen Ingrid’s Hospital, Nuuk, GreenlandDepartment of Oncology, Copenhagen University Hospital, Copenhagen, DenmarkDepartment of Medicine, Queen Ingrid’s Hospital, Nuuk, GreenlandDepartment of Medicine, Queen Ingrid’s Hospital, Nuuk, GreenlandABSTRACTGlioblastoma (GBM), WHO grade IV, is the most common primary malignant brain tumour among adults with a devastating overall survival of 14–22 months. Standard treatment of GBM includes maximum safe resection, radiotherapy plus concomitant and adjuvant temozolomide (TMZ), given over a period of approximately 9 months. Treatment and follow-up for Greenlandic patients with GBM are managed at Rigshospitalet (RH), Copenhagen. Greenlandic GBM patients, therefore, travel back and forth to RH, often unaccompanied, and challenged by cognitive failure or other symptoms from their disease and/or treatment. Few Greenlandic patients are diagnosed with GBM annually, but considering the poor prognosis and short remaining lifespan, it would be preferable to limit their travels. TMZ is administrated as capsules. Health personnel at Queen Ingrid’s Hospital (DIH), Nuuk, are trained in treating other oncological diseases and handling side effects. Hence, it could be investigated whether administration of adjuvant TMZ at DIH could be feasible after personnel education as well as economic consideration and compensation, in close collaboration with neuro oncologists at RH. In this article, we describe the Greenlandic cancer treatment, and the typical workflow from diagnosis of GBM to treatment to progression.https://www.tandfonline.com/doi/10.1080/22423982.2023.2285077GlioblastomaGreenlandInuitbrain cancertemozolomideradiotherapy
spellingShingle Simone Frandsen
Alice Juhl Pedersen
Ole Gredal
Søren Møller
Uka Wilhjelm Geissler
Dorte Schou Nørøxe
Treatment of glioblastoma in Greenlandic patients
International Journal of Circumpolar Health
Glioblastoma
Greenland
Inuit
brain cancer
temozolomide
radiotherapy
title Treatment of glioblastoma in Greenlandic patients
title_full Treatment of glioblastoma in Greenlandic patients
title_fullStr Treatment of glioblastoma in Greenlandic patients
title_full_unstemmed Treatment of glioblastoma in Greenlandic patients
title_short Treatment of glioblastoma in Greenlandic patients
title_sort treatment of glioblastoma in greenlandic patients
topic Glioblastoma
Greenland
Inuit
brain cancer
temozolomide
radiotherapy
url https://www.tandfonline.com/doi/10.1080/22423982.2023.2285077
work_keys_str_mv AT simonefrandsen treatmentofglioblastomaingreenlandicpatients
AT alicejuhlpedersen treatmentofglioblastomaingreenlandicpatients
AT olegredal treatmentofglioblastomaingreenlandicpatients
AT sørenmøller treatmentofglioblastomaingreenlandicpatients
AT ukawilhjelmgeissler treatmentofglioblastomaingreenlandicpatients
AT dorteschounørøxe treatmentofglioblastomaingreenlandicpatients