The Lancet Commission on diagnostics: transforming access to diagnostics

Kenneth A. Fleming; Susan Horton; Michael L. Wilson; Rifat Atun; Kristen DeStigter; John Flanigan; Shahin Sayed; Pierrick Adam; Bertha Aguilar; Savvas Andronikou; Catharina Boehme; William Cherniak; Annie NY Cheung; Bernice Dahn; Lluis Donoso-Bach; Tania Douglas; Patricia Garcia; Sarwat Hussain; Hari S. Iyer; Mikashmi Kohli; Alain B. Labrique; Lai Meng Looi; John G. Meara; John Nkengasong; Madhukar Pai; Kara Lee Pool; Kaushik Ramaiya; Lee Schroeder; Devanshi Shah; Richard Sullivan; Bien Soo Tan; Kamini Walia

doi:10.1016/S0140-6736(21)00673-5

The Lancet Commission on diagnostics: transforming access to diagnostics

Kenneth A. Fleming, Susan Horton, Michael L. Wilson, Rifat Atun, Kristen DeStigter, John Flanigan, Shahin Sayed, Pierrick Adam, Bertha Aguilar, Savvas Andronikou, Catharina Boehme, William Cherniak, Annie NY Cheung, Bernice Dahn, Lluis Donoso-Bach, Tania Douglas, Patricia Garcia, Sarwat Hussain, Hari S. Iyer, Mikashmi KohliAlain B. Labrique, Lai Meng Looi, John G. Meara, John Nkengasong, Madhukar Pai, Kara Lee Pool, Kaushik Ramaiya, Lee Schroeder, Devanshi Shah, Richard Sullivan, Bien Soo Tan, Kamini Walia

Pathology, East Africa

Research output: Contribution to journal › Review article › peer-review

194 Citations (Scopus)

Original language	English
Pages (from-to)	1997-2050
Number of pages	54
Journal	The Lancet
Volume	398
Issue number	10315
DOIs	https://doi.org/10.1016/S0140-6736(21)00673-5
Publication status	Published - 27 Nov 2021

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10.1016/S0140-6736(21)00673-5

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Fleming, K. A., Horton, S., Wilson, M. L., Atun, R., DeStigter, K., Flanigan, J., Sayed, S., Adam, P., Aguilar, B., Andronikou, S., Boehme, C., Cherniak, W., Cheung, A. NY., Dahn, B., Donoso-Bach, L., Douglas, T., Garcia, P., Hussain, S., Iyer, H. S., ... Walia, K. (2021). The Lancet Commission on diagnostics: transforming access to diagnostics. The Lancet, 398(10315), 1997-2050. https://doi.org/10.1016/S0140-6736(21)00673-5

@article{418592fb629d4e09a4aef4069a9140b3,

title = "The Lancet Commission on diagnostics: transforming access to diagnostics",

author = "Fleming, {Kenneth A.} and Susan Horton and Wilson, {Michael L.} and Rifat Atun and Kristen DeStigter and John Flanigan and Shahin Sayed and Pierrick Adam and Bertha Aguilar and Savvas Andronikou and Catharina Boehme and William Cherniak and Cheung, {Annie NY} and Bernice Dahn and Lluis Donoso-Bach and Tania Douglas and Patricia Garcia and Sarwat Hussain and Iyer, {Hari S.} and Mikashmi Kohli and Labrique, {Alain B.} and Looi, {Lai Meng} and Meara, {John G.} and John Nkengasong and Madhukar Pai and Pool, {Kara Lee} and Kaushik Ramaiya and Lee Schroeder and Devanshi Shah and Richard Sullivan and Tan, {Bien Soo} and Kamini Walia",

note = "Funding Information: Funding for the first meeting of this Commission was provided by the Bill & Melinda Gates Foundation. Funding for a meeting of the Commission Steering Committee was provided by the Wellcome Trust. Funding and in-kind support for the second meeting of this Commission was provided by the Brocher Foundation, the Canadian Institutes for Health Research, and King's College London. Other funding for the Commission has been received from the British Division of the International Academy of Pathology, the World Pathology Foundation, African Strategies for Advancing Pathology, Oxford University, University of Vermont, University of Waterloo, and Harvard University. The funders did not have a role in the research methods, decision to publish findings, or the content of the Commission. All authors had full access to the full data in the study and accept responsibility to submit for publication. We would like to thank the following individuals for their contributions to the Commission. However, they did not have a role in the research methods, decision to publish findings, and are not responsible for the content or any statements made in this Commission. Participants in the Industry Roundtable included the following: Duncan Blair, Paul Baum, Mark Davis, Eugen Emmentraut, Mark Holmshaw, Philippe Jacon, Ammar Jagirdar, Jan Kimpen, Ricardo Lampariello, Ian McLane, Mark Miller, Bernd Ohnesorge, and Davide Pedrazzini. Participants in the virtual non-governmental organisation and international organisation consultations included the following: David Branigan, Arlene Chua, Yogesh Jain, Shalini Jayasekar-Zurn, Sonali Johnson, Lindsay McKenna, Sushil Patil, Pablo Perel, Trevor Peter, Rangarajan Sampath, and Mohammed Yassin. Thanks to the following professional societies or members of such societies for helpful comments on the essential diagnostics list: Renato Mendonca, President, on behalf of the officers of The International Society of Radiology; Dianabasi Eduwmen, President, on behalf of the Executive and members of the Association of Radiologists of West Africa; Michael H M Chan, Chemical Pathologist, Sammy P L Chen, Chemical Pathologist, and Christopher KC Lai, Clinical Microbiologist, all from Hong Kong; and Phaik Leng Cheah, Anatomical Pathologist, Malaysia. The following individuals provided helpful input on diagnostic innovations: Michael Feldman, Fergus Gleeson, Kiran Jobanputra, Ramanan Laxminarayan, Bernd Ohnesorge, Yuri Quintana, Arunan Skandarajah, and David Walt. Thanks to the following for helpful comments on earlier drafts of the Commission: Barnabas Alayande, Adam Ammar, Alexandra Buda, Gabrielle Cahill, Kashmira Chawla, Scott Corlew, Zachary Fowler, Deen Garba, Anusha Jayaram, Tarinee Kucchal, Ian Maclane, Craig McLain, Elizabeth Miranda, Isioma Okolo, Manon Pigeolet, Rennie Qin, Makela Stankey, and Paul Truche. Individuals who provided research support to the Commission included the following: Greg Flanigan, Angela Mutuku, and Jiajun Su. Catherine Hidalgo, Klesta Hoxha, and Laura Jimenez provided helpful assistance in the process of producing some sections of the Commission. Funding Information: Funding for the first meeting of this Commission was provided by the Bill & Melinda Gates Foundation. Funding for a meeting of the Commission Steering Committee was provided by the Wellcome Trust. Funding and in-kind support for the second meeting of this Commission was provided by the Brocher Foundation, the Canadian Institutes for Health Research, and King's College London. Other funding for the Commission has been received from the British Division of the International Academy of Pathology, the World Pathology Foundation, African Strategies for Advancing Pathology, Oxford University, University of Vermont, University of Waterloo, and Harvard University. The funders did not have a role in the research methods, decision to publish findings, or the content of the Commission. All authors had full access to the full data in the study and accept responsibility to submit for publication. We would like to thank the following individuals for their contributions to the Commission. However, they did not have a role in the research methods, decision to publish findings, and are not responsible for the content or any statements made in this Commission. Participants in the Industry Roundtable included the following: Duncan Blair, Paul Baum, Mark Davis, Eugen Emmentraut, Mark Holmshaw, Philippe Jacon, Ammar Jagirdar, Jan Kimpen, Ricardo Lampariello, Ian McLane, Mark Miller, Bernd Ohnesorge, and Davide Pedrazzini. Participants in the virtual non-governmental organisation and international organisation consultations included the following: David Branigan, Arlene Chua, Yogesh Jain, Shalini Jayasekar-Zurn, Sonali Johnson, Lindsay McKenna, Sushil Patil, Pablo Perel, Trevor Peter, Rangarajan Sampath, and Mohammed Yassin. Thanks to the following professional societies or members of such societies for helpful comments on the essential diagnostics list: Renato Mendonca, President, on behalf of the officers of The International Society of Radiology; Dianabasi Eduwmen, President, on behalf of the Executive and members of the Association of Radiologists of West Africa; Michael H M Chan, Chemical Pathologist, Sammy P L Chen, Chemical Pathologist, and Christopher KC Lai, Clinical Microbiologist, all from Hong Kong; and Phaik Leng Cheah, Anatomical Pathologist, Malaysia. The following individuals provided helpful input on diagnostic innovations: Michael Feldman, Fergus Gleeson, Kiran Jobanputra, Ramanan Laxminarayan, Bernd Ohnesorge, Yuri Quintana, Arunan Skandarajah, and David Walt. Thanks to the following for helpful comments on earlier drafts of the Commission: Barnabas Alayande, Adam Ammar, Alexandra Buda, Gabrielle Cahill, Kashmira Chawla, Scott Corlew, Zachary Fowler, Deen Garba, Anusha Jayaram, Tarinee Kucchal, Ian Maclane, Craig McLain, Elizabeth Miranda, Isioma Okolo, Manon Pigeolet, Rennie Qin, Makela Stankey, and Paul Truche. Individuals who provided research support to the Commission included the following: Greg Flanigan, Angela Mutuku, and Jiajun Su. Catherine Hidalgo, Klesta Hoxha, and Laura Jimenez provided helpful assistance in the process of producing some sections of the Commission. Editorial note: the Lancet Group takes a neutral position with respect to territorial claims in published maps and institutional affiliations.",

year = "2021",

month = nov,

day = "27",

doi = "10.1016/S0140-6736(21)00673-5",

language = "English",

volume = "398",

pages = "1997--2050",

journal = "The Lancet",

issn = "0140-6736",

publisher = "Elsevier Ltd.",

number = "10315",

}

Fleming, KA, Horton, S, Wilson, ML, Atun, R, DeStigter, K, Flanigan, J, Sayed, S, Adam, P, Aguilar, B, Andronikou, S, Boehme, C, Cherniak, W, Cheung, ANY, Dahn, B, Donoso-Bach, L, Douglas, T, Garcia, P, Hussain, S, Iyer, HS, Kohli, M, Labrique, AB, Looi, LM, Meara, JG, Nkengasong, J, Pai, M, Pool, KL, Ramaiya, K, Schroeder, L, Shah, D, Sullivan, R, Tan, BS & Walia, K 2021, 'The Lancet Commission on diagnostics: transforming access to diagnostics', The Lancet, vol. 398, no. 10315, pp. 1997-2050. https://doi.org/10.1016/S0140-6736(21)00673-5

TY - JOUR

T1 - The Lancet Commission on diagnostics

T2 - transforming access to diagnostics

AU - Fleming, Kenneth A.

AU - Horton, Susan

AU - Wilson, Michael L.

AU - Atun, Rifat

AU - DeStigter, Kristen

AU - Flanigan, John

AU - Sayed, Shahin

AU - Adam, Pierrick

AU - Aguilar, Bertha

AU - Andronikou, Savvas

AU - Boehme, Catharina

AU - Cherniak, William

AU - Cheung, Annie NY

AU - Dahn, Bernice

AU - Donoso-Bach, Lluis

AU - Douglas, Tania

AU - Garcia, Patricia

AU - Hussain, Sarwat

AU - Iyer, Hari S.

AU - Kohli, Mikashmi

AU - Labrique, Alain B.

AU - Looi, Lai Meng

AU - Meara, John G.

AU - Nkengasong, John

AU - Pai, Madhukar

AU - Pool, Kara Lee

AU - Ramaiya, Kaushik

AU - Schroeder, Lee

AU - Shah, Devanshi

AU - Sullivan, Richard

AU - Tan, Bien Soo

AU - Walia, Kamini

N1 - Funding Information: Funding for the first meeting of this Commission was provided by the Bill & Melinda Gates Foundation. Funding for a meeting of the Commission Steering Committee was provided by the Wellcome Trust. Funding and in-kind support for the second meeting of this Commission was provided by the Brocher Foundation, the Canadian Institutes for Health Research, and King's College London. Other funding for the Commission has been received from the British Division of the International Academy of Pathology, the World Pathology Foundation, African Strategies for Advancing Pathology, Oxford University, University of Vermont, University of Waterloo, and Harvard University. The funders did not have a role in the research methods, decision to publish findings, or the content of the Commission. All authors had full access to the full data in the study and accept responsibility to submit for publication. We would like to thank the following individuals for their contributions to the Commission. However, they did not have a role in the research methods, decision to publish findings, and are not responsible for the content or any statements made in this Commission. Participants in the Industry Roundtable included the following: Duncan Blair, Paul Baum, Mark Davis, Eugen Emmentraut, Mark Holmshaw, Philippe Jacon, Ammar Jagirdar, Jan Kimpen, Ricardo Lampariello, Ian McLane, Mark Miller, Bernd Ohnesorge, and Davide Pedrazzini. Participants in the virtual non-governmental organisation and international organisation consultations included the following: David Branigan, Arlene Chua, Yogesh Jain, Shalini Jayasekar-Zurn, Sonali Johnson, Lindsay McKenna, Sushil Patil, Pablo Perel, Trevor Peter, Rangarajan Sampath, and Mohammed Yassin. Thanks to the following professional societies or members of such societies for helpful comments on the essential diagnostics list: Renato Mendonca, President, on behalf of the officers of The International Society of Radiology; Dianabasi Eduwmen, President, on behalf of the Executive and members of the Association of Radiologists of West Africa; Michael H M Chan, Chemical Pathologist, Sammy P L Chen, Chemical Pathologist, and Christopher KC Lai, Clinical Microbiologist, all from Hong Kong; and Phaik Leng Cheah, Anatomical Pathologist, Malaysia. The following individuals provided helpful input on diagnostic innovations: Michael Feldman, Fergus Gleeson, Kiran Jobanputra, Ramanan Laxminarayan, Bernd Ohnesorge, Yuri Quintana, Arunan Skandarajah, and David Walt. Thanks to the following for helpful comments on earlier drafts of the Commission: Barnabas Alayande, Adam Ammar, Alexandra Buda, Gabrielle Cahill, Kashmira Chawla, Scott Corlew, Zachary Fowler, Deen Garba, Anusha Jayaram, Tarinee Kucchal, Ian Maclane, Craig McLain, Elizabeth Miranda, Isioma Okolo, Manon Pigeolet, Rennie Qin, Makela Stankey, and Paul Truche. Individuals who provided research support to the Commission included the following: Greg Flanigan, Angela Mutuku, and Jiajun Su. Catherine Hidalgo, Klesta Hoxha, and Laura Jimenez provided helpful assistance in the process of producing some sections of the Commission. Funding Information: Funding for the first meeting of this Commission was provided by the Bill & Melinda Gates Foundation. Funding for a meeting of the Commission Steering Committee was provided by the Wellcome Trust. Funding and in-kind support for the second meeting of this Commission was provided by the Brocher Foundation, the Canadian Institutes for Health Research, and King's College London. Other funding for the Commission has been received from the British Division of the International Academy of Pathology, the World Pathology Foundation, African Strategies for Advancing Pathology, Oxford University, University of Vermont, University of Waterloo, and Harvard University. The funders did not have a role in the research methods, decision to publish findings, or the content of the Commission. All authors had full access to the full data in the study and accept responsibility to submit for publication. We would like to thank the following individuals for their contributions to the Commission. However, they did not have a role in the research methods, decision to publish findings, and are not responsible for the content or any statements made in this Commission. Participants in the Industry Roundtable included the following: Duncan Blair, Paul Baum, Mark Davis, Eugen Emmentraut, Mark Holmshaw, Philippe Jacon, Ammar Jagirdar, Jan Kimpen, Ricardo Lampariello, Ian McLane, Mark Miller, Bernd Ohnesorge, and Davide Pedrazzini. Participants in the virtual non-governmental organisation and international organisation consultations included the following: David Branigan, Arlene Chua, Yogesh Jain, Shalini Jayasekar-Zurn, Sonali Johnson, Lindsay McKenna, Sushil Patil, Pablo Perel, Trevor Peter, Rangarajan Sampath, and Mohammed Yassin. Thanks to the following professional societies or members of such societies for helpful comments on the essential diagnostics list: Renato Mendonca, President, on behalf of the officers of The International Society of Radiology; Dianabasi Eduwmen, President, on behalf of the Executive and members of the Association of Radiologists of West Africa; Michael H M Chan, Chemical Pathologist, Sammy P L Chen, Chemical Pathologist, and Christopher KC Lai, Clinical Microbiologist, all from Hong Kong; and Phaik Leng Cheah, Anatomical Pathologist, Malaysia. The following individuals provided helpful input on diagnostic innovations: Michael Feldman, Fergus Gleeson, Kiran Jobanputra, Ramanan Laxminarayan, Bernd Ohnesorge, Yuri Quintana, Arunan Skandarajah, and David Walt. Thanks to the following for helpful comments on earlier drafts of the Commission: Barnabas Alayande, Adam Ammar, Alexandra Buda, Gabrielle Cahill, Kashmira Chawla, Scott Corlew, Zachary Fowler, Deen Garba, Anusha Jayaram, Tarinee Kucchal, Ian Maclane, Craig McLain, Elizabeth Miranda, Isioma Okolo, Manon Pigeolet, Rennie Qin, Makela Stankey, and Paul Truche. Individuals who provided research support to the Commission included the following: Greg Flanigan, Angela Mutuku, and Jiajun Su. Catherine Hidalgo, Klesta Hoxha, and Laura Jimenez provided helpful assistance in the process of producing some sections of the Commission. Editorial note: the Lancet Group takes a neutral position with respect to territorial claims in published maps and institutional affiliations.

PY - 2021/11/27

Y1 - 2021/11/27

UR - http://www.scopus.com/inward/record.url?scp=85119603260&partnerID=8YFLogxK

U2 - 10.1016/S0140-6736(21)00673-5

DO - 10.1016/S0140-6736(21)00673-5

M3 - Review article

C2 - 34626542

AN - SCOPUS:85119603260

SN - 0140-6736

VL - 398

SP - 1997

EP - 2050

JO - The Lancet

JF - The Lancet

IS - 10315

ER -

The Lancet Commission on diagnostics: transforming access to diagnostics

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