Abstract
Dear Respected Editor,
We the founding team of the Tumor Board Establishment Facilitation Forum (TEFF), appreciate the opportunity to respond to the critique of our recent manuscript, “From Diagnosis to Survivorship: How the Tumor Boards Facilitation Foundation (TEFF) Shapes the Breast Cancer Journey in Pakistan.”
As a team deeply committed to TEFF’s mission and activities, we value constructive feedback and view this as an opportunity to clarify misconceptions and reinforce the impact of our work. Below, we address the raised concerns collaboratively.
Introduction of TEFF’s Roots
The omission of TEFF’s origin was unintentional. It is important to note that our manuscript is an editorial, and it is not mandatory to include the history of TEFF in such submissions. The manuscript’s theme was focused on the Pinktober services conducted by TEFF JPMC rather than recounting the history of the organization, which has already been published elsewhere.
It is also essential to clarify that this omission was neither deliberate nor a reflection of disregard for TEFF's foundation. On the contrary, the senior authors of this manuscript are themselves the founders of TEFF, underscoring their deep connection and commitment to its legacy.
Oversight of TEFF’s Title
We acknowledge the editorial error in presenting TEFF’s title as “Tumor Boards Facilitation Forum” instead of the correct “Tumor Board Establishment Facilitation Forum.” The correct title is reflected in TEFF’s logo appearing in the manuscript, and we regret the oversight. We appreciate the opportunity to address and clarify this point.
Tumor Boards and Public Awareness
While the primary function of Multidisciplinary Tumor Boards (MTBs) is clinical case management, TEFF extends its role beyond cancer care delivery through its multidisciplinary approach. Specifically, TEFF plays a pivotal role in Pinktober, Pakistan’s well-known breast cancer awareness campaign, which highlights the importance of early detection.
Pinktober unites communities across the nation, generating support for those impacted by breast cancer, raising funds for services and research, and promoting public education. Our manuscript’s theme focuses on showcasing the activities organized during this campaign. Therefore, the suggestion that our manuscript misrepresents MTBs’ roles is misplaced, as the awareness activities align with the overarching goals of TEFF.
Focus on Clinical Aspects vs Awareness Campaigns
We respectfully clarify that the manuscript’s central theme is the Pinktober awareness campaign conducted by TEFF JPMC, conducted just 2 months after its establishment. Despite being newly formed, TEFF JPMC successfully executed multiple impactful activities targeting diverse aspects of breast cancer care. These activities included early diagnosis initiatives through self-breast examination (SBE) workshops for young individuals, caregiver support sessions, and donation drives for survivors, aptly reflected in the title From Diagnosis to Survivorship.
The manuscript does not aim to address the clinical aspects of breast cancer care, as this was outside the scope of the Pinktober campaign. Thus, the critique of the manuscript being “solely focused on awareness campaigns” is unfounded, given that this focus aligns with the stated theme and objectives.
Target Audience and Breast Self-Examination (SBE)
In Pakistan, breast cancer often presents at a younger age than in Western populations, making early awareness a key priority. 1 Targeting young individuals through SBE workshops is an evidence-based and culturally relevant approach, particularly in a low-resource setting. While BSE may not be universally recommended in high-income countries, it remains a valuable tool for increasing awareness and empowering individuals in low- and middle-income countries.
We also refute the claim of psychological harm caused by our activities. The workshops are conducted with sensitivity and aim to educate, reassure, and empower participants. Feedback from attendees has consistently been positive, indicating that the activities have fostered awareness and encouraged proactive health behaviors.
Appreciation for TEFF JPMC’s Efforts
As a newly established second chapter, TEFF JPMC has achieved remarkable milestones in a short span. Conducting and publishing impactful Pinktober activities within 2 months of its formation is a testament to the team’s dedication and effectiveness.
Given this context, the use of the term “disappointing” in the critique feels discouraging and inappropriate. Constructive support is vital for budding colleagues striving to contribute meaningfully to cancer care and awareness.
Conclusion
Our manuscript appropriately highlights the Pinktober activities conducted by TEFF JPMC, aligning with its stated theme and objectives. We hope this response clarifies the concerns raised and underscores the significant contributions of TEFF JPMC in promoting breast cancer awareness, education, and support for survivors to prevent future cancer recurrence.
Sincerely,
Fatima Shaukat
Radiation Oncologist
Cyber knife & Tomotherapy Centre, JPMC
Founder TEFF JPMC
