“…The cause of high mortality in LMICs is multifactorial, with factors like delayed diagnosis, misdiagnosis, late presentation, late referrals, delay in starting proper treatment, high rates of treatment abandonment that can exceed 20% in LATAM, and comorbidities are contributing elements like high rates of malnutrition that can have adverse effects of treatment tolerability and lower survival. Other causes include limited access to supportive care, including palliative care, essential medications, continuous medical education, and multidisciplinary approach ( 7 , 9 , 19 – 21 ).…”