{"entity":{"id":"pramesh-c-s","kind":"person","name":"C. S. Pramesh","aka":[],"tldr":"The surgeon who built the National Cancer Grid into a network of hundreds of Indian cancer centres and used its buying power to cut cancer drug prices by a median of 82%.","summary":"C. S. Pramesh is a thoracic surgeon and Director of Tata Memorial Hospital in Mumbai. He has been the convener of the National Cancer Grid since its formation and is first author of the papers describing it, of India's Choosing Wisely list for cancer care, and of the Bulletin of the World Health Organization report on the Grid's pooled procurement pilot, which pooled demand for 40 anticancer drugs from 23 centres and cut costs by about 13.2 billion rupees. He co-founded the CReDO research methods workshops that have trained more than 250 oncologists, and writes on the ethics and pragmatism of trials in low- and middle-income countries.","asOf":"2026-09-10","links":[{"label":"Tata Memorial Centre","url":"https://tmc.gov.in"},{"label":"National Cancer Grid","url":"https://www.ncgindia.org"},{"label":"PubMed author search","url":"https://pubmed.ncbi.nlm.nih.gov/?term=Pramesh%20CS%5BAuthor%5D%20National%20Cancer%20Grid"}],"tags":[],"related":[],"cancers":["esophageal","nsclc"],"sections":[],"technologies":["global-oncology-access"],"targets":[],"drugs":[],"companies":[],"institutions":["tata-memorial","national-cancer-grid"],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":["b-drug-pricing","b-global-access"],"keyPapers":["paper-pramesh-ncg-pooled-procurement-2023"],"journals":[],"dependsOn":[],"notes":[],"role":"Director, Tata Memorial Hospital; thoracic surgical oncologist; convener, National Cancer Grid","institutionId":"tata-memorial","specialisms":["Thoracic surgical oncology","Oesophageal and lung cancer surgery","Health systems and cancer policy","Pooled procurement","Clinical research methods"],"profiles":[{"label":"Tata Memorial Centre","url":"https://tmc.gov.in"},{"label":"National Cancer Grid","url":"https://www.ncgindia.org"},{"label":"PubMed author search","url":"https://pubmed.ncbi.nlm.nih.gov/?term=Pramesh%20CS%5BAuthor%5D%20National%20Cancer%20Grid"}],"papers":[{"title":"A National Cancer Grid pooled procurement initiative, India","journal":"Bulletin of the World Health Organization","year":2023,"doi":"10.2471/BLT.23.289714"},{"title":"The National Cancer Grid of India","journal":"Indian Journal of Medical and Paediatric Oncology","year":2014,"doi":"10.4103/0971-5851.142040"},{"title":"Choosing Wisely for cancer care in India","journal":"Indian Journal of Surgical Oncology","year":2020,"doi":"10.1007/s13193-020-01051-4"}]},"route":"/people/pramesh-c-s/","neighbours":{"cancer":[{"id":"nsclc","kind":"cancer","name":"Non-small-cell lung cancer","route":"/cancers/nsclc/"},{"id":"esophageal","kind":"cancer","name":"Oesophageal cancer","route":"/cancers/esophageal/"}],"technology":[{"id":"global-oncology-access","kind":"technology","name":"Global oncology and access in low- and middle-income countries","route":"/technologies/global-oncology-access/"}],"institution":[{"id":"national-cancer-grid","kind":"institution","name":"National Cancer Grid of India","route":"/institutions/national-cancer-grid/"},{"id":"tata-memorial","kind":"institution","name":"Tata Memorial Centre","route":"/institutions/tata-memorial/"}],"bottleneck":[{"id":"b-global-access","kind":"bottleneck","name":"Most of the world has almost no cancer care","route":"/bottlenecks/b-global-access/"},{"id":"b-drug-pricing","kind":"bottleneck","name":"Prices and value","route":"/bottlenecks/b-drug-pricing/"}],"paper":[{"id":"paper-pramesh-ncg-pooled-procurement-2023","kind":"paper","name":"A National Cancer Grid pooled procurement initiative, India","route":"/key-papers/paper-pramesh-ncg-pooled-procurement-2023/"}]}}