Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management

被引:33
|
作者
Burt, Lindsay M. [1 ]
McCormak, Mary [13 ]
Lecuru, Fabrice [2 ]
Kanyike, Daniel M. [3 ]
Bvochora-Nsingo, Memory [4 ]
Ndlovu, Ntokozo [5 ]
Scott, Aba A. [6 ]
Anorlu, Rose, I [7 ]
Sharma, Vinay [8 ]
Plante, Marie [9 ]
Nyongesa, Catherine [10 ]
Tigeneh, Wondemagegnehu [11 ]
Fakie, Nazia [12 ]
Suneja, Gita [1 ]
Gaffney, David K. [1 ]
机构
[1] Univ Utah, Huntsman Canc Inst, Dept Radiat Oncol, Salt Lake City, UT 84112 USA
[2] Georges Pompidou European Hosp, Paris, France
[3] Uganda Canc Inst, Kampala, Uganda
[4] Gaborone Private Hosp, Gaborone, Botswana
[5] Univ Zimbabwe, Parirenyatwa Hosp Harare, Coll Hlth Sci, Harare, Zimbabwe
[6] Korle Bu Teaching Hosp, Accra, Ghana
[7] Lagos Univ, Univ Lagos, Teaching Hosp, Lagos, Nigeria
[8] Univ Witwatersrand, Charlotte Maxeke Johannesburg Acad Hosp, Pk Town, South Africa
[9] Hotel Dieu Quebec, Quebec City, PQ, Canada
[10] Kenyatta Natl Hosp, Texas Ctr, Nairobi, Kenya
[11] Addis Ababa Univ, Coll Hlth Sci, Addis Ababa, Ethiopia
[12] Univ Cape Town, Cape Town, South Africa
[13] Univ Coll Hosp London, London, England
关键词
D O I
10.1200/GO.20.00079
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PURPOSE Underdeveloped nations carry the burden of most cervical cancer, yet access to adequate treatment can be challenging. This report assesses the current management of cervical cancer in sub-Saharan Africa to better understand the needs of underdeveloped nations in managing cervical cancer. METHODS A pre- and postsurvey was sent to all centers participating in the Cervical Cancer Research Network's 4th annual symposium. The pre-and postsurvey evaluated human papillomavirus and HIV screening, resources available for workup and/or treatment, treatment logistics, outcomes, and enrollment on clinical trials. Descriptive analyses were performed on survey responses. RESULTS Twenty-nine centers from 12 sub-Saharan countries saw approximately 300 new cases of cervical cancer yearly. Of the countries surveyed, 55% of countries had a human papillomavirus vaccination program and 30% (range, 0%-65%) of women in each region were estimated to have participated in a cervical cancer screening program. In the workup of patients, 43% of centers had the ability to obtain a positron emission tomography and computed tomography scan and 79% had magnetic resonance imaging capabilities. When performing surgery, 88% of those centers had a surgeon with an expertise in performing oncological surgeries. Radiation therapy was available at 96% of the centers surveyed, and chemotherapy was available in 86% of centers. Clinical trials were open at 4% of centers. CONCLUSION There have been significant advancements being made in screening, workup, and management of patients with cervical cancer in sub-Saharan Africa; yet, improvement is still needed. Enrollment in clinical trials remains a struggle. Participants would like to enroll patients on clinical trials with Cervical Cancer Research Network's continuous support. (C) 2021 by American Society of Clinical Oncology
引用
收藏
页码:173 / 182
页数:10
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