Global cancer surgery: delivering safe, affordable, and timely cancer surgery

Sullivan, Richard; Alatise, Olusegun Isaac; Anderson, Benjamin O.; Audisio, Riccardo A.; Autier, Philippe; Aggarwal, Ajay; Balch, Charles M.; Brennan, Murray F.; Dare, Anna J; D’Cruz, Anil; Eggermont, Alexander M.M.; Fleming, K. A.; Gueye, Serigne; Hagander, Lars; Herrera, Cristian A; Holmer, Hampus; Ilbawi, André; Jarnheimer, Anton; Ji, Jiafu; Kingham, T. Peter; Liberman, Jonathan; Leather, Andrew J M; Meara, John G.; Mukhopadhyay, Swagoto; Murthy, Samskruthi; Omar, Sherif; Parham, Groesbeck P.; Pramesh, C S; Riviello, Robert; Rodin, Danielle; Santini, Luiz Antônio; Shrikhande, Shailesh V.; Shrime, Mark G.; Thomas, Robert J. S.; Tsunoda, Audrey Tieko; Velde, Cornelis van de; Veronesi, Umberto; Vijaykumar, Dehannathparambil Kottarathil; Watters, David; Wang, Shan; Wu, Yi‐Long; Zeiton, Moez; Purushotham, Arnie

doi:10.1016/s1470-2045(15)00223-5

Cited by 469 publications

(415 citation statements)

References 173 publications

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“…Sullivan et al examined treatment discontinuation, financial catastrophe, and out-of-pocket costs in 4585 patients receiving surgical treatment in LMICs, including Vietnam, reporting that 73% of patients in Vietnam faced possible financial catastrophe due to costs related to receiving surgical treatment. Partial health insurance coverage, which meant women had enough coverage and financial resources to begin but not necessarily complete treatment, was attributed as a principal factor in understanding this high proportion [14]. …”

Section: Resultsmentioning

confidence: 99%

“…Breast cancer treatment and health system guidelines have been developed for low- and middle-income countries [10,13,14]; and Vietnam developed guidelines for treatment options related to stage of diagnosis [28]. However, the nature and extent to which there is a good match between guideline recommendations, planned activities and service provision are not clear.…”

Section: Discussionmentioning

confidence: 99%

“…However, the nature and extent to which there is a good match between guideline recommendations, planned activities and service provision are not clear. The provision of good-quality, safe and timely surgery is the primary breast cancer treatment recommendation for countries with resource limitations [14,37]. It is noted that while increasing a country’s surgical capacity to treat cancers is expensive, it is a more realistic option (because it is more easily incorporated into existing health systems) than scaling up chemotherapy or radiotherapy services [13].…”

Section: Discussionmentioning

confidence: 99%

“…We extracted relevant details (including contextual information such as socio-economic data, demographics and incidence rates) and charted them to assist with our analysis of the findings. We consulted international guidelines from the WHO [9], the Breast Health Global Initiative (BHGI) [10], the European Society for Medical Oncology [11], the Asian Oncology Summit [12] and key articles in journals on global surgery and cancer control in low- and middle-income countries [13,14]. We compared recommendations from the guidelines with the results from our review, and by identifying discrepancies and gaps we sought to make recommendations for future areas of focus to strengthen Vietnam’s response to breast cancer.…”

Section: Methodsmentioning

confidence: 99%

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Breast cancer services in Vietnam: a scoping review

Jenkins

Minh

Anh

et al. 2018

Global Health Action

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Background: Breast cancer incidence has been increasing consistently in Vietnam. Thus far, there have been no analytical reviews of research produced within this area. Objectives: We sought to analyse the nature andextent of empirical studies about breast cancer in Vietnam, identifying areas for future research and systemsstrengthening. Methods: We undertook a scoping study using a five-stage framework to review published and grey literature in English and Vietnamese on breast cancer detection, diagnosis and treatment. We focused specifically on research discussing the health system and service provision. Results: Our results show that breast cancer screening is limited, with no permanent or integrated national screening activities. There is a lack of information on screening processes and on the integration of screening services with other areas of the health system. Treatment is largely centralised, and across all services there is a lack of evaluation and data collection that would be informative for recommendations seeking to improve accessibility and quality of breast cancer services. Conclusions: This paper is the first scoping review of breast cancer services in Vietnam. It outlines areas for future focus for policy makers and researchers with the objective of strengthening service provision to women with breast cancer across the country while also providing a methodological example for how to conduct a collaborative scoping review.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Breast cancer services in Vietnam: a scoping review

Jenkins

Minh

Anh

et al. 2018

Global Health Action

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“…Globally, more than 80% of the 15.2 million new cancer cases estimated in 2016 will require surgical management (Sullivan et al, 2015). Less than one-fourth of these cases will receive appropriate and safe surgery.…”

Section: Surgery and Clinical Trials In Lmicsmentioning

confidence: 99%

Clinical trials in low and middle-income countries — Successes and challenges

Grover

Jhingran

et al. 2017

Gynecologic Oncology Reports

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Gynecologic malignancies affect women in low and middle-income countries (LMICs) at equal or higher rates compared to high income countries (HICs), yet practice guidelines based on clinical trials performed in HICs do not routinely account for resource disparities between these regions. There is a need and growing interest for executing clinical trials in LMICs. This has led to the creation of multinational cooperative groups and the initiation of several ongoing clinical trials in Mexico, China, and Korea. In this article we describe the challenges involved in initiating clinical trials in LMICs, review current efforts within surgical, medical, and radiation oncology, and introduce high priority topics for future research.

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When Is a Suboptimal Approach to Cancer Screening Better Than None?

Sedhom

Gyawali

2020

AMA Journal of Ethics

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Cancer care in low-resource regions is complex, as resources and infrastructure for cancer care and prevention are limited. Mortality rates for breast cancer in particular are higher in regions where treatments are unavailable, unaffordable, or cost ineffective. Clinical breast examination is a reasonable screening approach, although its effects on mortality have not yet been shown. This article recommends focusing on early detection of symptomatic disease (ie, downstaging) and treatment of early detected breast cancers with potentially curative strategies. Case Ms P, a 59-year-old woman who lives in a remote, low-income region, has worried about cancer ever since her mother died from metastatic breast cancer a year ago. As the family's sole income earner, she would not be able to support her children if she developed a serious illness. When visiting Dr A for her child's earache, she tells Dr A that she wishes she could get a mammogram so that any cancer could be detected and treated early.

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Global cancer surgery: delivering safe, affordable, and timely cancer surgery

Cited by 469 publications

References 173 publications

Breast cancer services in Vietnam: a scoping review

Breast cancer services in Vietnam: a scoping review

Clinical trials in low and middle-income countries — Successes and challenges

When Is a Suboptimal Approach to Cancer Screening Better Than None?

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