Characteristics, stage at presentation, and status of women with cervical cancer at a major referral center in western Kenya

Mungo, Chemtai; Randa, Magdalene; Shauri, Alice; Serem, D.T Kipchirchir; Ndei, Ian Stephen; Kipkoech, Kevin; Ganda, Gregory

doi:10.1002/ijgo.13831

Cited by 3 publications

(3 citation statements)

References 4 publications

(4 reference statements)

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“… 71 Staffing concerns extend beyond providers and lead to struggles with managing a vast referral network and recordkeeping, limiting provision adequate survivorship care with incomplete documentation. 24 , 42 , 67 , 72 …”

Section: Resultsmentioning

confidence: 99%

“…SSA has just 0.115 radiation machines per one million people, far less than the recommended 4, and many oncology facilities are without RT. 25 , 33 , 45 , 54 , 62 , 71 , 72 Even in areas with a growing RT capacity such as Botswana, the growth in cancer incidences outpaces that of RT services. 60 In other areas, issues surround the lack of brachytherapy, affecting CC outcomes despite adequate access to EBRT.…”

Section: Resultsmentioning

confidence: 99%

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Access to Radiation Therapy and Related Clinical Outcomes in Patients With Cervical and Breast Cancer Across Sub-Saharan Africa: A Systematic Review

Ponce

Abunike

Bikomeye

et al. 2023

JCO Global Oncology

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PURPOSE To better understand the barriers to accessing standard-of-care radiation therapy (RT) for breast and cervical cancer in sub-Saharan Africa and their impact on outcomes. METHODS A comprehensive literature search was completed with a medical librarian. Articles were screened by title, abstract, and full text. Included publications were analyzed for data describing barriers to RT access, available technology, and disease-related outcomes, and further grouped into subcategories and graded according to predefined criteria. RESULTS A total of 96 articles were included: 37 discussed breast cancer, 51 discussed cervical cancer, and eight discussed both. Financial access was affected by health care system payment models and combined burdens of treatment-related costs and lost wages. Staffing and technology shortages limit the ability to expand service locations and/or increase capacity within existing centers. Patient factors including use of traditional healers, fear of stigma, and low health literacy decrease the likelihood of early presentation and completion of therapies. Survival outcomes are worse than most high- and middle-income countries and are affected by many factors. Side effects are similar to other regions, but these findings are limited by poor documentation capabilities. Access to palliative RT is more expeditious than definitive management. RT was noted to lead to feelings of burden, lower self-esteem, and worsened quality of life. CONCLUSION Sub-Saharan Africa represents a diverse region with barriers to RT that differ on the basis of funding, available technology and staff, and community populations. Although long-term solutions must focus on building capacity by increasing the number of treatment machines and providers, short-term improvements should be implemented, such as interim housing for traveling patients, increased community education to reduce late-stage diagnoses, and use of virtual visits to avoid travel.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Access to Radiation Therapy and Related Clinical Outcomes in Patients With Cervical and Breast Cancer Across Sub-Saharan Africa: A Systematic Review

Ponce

Abunike

Bikomeye

et al. 2023

JCO Global Oncology

View full text Add to dashboard Cite

show abstract

“…We used age-specific rates of cervical cancer cases and deaths estimated for Kenya by GLOBOCAN for the year 2020 [13] and assumed these rates would remain constant over time in the absence of vaccination (Table 1). We assumed cases were distributed into local, regional, and distant cancer categories, using the International Federation of Gynaecology and Obstetrics (FIGO) staging system and information from published local studies and cancer registry reports [14][15][16][17][18]. Disability weights to represent time lost while living with local, regional, and distant cancer were taken from the Global Burden of Disease (GBD) project [19].…”

Section: Disease Burdenmentioning

confidence: 99%

Impact, Cost-Effectiveness, and Budget Implications of HPV Vaccination in Kenya: A Modelling Study

Mwenda

Jalang’o

Miano

et al. 2023

Preprint

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Impact, cost-effectiveness, and budget implications of HPV vaccination in Kenya: A modelling study

Mwenda

Jalang’o

Miano

et al. 2023

Vaccine

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Characteristics, stage at presentation, and status of women with cervical cancer at a major referral center in western Kenya

Abstract: SynopsisThe majority of women (69.4%) referred to a regional hospital in Western Kenya for cervical cancer had late‐stage disease. Access to radiation was low and loss to follow‐up was high.

Cited by 3 publications

References 4 publications

Access to Radiation Therapy and Related Clinical Outcomes in Patients With Cervical and Breast Cancer Across Sub-Saharan Africa: A Systematic Review

Access to Radiation Therapy and Related Clinical Outcomes in Patients With Cervical and Breast Cancer Across Sub-Saharan Africa: A Systematic Review

Impact, Cost-Effectiveness, and Budget Implications of HPV Vaccination in Kenya: A Modelling Study

Impact, cost-effectiveness, and budget implications of HPV vaccination in Kenya: A modelling study

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