OP0007 What if all cancer patients in Malaysia had access to the best available care: How many deaths are avoidable?

Ho, Gwo Fuang; Tho, Lye Mun; Mastura, M.Y.; Taib, Nur Aishah Mohd; Yip, Cms; Aina, E. N.; Lim, Gina; Kaur, Ravneet; Tharan, S.; Singh, Manasvini; Tan, Hung-Jui; Hoo, L.P.; Lim, Taekyu

doi:10.1016/j.ejca.2014.03.025

Cited by 3 publications

(3 citation statements)

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“…Breast cancer (BC) and colorectal cancer (CRC) were the two commonest cancers in Malaysia in 2011 (i.e., 17.7% and 13.2% of all cancer cases, respectively) [18]. Stage of cancer detection in Asia, including Malaysia, is late compared to western countries, and it is estimated that up to 50% of premature cancer deaths could be prevented if diagnosed and treated early [19]. One of the main barriers toward early diagnosis is the lack of awareness of signs and symptoms as well as barriers toward cancer screening, such as negative perceptions, fear, denial, and trust in complementary alternative medicine [20,21].…”

Section: Introductionmentioning

confidence: 99%

The systematic cultural adaptation of a UK public health cancer awareness raising programme for Malaysia: the Be Cancer Alert Campaign

Schliemann

Paramasivam

et al. 2019

Translational Behavioral Medicine

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Section: Introductionmentioning

confidence: 99%

The systematic cultural adaptation of a UK public health cancer awareness raising programme for Malaysia: the Be Cancer Alert Campaign

Schliemann

Paramasivam

et al. 2019

Translational Behavioral Medicine

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“…Between 2007 and 2011, there were 103,507 newly diagnosed cancer cases and 64,275 cancer-related deaths [ 2 ]. It is estimated that about one-third to one-half of premature deaths due to cancer could be avoided through early presentation, detection and appropriate treatment [ 3 ]. However, cancers in Malaysia often present at late stages [ 4 , 5 ] and it is likely that late presentation is due, at least partly, to low cancer awareness.…”

Section: Introductionmentioning

confidence: 99%

The ‘Be Cancer Alert Campaign’: protocol to evaluate a mass media campaign to raise awareness about breast and colorectal cancer in Malaysia

et al. 2018

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BackgroundBreast and colorectal cancer are the two most common cancers in Malaysia. Low awareness coupled with stigma and erroneous beliefs delay help-seeking behaviours, lead to late presentation and contribute to poor detection rates. Promoting cancer awareness through mass media may be effective in improving cancer-related knowledge and uptake in screening tests. However, research is sparse regarding the cultural translation and implementation of mass media campaigns in Malaysia (and Asia) in terms of raising awareness about colorectal and breast cancer.MethodsA collaborative partnership comprising researchers from Malaysia and the UK as well as policy makers, public health experts and non-government organisations from Malaysia was formed to design, deliver and evaluate the Be Cancer Alert Campaign. Each awareness-raising campaign will run for five weeks (Colorectal Cancer in April 2018, followed by Breast Cancer in October 2018). Evaluation of the campaigns will take place in Gombak district (Colorectal Cancer) and Petaling district (Breast Cancer) respectively, in the form of a pre-post randomly selected household survey and collection of service utilisation data. Occupants who are aged 40-years and above and are able to answer questions independently will be selected from each household. A sample of 730 with 80% power will detect a change of 6.09% in knowledge that unexplained lump or swelling is a symptom of breast cancer or changes in bowel habits is a symptom of colorectal cancer.DiscussionMalaysia and most South-East Asian countries have a low middle-income economy, with limited resources for cancer control. Late-staged cancers impose a significant economic burden on patients, households, communities, employers, health systems and governments. Our proposed strategy for the implementation of the culturally sensitive mass media cancer awareness-raising campaign will serve as a blueprint for cancer prevention and control policy in South-East Asian countries where the burden of cancer is increasing and there are high cancer death rates.

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“…A modelling study revealed that 50% of breast cancer-related deaths would be avoidable if all Malaysian patients with this cancer type had access to care in leading national cancer centres. Moreover, 50% of this mortality excess was attributed to a lack of access to optimum treatment and the other 50% to late presentation at first diagnosis 12 .…”

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Barriers in access to oncology drugs — a global crisis

et al. 2022

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In the past decade, oncologists worldwide have seen unprecedented advances in drug development and approvals but have also become increasingly cognizant of the rising costs of and increasing inequities in access to these therapies. These trends have resulted in the current problematic situation in which dramatic disparities in outcomes exist among patients with cancer worldwide owing, in part, to the lack of access to drugs that provide clinically meaningful benefits. In this Viewpoint, we have asked six oncologists working in different countries to describe how they perceive this issue in their region and propose potential solutions.

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OP0007 What if all cancer patients in Malaysia had access to the best available care: How many deaths are avoidable?

Cited by 3 publications

References 0 publications

The systematic cultural adaptation of a UK public health cancer awareness raising programme for Malaysia: the Be Cancer Alert Campaign

The systematic cultural adaptation of a UK public health cancer awareness raising programme for Malaysia: the Be Cancer Alert Campaign

The ‘Be Cancer Alert Campaign’: protocol to evaluate a mass media campaign to raise awareness about breast and colorectal cancer in Malaysia

Barriers in access to oncology drugs — a global crisis

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