Women, power, and cancer: a Lancet Commission

Ginsburg, Ophira; Vanderpuye, Verna; Beddoe, Ann Marie; Bhoo-Pathy, Nirmala; Bray, Freddie; Caduff, Carlo; Florez, Narjust; Fadhil, Ibtihal; Hammad, Nazik; Heidari, Shirin; Kataria, Ishu; Kumar, Somesh; Liebermann, Erica; Moodley, Jennifer; Mutebi, Miriam; Mukherji, Deborah; Nugent, Rachel; So, Winnie K W; Soto-Perez-de-Celis, Enrique; Unger-Saldaña, Karla; Allman, Gavin; Bhimani, Jenna; Bourlon, María T; Eala, Michelle A B; Hovmand, Peter S; Kong, Yek-Ching; Menon, Sonia; Taylor, Carolyn D; Soerjomataram, Isabelle

doi:10.1016/s0140-6736(23)01701-4

Cited by 37 publications

(16 citation statements)

References 288 publications

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“…However, the female genital problems in this study did not include cancers of the female genital system. Inadequate knowledge of the disease, sex inequality, and discrimination may limit their ability to access and receive high-caliber cancer treatment [ 22 ]. Notably, cervical cancer, one of the prevalent primary malignant neoplasms of the female genital tract, is associated with sexually transmitted infections and has insidious symptoms.…”

Section: Discussionmentioning

confidence: 99%

Content and Duration of Doctor-Patient Communication in Outpatient Oncology Follow-Up Consultations in China

Zhan,

Mao,

Gao

et al. 2024

Cureus

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This study aimed to analyze the content of counseling between cancer patients and physicians during outpatient follow-up, assess the duration of different communication content, and explore the influencing factors. Patients and methodsWe observed consecutive cancer patients without a first diagnosis of malignancy who presented to the oncology outpatient clinic of a public hospital from October through December 2023. A structured observation form was used to record the content and duration of doctor-patient communication. All variables were electronically recorded and stored on a data management platform. Multiple linear regression was used to examine the determinants of consultation duration. ResultsOur study included 620 cancer patients, of whom 281 individuals had distant metastasis. The average consultation duration for 620 cancer patients was 4.85 minutes (standard deviation of 3.09 minutes). The category of doctor-patient communication was routine outpatient follow-up, involving 182 patients, with an average consultation duration of 3.81 minutes (standard deviation of 2.24 minutes). The main communication content for 51 patients was about the admission procedures, with an average consultation duration of 3.00 minutes (standard deviation of 1.92 minutes). For 67 patients, the primary communication involved the prescription of anti-tumor medications, with an average consultation duration of 3.70 minutes (standard deviation of 2.30 minutes). Symptom control discussions were the main communication content with 107 patients, with an average consultation duration of 5.91 minutes (standard deviation of 3.44 minutes). The main communication content of 24 patients involved medical insurance reimbursement, with an average duration of 7.75 minutes (standard deviation of 4.63 minutes). Consultations accompanied by caregivers and the presence of metastatic tumors were positively associated with consultation duration, whereas female patients with genital malignancies were negatively associated with consultation duration. Communication about symptom management and communication about medical insurance reimbursement was positively associated with the duration of medical consultations. Communication about administering the formalities requisite for patient admission was negatively associated with the consultation duration. ConclusionWe classified the main contents of doctor-patient communication in the oncology outpatient clinic and found that the contents of doctor-patient communication tended to be monotone and systematized. Oncology outpatient models should consider the integration of caregiver involvement. The reason for the shorter outpatient consultation duration in female patients of cancer primary in the reproductive system needs further investigation. The intricate medical insurance reimbursement process poses an increasing time challenge for outpatient clinicians. In addition, the adequacy and effectiveness of symptom management services provided to cancer patients during oncology outpatient follow-up require furth...

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Section: Discussionmentioning

confidence: 99%

Content and Duration of Doctor-Patient Communication in Outpatient Oncology Follow-Up Consultations in China

Zhan,

Mao,

Gao

et al. 2024

Cureus

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“…Gender inequalities notably worsen women’s access to cancer prevention, care, and treatment, said health experts, who are calling for an immediate “feminist approach” to cancer. A Lancet Commission on women, power, and cancer7 said that the cancer burden in women was considerably under-recognised, as the disease ranked in the top three causes of premature mortality among women in almost all countries worldwide. Women’s healthcare was often focused on reproductive and maternal health or on “women’s cancers,” such as breast and cervical cancer, despite lung and colorectal cancer being among the top three causes of cancer deaths in women, it said.…”

Section: Cancermentioning

confidence: 99%

Seven days in medicine: 27 Sep to 3 Oct 2023

2023

BMJ

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“…However, several commissions and policies [ 18 , 19 ] reaffirm the importance of conducting research that integrates both gender and sex. The most recent one, “Women, power, and cancer: a Lancet Commission,” [ 20 ] underscores the urgency of considering gender as a key determinant of health inequalities in cancer research. Understanding the distinction between sex and gender definitions is essential for analyzing social inequalities in colorectal cancer incidence from a sex and gender perspective.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Sex and/or Gender on the Occurrence of Colorectal Cancer in the General Population in Developed Countries: A Scoping Review

Martinez,

Grosclaude,

Lamy

et al. 2024

Int J Public Health

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Objective: Gender as the “sociocultural role of sex” is underrepresented in colorectal cancer incidence studies, potentially resulting in underestimated risk factors’ consequences and inequalities men/women. We aim to explore how literature focusing on differences between men and women in the incidence of colorectal cancer interprets these differences: through sex- or gender-related mechanisms, or both?Methods: We conducted a scoping review using PubMed and Google Scholar. We categorized studies based on their definitions of sex and/or gender variables.Results: We reviewed 99 studies, with 7 articles included in the analysis. All observed differences between men and women. Six articles examined colorectal cancer incidence by gender, but only 2 used the term “gender” to define exposure. One article defined its “sex” exposure variable as gender-related mechanisms, and two articles used “sex” and “gender” interchangeably to explain these inequalities. Gender mechanisms frequently manifest through health behaviors.Conclusion: Our results underscore the need for an explicit conceptual framework to disentangle sex and/or gender mechanisms in colorectal cancer incidence. Such understanding would contribute to the reduction and prevention of social health inequalities.

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Women, power, and cancer: a Lancet Commission

Cited by 37 publications

References 288 publications

Content and Duration of Doctor-Patient Communication in Outpatient Oncology Follow-Up Consultations in China

Content and Duration of Doctor-Patient Communication in Outpatient Oncology Follow-Up Consultations in China

Seven days in medicine: 27 Sep to 3 Oct 2023

The Influence of Sex and/or Gender on the Occurrence of Colorectal Cancer in the General Population in Developed Countries: A Scoping Review

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