Mapping of Radiation Oncology and Gynecologic Oncology Services Available to Treat the Growing Burden of Cervical Cancer in Africa

被引：4

作者：

Anakwenze, Chidinma P. ^{[1
]}

Allanson, Emma ^{[2
,3
]}

Ewongwo, Agnes ^{[4
]}

Lumley, Christian ^{[5
]}

Bazzett-Matabele, Lisa ^{[6
,7
]}

Msadabwe, Susan C. ^{[8
]}

Kamfwa, Paul ^{[9
]}

Shouman, Tarek ^{[10
]}

Lombe, Dorothy ^{[11
]}

Rubagumya, Fidel ^{[12
,13
,14
]}

Polo, Alfredo ^{[15
]}

Ntekim, Atara ^{[16
]}

Vanderpuye, Verna ^{[17
]}

Ghebre, Rahel ^{[18
,19
]}

Kochbati, Lofti ^{[20
]}

Awol, Munir ^{[21
]}

Gnangnon, Freddy Houehanou Rodrigue ^{[22
,23
,24
]}

Snyman, Leon ^{[25
]}

Domgue, Joel Fokom ^{[26
,27
]}

Incrocci, Luca ^{[28
]}

Ndlovu, Ntokozo ^{[29
,30
]}

Razakanaivo, Malala ^{[31
]}

Abdel-Wahab, May ^{[32
]}

Trimble, Edward ^{[33
]}

Schmeler, Kathleen ^{[34
,35
]}

Simonds, Hannah ^{[36
]}

Grover, Surbhi ^{[37
,38
]}

机构：

[1] Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston, TX USA

[2] King Edward Mem Hosp Women, Div Obstet & Gynecol, Subiaco, WA, Australia

[3] Univ Notre Dame, Inst Hlth Res, Fremantle, Australia

[4] Stanford Canc Inst, Palo Alto, CA USA

[5] Univ Texas Southwestern Med Ctr Dallas, Off Global Hlth, Dallas, TX USA

[6] Univ Botswana, Dept Obstet & Gynecol, Gaborone, Botswana

[7] Yale Univ, Sch Med, Dept Obstet & Gynecol, New Haven, CT USA

[8] Canc Dis Hosp, Lusaka, Zambia

[9] Canc Dis Hosp, Gynecol Oncol Unit, Lusaka, Zambia

[10] Natl Canc Inst Egypt, Cairo, Egypt

[11] Hlth New Zealand, Canc Screening Treatment & Support Cluster, Palmerston North, New Zealand

[12] Rwanda Mil Hosp, Kigali, Rwanda

[13] Queens Univ, Div Canc Care & Epidemiol, Kingston, ON, Canada

[14] Queens Univ, Dept Oncol, Kingston, ON, Canada

[15] IAEA, Dept Nucl Sci & Applicat, Div Human Hlth, Appl Radiat Biol & Radiotherapy Sect, Vienna, Austria

[16] Univ Ibadan, Dept Radiat Oncol, Ibadan, Nigeria

[17] Korle Bu Teaching Hosp, Natl Ctr Radiotherapy Oncol & Nucl Med, Accra, Ghana

[18] Univ Minnesota, Dept Obstet Gynecol & Womens Hlth, Minneapolis, MN USA

[19] Univ Minnesota, Masonic Canc Ctr, Minneapolis, MN USA

[20] Abderrahmen Mami Hosp, Dept Radiotherapy, Tunis, Tunisia

[21] Addis Ababa Univ, Dept Oncol, Addis Ababa, Ethiopia

[22] Natl Teaching Hosp Cotonou, Dept Visceral Surg, Cotonou, Benin

[23] Inst Epidemiol & Trop Neurol, Dept Epidemiol Chron Dis Trop Zone, Limoges, France

[24] Univ Abomey Calavi, Lab Epidemiol Chron & Neurol Dis, Cotonou, Benin

[25] Univ Pretoria, Dept Obstet & Gynaecol, Pretoria, South Africa

[26] Univ Texas MD Anderson Canc Ctr, Div Canc Prevent & Populat Sci, Houston, TX 77030 USA

[27] Univ Yaounde, Dept Obstet & Gynecol, Fac Med & Biomed Sci, Yaounde, Cameroon

[28] Erasmus MC, Canc Inst, Dept Radiat Oncol, Rotterdam, Netherlands

[29] Univ Zimbabwe, Fac Med & Hlth Sci, Dept Oncol, Harare, Zimbabwe

[30] Parirenyatwa Hosp, Dept Radiotherapy & Oncol, Harare, Zimbabwe

[31] Joseph Ravoahangy Andrianavalona Univ Hosp, Dept Radiotherapy, Antananarivo, Madagascar

[32] IAEA, Div Human Hlth, Dept Nucl Sci & Applicat, Vienna, Austria

[33] NCI, Bethesda, MD USA

[34] Univ Texas MD Anderson Canc Ctr, Dept Gynecol Oncol & Reprod Med, Houston, TX USA

[35] Stellenbosch Univ, Dept Radiat Oncol, Cape Town, South Africa

[36] Univ Hosp Plymouth NHS Trust, Dept Oncol, Plymouth, England

[37] Botswana Univ Penn Partnership, Gaborone, Botswana

[38] Univ Penn, Dept Radiat Oncol, Philadelphia, PA 19104 USA

来源：

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 2024年 / 118卷 / 03期

关键词：

RADIOTHERAPY; SURGERY; ACCESS; IMPACT;

D O I：

10.1016/j.ijrobp.2023.10.036

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose: To meet the demand for cervical cancer care in Africa, access to surgical and radiation therapy services needs to be understood. We thus mapped the availability of gynecologic and radiation therapy equipment and staffing for treating cervical cancer. Methods and Materials: We collected data on gynecologic and radiation oncology staffing, equipment, and infrastructure capacities across Africa. Data was obtained from February to July 2021 through collaboration with international partners using Research Electronic Data Capture. Cancer incidence was taken from the International Agency for Research on Cancer's GLOBOCAN 2020 database. Treatment capacity, including the numbers of radiation oncologists, radiation therapists, physicists, gynecologic oncologists, and hospitals performing gynecologic surgeries, was calculated per 1000 cervical cancer cases. Adequate capacity was defined as 2 radiation oncologists and 2 gynecologic oncologists per 1000 cervical cancer cases. Results: Forty-three of 54 African countries (79.6%) responded, and data were not reported for 11 countries (20.4%). Respondents from 31 countries (57.4%) reported access to specialist gynecologic oncology services, but staffing was adequate in only 11 countries (20.4%). Six countries (11%) reported that generalist obstetrician -gynecologists perform radical hysterectomies. Radiation oncologist access was available in 39 countries (72.2%), but staffing was adequate in only 16 countries (29.6%). Six countries (11%) had adequate staffing for both gynecologic and radiation oncology; 7 countries (13%) had no radiation or gynecologic oncologists. Access to external beam radiation therapy was available in 31 countries (57.4%), and access to brachytherapy was available in 25 countries (46.3%). The number of countries with training programs in gynecologic oncology, radiation oncology, medical physics, and radiation therapy were 14 (26%), 16 (30%), 11 (20%), and 17 (31%), respectively. Conclusions: We identified areas needing comprehensive cervical cancer care infrastructure, human resources, and training programs. There are major gaps in access to radiation oncologists and trained gynecologic oncologists in Africa. (c) 2023 Published by Elsevier Inc.

引用

页码：595 / 604

页数：10

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