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Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review

BACKGROUND: Lung cancer is the most diagnosed cancer worldwide. In low- and middle-income countries (LMICs), lung cancer is often diagnosed at a late stage due to poor knowledge and awareness of its signs and symptoms. Increasing lung cancer awareness is likely to reduce the diagnosis and treatment...

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Autores principales: Nwagbara, Ugochinyere I., Ginindza, Themba G., Hlongwana, Khumbulani W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526234/
https://www.ncbi.nlm.nih.gov/pubmed/32993570
http://dx.doi.org/10.1186/s12889-020-09561-0
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author Nwagbara, Ugochinyere I.
Ginindza, Themba G.
Hlongwana, Khumbulani W.
author_facet Nwagbara, Ugochinyere I.
Ginindza, Themba G.
Hlongwana, Khumbulani W.
author_sort Nwagbara, Ugochinyere I.
collection PubMed
description BACKGROUND: Lung cancer is the most diagnosed cancer worldwide. In low- and middle-income countries (LMICs), lung cancer is often diagnosed at a late stage due to poor knowledge and awareness of its signs and symptoms. Increasing lung cancer awareness is likely to reduce the diagnosis and treatment delays. The implementation of early palliative care has also been reported to improve a patient’s quality of life, and even survival. The aim of this scoping review was to map evidence on lung cancer awareness and palliative care interventions implemented in sub-Saharan Africa (SSA) and other LMICs. METHODS: This scoping review was guided by Arksey and O’Malley’s framework. Databases such as the EBSCOhost, PubMed, Science Direct, Google Scholar, World Health Organization (WHO) library and grey literature were used to perform systematic searches of relevant articles. The methodological quality assessment of included primary studies was assessed using the Mixed Method Appraisal Tool (MMAT). NVivo version 10 software was used to perform the thematic content analysis of the included studies. RESULTS: A total number of screened articles was 2886, with 236 meeting the eligibility criteria and 167 further excluded following abstract screening. Sixty-nine (69) articles qualified for full-article screening and 9 were selected for detailed data extraction and methodological quality assessment. Of the included nine studies, eight described at least one lung cancer warning signs and symptoms, while one described the effectiveness of palliative care for lung cancer. Eight articles recognized the level of lung cancer knowledge, risk factors awareness of warning signs and symptoms in LMICs, mostly Africa and Asia. CONCLUSIONS: Most of the participants were aware of tobacco use as the major risk factor for lung cancer but lacked knowledge on the other pre-disposing risk factors. Evidence on palliative care is scarce, therefore, awareness interventions packaged with evidence on the value of timely access to palliative care services in improving the quality of life of the lung cancer patients and their families, are required.
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spelling pubmed-75262342020-10-01 Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review Nwagbara, Ugochinyere I. Ginindza, Themba G. Hlongwana, Khumbulani W. BMC Public Health Research Article BACKGROUND: Lung cancer is the most diagnosed cancer worldwide. In low- and middle-income countries (LMICs), lung cancer is often diagnosed at a late stage due to poor knowledge and awareness of its signs and symptoms. Increasing lung cancer awareness is likely to reduce the diagnosis and treatment delays. The implementation of early palliative care has also been reported to improve a patient’s quality of life, and even survival. The aim of this scoping review was to map evidence on lung cancer awareness and palliative care interventions implemented in sub-Saharan Africa (SSA) and other LMICs. METHODS: This scoping review was guided by Arksey and O’Malley’s framework. Databases such as the EBSCOhost, PubMed, Science Direct, Google Scholar, World Health Organization (WHO) library and grey literature were used to perform systematic searches of relevant articles. The methodological quality assessment of included primary studies was assessed using the Mixed Method Appraisal Tool (MMAT). NVivo version 10 software was used to perform the thematic content analysis of the included studies. RESULTS: A total number of screened articles was 2886, with 236 meeting the eligibility criteria and 167 further excluded following abstract screening. Sixty-nine (69) articles qualified for full-article screening and 9 were selected for detailed data extraction and methodological quality assessment. Of the included nine studies, eight described at least one lung cancer warning signs and symptoms, while one described the effectiveness of palliative care for lung cancer. Eight articles recognized the level of lung cancer knowledge, risk factors awareness of warning signs and symptoms in LMICs, mostly Africa and Asia. CONCLUSIONS: Most of the participants were aware of tobacco use as the major risk factor for lung cancer but lacked knowledge on the other pre-disposing risk factors. Evidence on palliative care is scarce, therefore, awareness interventions packaged with evidence on the value of timely access to palliative care services in improving the quality of life of the lung cancer patients and their families, are required. BioMed Central 2020-09-29 /pmc/articles/PMC7526234/ /pubmed/32993570 http://dx.doi.org/10.1186/s12889-020-09561-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Nwagbara, Ugochinyere I.
Ginindza, Themba G.
Hlongwana, Khumbulani W.
Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
title Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
title_full Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
title_fullStr Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
title_full_unstemmed Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
title_short Lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
title_sort lung cancer awareness and palliative care interventions implemented in low-and middle-income countries: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526234/
https://www.ncbi.nlm.nih.gov/pubmed/32993570
http://dx.doi.org/10.1186/s12889-020-09561-0
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