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Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management
PURPOSE: Underdeveloped nations carry the burden of most cervical cancer, yet access to adequate treatment can be challenging. This report assesses the current management of cervical cancer in sub-Saharan Africa to better understand the needs of underdeveloped nations in managing cervical cancer. ME...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Society of Clinical Oncology
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081497/ https://www.ncbi.nlm.nih.gov/pubmed/33529076 http://dx.doi.org/10.1200/GO.20.00079 |
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author | Burt, Lindsay M. McCormak, Mary Lecuru, Fabrice Kanyike, Daniel M. Bvochora-Nsingo, Memory Ndlovu, Ntokozo Scott, Aba A. Anorlu, Rose I. Sharma, Vinay Plante, Marie Nyongesa, Catherine Tigeneh, Wondemagegnehu Fakie, Nazia Suneja, Gita Gaffney, David K. |
author_facet | Burt, Lindsay M. McCormak, Mary Lecuru, Fabrice Kanyike, Daniel M. Bvochora-Nsingo, Memory Ndlovu, Ntokozo Scott, Aba A. Anorlu, Rose I. Sharma, Vinay Plante, Marie Nyongesa, Catherine Tigeneh, Wondemagegnehu Fakie, Nazia Suneja, Gita Gaffney, David K. |
author_sort | Burt, Lindsay M. |
collection | PubMed |
description | PURPOSE: Underdeveloped nations carry the burden of most cervical cancer, yet access to adequate treatment can be challenging. This report assesses the current management of cervical cancer in sub-Saharan Africa to better understand the needs of underdeveloped nations in managing cervical cancer. METHODS: A pre- and postsurvey was sent to all centers participating in the Cervical Cancer Research Network's 4th annual symposium. The pre- and postsurvey evaluated human papillomavirus and HIV screening, resources available for workup and/or treatment, treatment logistics, outcomes, and enrollment on clinical trials. Descriptive analyses were performed on survey responses. RESULTS: Twenty-nine centers from 12 sub-Saharan countries saw approximately 300 new cases of cervical cancer yearly. Of the countries surveyed, 55% of countries had a human papillomavirus vaccination program and 30% (range, 0%-65%) of women in each region were estimated to have participated in a cervical cancer screening program. In the workup of patients, 43% of centers had the ability to obtain a positron emission tomography and computed tomography scan and 79% had magnetic resonance imaging capabilities. When performing surgery, 88% of those centers had a surgeon with an expertise in performing oncological surgeries. Radiation therapy was available at 96% of the centers surveyed, and chemotherapy was available in 86% of centers. Clinical trials were open at 4% of centers. CONCLUSION: There have been significant advancements being made in screening, workup, and management of patients with cervical cancer in sub-Saharan Africa; yet, improvement is still needed. Enrollment in clinical trials remains a struggle. Participants would like to enroll patients on clinical trials with Cervical Cancer Research Network's continuous support. |
format | Online Article Text |
id | pubmed-8081497 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | American Society of Clinical Oncology |
record_format | MEDLINE/PubMed |
spelling | pubmed-80814972021-05-04 Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management Burt, Lindsay M. McCormak, Mary Lecuru, Fabrice Kanyike, Daniel M. Bvochora-Nsingo, Memory Ndlovu, Ntokozo Scott, Aba A. Anorlu, Rose I. Sharma, Vinay Plante, Marie Nyongesa, Catherine Tigeneh, Wondemagegnehu Fakie, Nazia Suneja, Gita Gaffney, David K. JCO Glob Oncol ORIGINAL REPORTS PURPOSE: Underdeveloped nations carry the burden of most cervical cancer, yet access to adequate treatment can be challenging. This report assesses the current management of cervical cancer in sub-Saharan Africa to better understand the needs of underdeveloped nations in managing cervical cancer. METHODS: A pre- and postsurvey was sent to all centers participating in the Cervical Cancer Research Network's 4th annual symposium. The pre- and postsurvey evaluated human papillomavirus and HIV screening, resources available for workup and/or treatment, treatment logistics, outcomes, and enrollment on clinical trials. Descriptive analyses were performed on survey responses. RESULTS: Twenty-nine centers from 12 sub-Saharan countries saw approximately 300 new cases of cervical cancer yearly. Of the countries surveyed, 55% of countries had a human papillomavirus vaccination program and 30% (range, 0%-65%) of women in each region were estimated to have participated in a cervical cancer screening program. In the workup of patients, 43% of centers had the ability to obtain a positron emission tomography and computed tomography scan and 79% had magnetic resonance imaging capabilities. When performing surgery, 88% of those centers had a surgeon with an expertise in performing oncological surgeries. Radiation therapy was available at 96% of the centers surveyed, and chemotherapy was available in 86% of centers. Clinical trials were open at 4% of centers. CONCLUSION: There have been significant advancements being made in screening, workup, and management of patients with cervical cancer in sub-Saharan Africa; yet, improvement is still needed. Enrollment in clinical trials remains a struggle. Participants would like to enroll patients on clinical trials with Cervical Cancer Research Network's continuous support. American Society of Clinical Oncology 2021-02-02 /pmc/articles/PMC8081497/ /pubmed/33529076 http://dx.doi.org/10.1200/GO.20.00079 Text en © 2021 by American Society of Clinical Oncology https://creativecommons.org/licenses/by-nc-nd/4.0/Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | ORIGINAL REPORTS Burt, Lindsay M. McCormak, Mary Lecuru, Fabrice Kanyike, Daniel M. Bvochora-Nsingo, Memory Ndlovu, Ntokozo Scott, Aba A. Anorlu, Rose I. Sharma, Vinay Plante, Marie Nyongesa, Catherine Tigeneh, Wondemagegnehu Fakie, Nazia Suneja, Gita Gaffney, David K. Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management |
title | Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management |
title_full | Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management |
title_fullStr | Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management |
title_full_unstemmed | Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management |
title_short | Cervix Cancer in Sub-Saharan Africa: An Assessment of Cervical Cancer Management |
title_sort | cervix cancer in sub-saharan africa: an assessment of cervical cancer management |
topic | ORIGINAL REPORTS |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081497/ https://www.ncbi.nlm.nih.gov/pubmed/33529076 http://dx.doi.org/10.1200/GO.20.00079 |
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