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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Cancer surgery in low-income countries: An unmet need
Archives of Surgery, Volume 147, No. 12, Year 2012
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Description
Objectives: To describe the surgical oncology experience at a major regional hospital in Malawi and to identify barriers to improved outcomes. Design: Retrospective review of operating logbooks from a single tertiary referral center. Setting: Major tertiary referral center (Kamuzu Central Hospital) in Lilongwe, Malawi, in sub-Saharan Africa. Patients: Patients were identified with a suspected diagnosis of cancer from January 1, 2004, through March 7, 2007. Main Outcome Measures: Cancer cases were classified according to patient demographic characteristics, disease location, and therapeutic intent. The Malawi data were compared with US data from the Surveillance Epidemiology and End Results database. Results: A malignant diagnosis was suspected in 255 of the 1440 patients undergoing a major resection (17.8%) (mean patient age, 53 years). The most common cancers in males were prostate, esophageal, and gastric. In females, the most common cancers were breast, colon, and esophageal. Many of the procedures were performed with palliative intent. Conclusions: Cancer surgery comprises a significant proportion of the surgical caseload in low-income countries. Patients often present with late-stage, inoperable cancer. The participation of the surgical community is critical for addressing barriers to effective cancer care. ©2012 American Medical Association. All rights reserved.
Authors & Co-Authors
Gyorki, David E.
United States, New York
Memorial Sloan-kettering Cancer Center
Muyco, Arturo P.
Malawi, Lilongwe
Kamuzu Central Hospital
Kushner, Adam L.
United States, New York
Columbia University
Brennan, Murray F.
United States, New York
Memorial Sloan-kettering Cancer Center
Kingham, Thomas Peter
United States, New York
Memorial Sloan-kettering Cancer Center
Statistics
Citations: 32
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1001/archsurg.2012.1265
e-ISSN:
15383644
Research Areas
Cancer
Health System And Policy
Study Design
Cohort Study
Study Locations
Malawi
Participants Gender
Female