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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Patterns of practice in palliative radiotherapy in Africa - Case revisited
Clinical Oncology, Volume 26, No. 6, Year 2014
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Description
Aims: To investigate patterns of practice in palliative radiotherapy in Africa. Materials and methods: Fifteen centres in Africa provided detailed information about radiotherapy in both metastatic and locally advanced disease via a questionnaire. Information included general information (institution status, equipment, staff, patient number), radiotherapy and other treatment characteristics in bone metastasis, brain metastasis, metastatic spinal cord compression, lung and liver metastasis, as well as locally advanced tumours. Results: The number of patients annually seen/treated ranged from 285 to 5000. Breast, cervix, head and neck, gastrointestinal and prostate cancer were the top five cancers overall. Eight (53%) institutions were without linear accelerators, four (27%) had a single one, whereas one institution each had two, three and four linear accelerators. The number of cobalt machines ranged from 0 to 2 (median 1). Most centres still prefer to use fractionated radiotherapy regimens over single-fraction regimens in bone metastasis, although most centres are now using single-fraction radiotherapy in retreatments. Radiotherapy in brain metastasis and metastatic spinal cord compression mostly conform to worldwide standards. Lung and liver metastases are rarely irradiated, largely as a consequence of the lack of modern radiotherapy technology. Locally advanced disease in various tumour sites was mostly palliated, in agreement with current evidence-based practices. Conclusions: African countries still lack adequate staffing and equipment to adequately address their clinical burden, being palliative in most cases. Emphasis should also be made on more rationally using existing capacities by using more of the single-fraction radiotherapy regimens, especially in bone metastasis. © 2014 The Royal College of Radiologists.
Authors & Co-Authors
Jeremić, Branislav M.
South Africa, Tygerberg
Tygerberg Hospital
Vanderpuye, Verna Dnk
Ghana, Accra
National Center for Radiotherapy
Abdel-Wahab, Sherif
Egypt, Cairo
Ain Shams University
Gaye, Papa Macoumba
Senegal, Dakar
Institut de Curie
Kochbati, Lotfi
Tunisia, Tunis
Salah Aziz Institute
Diwani, M.
Unknown Affiliation
Emwula, P.
Namibia, Windhoek
Windhoek Central Hospital
Oro, B.
Zimbabwe, Harare
Andrew Fleming Hospital
Lishimpi, Kennedy
Zambia, Lusaka
Cancer Diseases Hospital
Kigula-Mugambe, Joseph
Uganda, Kampala
Makerere University
Dawotola, David A.
Nigeria, Zaria
A b University Teaching Hospital
Tigeneh, Wondemagegnhu
Ethiopia, Addis Ababa
Addis Ababa University
Nyongesa, Catherine
Kenya, Nairobi
Kenyatta National Hospital
Oumar, N.
Mauritania
Centre National D'oncologie
El-Omrani, Abdelhamid
Morocco, Marakech
Chu Mohammed-vi
Shuman, T.
Egypt, Giza
National Cancer Institute
Langenhoven, Lizanne
South Africa, Tygerberg
Tygerberg Hospital
Fourie, L.
South Africa, Tygerberg
Tygerberg Hospital
Statistics
Citations: 19
Authors: 18
Affiliations: 15
Identifiers
Doi:
10.1016/j.clon.2014.03.004
ISSN:
09366555
e-ISSN:
14332981
Research Areas
Cancer
Health System And Policy