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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
Patterns of Practice of Palliative Radiotherapy in Africa, Part 1: Bone and Brain Metastases
International Journal of Radiation Oncology Biology Physics, Volume 70, No. 4, Year 2008
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Description
Purpose: To provide data on the pattern of practice of palliative radiotherapy (RT) on the African continent. Methods and Materials: A questionnaire was distributed to participants in a regional training course of the International Atomic Energy Agency in palliative cancer care and sent by e-mail to other institutions in Africa. Requested information included both infrastructure and human resources available and the pattern of RT practice for metastatic and locally advanced cancers. Results: Of 35 centers contacted, 24 (68%) completed the questionnaire. Although RT is used by most centers for most metastatic cancers, liver and lung metastases are treated with chemotherapy. Of 23 centers, 14 (61%) had a single RT regimen as an institutional policy for treating painful bone metastases, but only 5 centers (23%) of 23 used 8 Gy in 1 fraction. Brain metastases were being treated by RT to the whole brain to 30 Gy in 10 fractions, either exclusively (n = 13, 56%) or in addition to the use of 20 Gy in 5 fractions (n = 3, 14%). Conclusion: Radiotherapy is a major component of treatment of cancer patients in African countries. There is consensus among few centers for treatment schedules for almost all sites regarding time and dose-fractionation characteristics of RT regimens used and/or indications for the use of RT in this setting. © 2008 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Sharma, Vinay M.
South Africa, Johannesburg
Charlotte Maxeke Johannesburg Academic Hospital
Gaye, Papa Macoumba
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Wahab, Sherif Abdel
Egypt, Cairo
Ain Shams University
Ndlovu, Ntokozo
Zimbabwe, Harare
Godfrey Huggins School of Medicine
Ngoma, Twalib Athumani
Tanzania, Dar es Salaam
Ocean Road Hospital
Vanderpuye, Verna Dnk
Ghana, Accra
Korle bu Teaching Hospital
Sowunmi, Anthonia
Nigeria, Lagos
University of Lagos
Kigula-Mugambe, Joseph
Uganda, Kampala
Makerere University
Jeremić, Branislav M.
Austria, Vienna
International Atomic Energy Agency, Vienna
Statistics
Citations: 33
Authors: 9
Affiliations: 9
Identifiers
Doi:
10.1016/j.ijrobp.2007.07.2381
ISSN:
03603016
Research Areas
Cancer
Health System And Policy