Advancing Cancer Control through Research and Cancer Registry Collaborations in the Caribbean

Banydeen, Rishika; Rose, Angela; Martin, Damali N.; Aiken, William; Alexis, Cheryl; Andall‐Brereton, Glennis; Ashing, Kimlin Tam; Avery, John; Avery, Penny; Deloumeaux, Jacqueline; Ekomaye, Natasha; Gabriel, Owen; Hassell, Trevor; Hughes, Lowell A; Hutton, Maisha T.; Jyoti, Shravana Kumar; Layne, Penelope; Luce, Danièle; Patrick, Alan L.; Prussia, Patsy R.; Smith-Ravin, Juliette; Véronique-Baudin, Jacqueline; Blackman, Elizabeth; Roach, Veronica; Ragin, Camille

doi:10.1177/107327481502200420

Cited by 20 publications

(15 citation statements)

References 18 publications

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“…We also need to be proactive in our approach, and that requires developing the appropriate screening programs for early diagnosis and patient education to help aid prevention and improve patient outcomes. However, data for the region are very limited [ 20 ]. Cancer registries are invaluable in gathering information which can help guide the development of public policy.…”

Section: Discussionmentioning

confidence: 99%

The Caribbean Community Clinical Oncology Workforce: Analyzing Where We Are Today and Projecting for Tomorrow

Alleyne-Mike¹

2018

Journal of Oncology

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Purpose To analyze the current physician clinical oncological workforce within the CARICOM full member states with an aim to make recommendations for building capacity. MethodsA questionnaire was prepared and emailed to professionals working in oncology in 14 CARICOM full member countries. It was designed to identify the number of specialists providing hematology, medical oncology, and radiotherapy services. Results Ten countries (71.4%) supplied information. Oncology services were insufficient in the majority of countries. Hematology proved to be the most adequately staffed with six countries (60%) having the recommended number of specialists. Medical oncology services were deficient in five countries (50%). Radiation oncology services were the most limited with nine countries (90%) unable to provide the required quota of specialists. The majority of the workforce consisted of nonnationals (55%). The remaining practitioners were nationals, and of these 50% were regionally trained. Oncological care was primarily offered within the public sector. Conclusion Oncological staffing within the CARICOM full member states is insufficient to meet the demands of the current population. Encouraging training through locoregional or international programs is key to obtaining the numbers required. Cancer registries will help provide data to influence public policy and improve the oncological healthcare system.

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Section: Discussionmentioning

confidence: 99%

The Caribbean Community Clinical Oncology Workforce: Analyzing Where We Are Today and Projecting for Tomorrow

Alleyne-Mike¹

2018

Journal of Oncology

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“…However, a higher SEP also affords women a higher screening rate, an earlier stage of diagnosis, and improved treatment effect and adherence, indicating a complex interchange of risk and protection [74, 75, 78]. Our depicted lack of regional evidence seems a logical result of the absence of a structured network of cancer surveillance in the Caribbean [79, 80]. Cancer registries exist in only twelve Caribbean territories, of which only four are considered high-quality [80, 81].…”

Section: Discussionmentioning

confidence: 99%

“…Our depicted lack of regional evidence seems a logical result of the absence of a structured network of cancer surveillance in the Caribbean [79, 80]. Cancer registries exist in only twelve Caribbean territories, of which only four are considered high-quality [80, 81]. Challenges are wide-reaching, with limitations in resources, political will, policy and regulation, healthcare service, data quality and security, and local, regional, and international communication and collaboration [80, 81].…”

Section: Discussionmentioning

confidence: 99%

“…Cancer registries exist in only twelve Caribbean territories, of which only four are considered high-quality [80, 81]. Challenges are wide-reaching, with limitations in resources, political will, policy and regulation, healthcare service, data quality and security, and local, regional, and international communication and collaboration [80, 81]. The PAHO Plan of Action for Cancer Prevention and Control 2008–2015 [82] has detailed areas for improvement in monitoring and surveillance and consequently, the regional Caribbean Cancer Registry Hub was conceptualized and is progressing towards implementation [81].…”

Section: Discussionmentioning

confidence: 99%

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Social determinants of breast cancer in the Caribbean: a systematic review

Brown¹,

Hambleton²,

Hercules³

et al. 2017

Int J Equity Health

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BackgroundBreast cancer is the leading cause of cancer deaths among women in the Caribbean and accounts for >1 million disability adjusted life years. Little is known about the social inequalities of this disease in the Caribbean. In support of the Rio Political Declaration on addressing health inequities, this article presents a systematic review of evidence on the distribution, by social determinants, of breast cancer risk factors, frequency, and adverse outcomes in Caribbean women.MethodsMEDLINE, EMBASE, SciELO, CINAHL, CUMED, LILACS, and IBECS were searched for observational studies reporting associations between social determinants and breast cancer risk factors, frequency, or outcomes. Based on the PROGRESS-plus checklist, we considered 8 social determinant groups for 14 breast cancer endpoints, which totalled to 189 possible ways (‘relationship groups’) to explore the role of social determinants on breast cancer. Studies with >50 participants conducted in Caribbean territories between 2004 and 2014 were eligible for inclusion. The review was conducted according to STROBE and PRISMA guidelines and results were planned as a narrative synthesis, with meta-analysis if possible.ResultsThirty-four articles were included from 5,190 screened citations. From these included studies, 75 inequality relationships were reported examining 30 distinct relationship groups, leaving 84% of relationship groups unexplored. Most inequality relationships were reported for risk factors, particularly alcohol and overweight/obesity which generally showed a positive relationship with indicators of lower socioeconomic position. Evidence for breast cancer frequency and outcomes was scarce. Unmarried women tended to have a higher likelihood of being diagnosed with breast cancer when compared to married women. While no association was observed between breast cancer frequency and ethnicity, mortality from breast cancer was shown to be slightly higher among Asian-Indian compared to African-descent populations in Trinidad (OR 1.2, 95% CI 1.1–1.4) and Guyana (OR 1.3, 95% CI 1.0–1.6).ConclusionStudy quantity, quality, and variability in outcomes and reporting limited the synthesis of evidence on the role of social determinants on breast cancer in the Caribbean. This report represents important current evidence on the region, and can guide future research priorities for better describing and understanding of Caribbean breast cancer inequalities.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0540-z) contains supplementary material, which is available to authorized users.

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“…Population-based NCD registries are important for measuring trends, epidemiological research, public health planning, evaluation of prevention and control programs, and patient care improvement processes [6]. Although the importance of population-based NCD registries to a country is readily justifiable, such registries involve cost and may not be sustainable during times of economic constraint.…”

Section: Introductionmentioning

confidence: 99%

Economic assessment of integrated cancer and cardiovascular registries: The Barbados experience

Martelly

Rose

Subramanian

et al. 2016

Cancer Epidemiology

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Background This report describes the resources required to support the integrated approach of the Barbados National Registry for Chronic Non-communicable Diseases (BNR) to non-communicable disease (NCD) case registration, and to identify differences in cost for collecting and maintaining information on cancer and cardiovascular disease (CVD) case registration. Methods We used the modified Centers for Disease Control and Prevention’s International Registry Costing Tool to collect data from the CVD and cancer registries. We used cancer and CVD cost data for the annual period April 2014 through March 2015 to estimate the total cost and cost per case. We used prospectively collected average annual CVD cases, and for cancer cases we assumed 2 or 3 years are needed for retrospective data collection. Results The Ministry of Health provided 56% of the resources for the registries. Labor accounted for over 70% of both registries’ budgets, while management and administration, along with data collection and analysis, incurred the highest costs per case. Total variable cost activities related to data collection and analysis were higher for the CVD component (US$131,297) than the cancer component (US$58,917). The CVD cost per case (US$489) was in between the cancer 2-year (US$382) and the cancer 3-year (US$573) cost-per-case estimates. Conclusion These findings indicate that there are substantial fixed costs related to management and administration of NCD registries. All registries need management and administration support. When registries are combined, management and administration costs can be shared. We project that registries that can share fixed-cost infrastructure are likely to incur a lower total cost per case.

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Advancing Cancer Control through Research and Cancer Registry Collaborations in the Caribbean

Cited by 20 publications

References 18 publications

The Caribbean Community Clinical Oncology Workforce: Analyzing Where We Are Today and Projecting for Tomorrow

The Caribbean Community Clinical Oncology Workforce: Analyzing Where We Are Today and Projecting for Tomorrow

Social determinants of breast cancer in the Caribbean: a systematic review

Economic assessment of integrated cancer and cardiovascular registries: The Barbados experience

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