Cancer Care Burden: Aiming at the Achilles Heel

Ahmed, Shahid; Shahid, Rabia; Gesy, Kathy

doi:10.3747/co.22.2252

Cited by 4 publications

(3 citation statements)

References 25 publications

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“… 24 According to the Independent Clinical Oncology Network and Ahmed et al, due to the cost, some patients who sort cancer care services in private health care end up on the public health care. 33 , 34 This implies that majority of the population of cancer cases seen in the 2 districts or province are likely to be captured on our multi-centre hospital-based cancer surveillance. Our data only abstracted cancer cases from medical records in the oncology departments within the 3 public health facilities and no vital statistics sources such as death records were used and this could underestimate the cancer burden as some cancer cases are likely not to be reported due to the lack of accessibility to facilities, poor transport networks, and low socio-economic status.…”

Section: Discussionmentioning

confidence: 99%

Establishing and Evaluating Cancer Surveillance System in KwaZulu-Natal, South Africa

2021

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Background: The increasing cancer burden remains a public health challenge. Quality and accurate population data is important to improve cancer control, screening, and treatment programmes for the sub-Saharan Africa region. Aim: The aim of this study was to establish hospital-based cancer surveillance system, thereby reporting the burden that cancer diagnosis and treatment place on 3 hospitals – an approach of health systems strengthening. Methods: A hospital-based cancer surveillance was established in 3 public health facilities that provide oncology services in KwaZulu-Natal. An active method was used for finding cancer cases. The cancer surveillance database was evaluated according to the criteria recommended for cancer registries. Analyses of data included descriptive and crude incidence rates. Results: A total of 2307 newly diagnosed cancer cases were reported in 2018, with a majority from Inkosi Albert Luthuli Central hospital (65.3%), followed by Greys hospital (30.8%) and then Addington hospital (3.94%). Most of the cancer cases were from the 2 major urban areas of the province (eThekwini and uMgungundlovu district). The most commonly diagnosed cancers from all combined 3 facilities for both sexes were breast, cervix, colorectal, Kaposi Sarcoma, and lung. Approximately half of the cancer cases had no staging, and 12.8% of the cases were diagnosed at stage 4. The mostly prescribed treatments for the patients were radiotherapy and chemotherapy. Conclusions: Based on our hospital-based surveillance, cancer burden is high in the 3 facilities. Strengthening cancer screening and diagnostic policies and procedures that will allow expansion of accurate cancer surveillance system is essential in KwaZulu-Natal and South Africa as a whole.

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Section: Discussionmentioning

confidence: 99%

Establishing and Evaluating Cancer Surveillance System in KwaZulu-Natal, South Africa

2021

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“…Cancer affects the human body [ 168 ] through uncontrolled cell growth affecting the surrounding organs [ 169 ]. It is categorized into four main types—carcinoma, sarcoma, leukaemia and lymphomas [ 170 ]—which costs $895 billion (2015) per year to treat [ 171 ]. µPAD immunosensing of cancer biomarkers, which are biological molecules produced by the body in infected cancer patients [ 172 ], has increased considerably in recent years.…”

Section: Paper-based Eismentioning

confidence: 99%

Advances in paper-based electrochemical immunosensors: review of fabrication strategies and biomedical applications

du Plooy,

Jahed,

Iwuoha

et al. 2023

R. Soc. open sci.

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Cellulose paper-based sensing devices have shown promise in addressing the accuracy, sensitivity, selectivity, analysis time and cost of current disease diagnostic tools owing to their excellent physical and physiochemical properties, high surface-area-to-volume ratio, strong adsorption capabilities, ease of chemical functionalization for immobilization, biodegradability, biocompatibility and liquid transport by simple capillary action. This review provides a comprehensive overview of recent advancements in the field of electrochemical immunosensing for various diseases, particularly in underdeveloped regions and globally. It highlights the significant progress in fabrication techniques, fluid control, signal transduction and paper substrates, shedding light on their respective advantages and disadvantages. The primary objective of this review article is to compile recent advances in the field of electrochemical immunosensing for the early detection of diseases prevalent in underdeveloped regions and globally, including cancer biomarkers, bacteria, proteins and viruses. Herein, the critical need for new, simplistic early detection strategies to combat future disease outbreaks and prevent global pandemics is addressed. Moreover, recent advancements in fabrication techniques, including lithography, printing and electrodeposition as well as device orientation, substrate type and electrode modification, have highlighted their potential for enhancing sensitivity and accuracy.

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“…It is estimated that the direct medical costs for cancer in the US in 2014 were $87.8 billion (American Cancer Society, 2017). Besides mounting cancer incidence rates, an increasing cost of medications and technologies, the excessive utilization of inpatient and emergency services coupled with fragmented care delivery are all contributing to the overall burden of cancer care (Ahmed et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis

Liang

Tao

Ford

et al. 2018

Health Care Manage Rev

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Background-Optimal cancer care entails the coordination among multiple providers, continued follow-up and surveillance over time. The patient-centered care brings opportunities to improve the delivery of cancer care. The adoption of patient-centered oncology care (PCOC) is in its infancy. Evidence synthesis on the model's effectiveness is scant.Purposes-This is the first systemic review and meta-analysis on associations of PCOC with cancer patients' adverse healthcare utilization, cost, patient satisfaction and quality of care.Methods-Our study was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Quality appraisal was performed using Downs and Black's quality checklist. Study-level effect sizes of adverse healthcare utilization were computed using Cohen's D and summarized using forest plots. Funnel plots were constructed to examine publication bias.Results-Of 334 studies that were reviewed, ten met eligibility criteria and were included into the final analysis. Many included studies implemented almost all six of patient-centered care core attributes, plus three additional attributes that specifically addressed cancer patients' needs, including triage pathways, standardized and evidence-based symptom management, as well as support patient navigation. PCOC patients had lower utilization of inpatient care (standardized means difference [SMD] = −0.027, P= 0.049). Overall positive effect of PCOC on emergency department use was small and not significant (SMD= −0.023, P= 0.103). In terms of cost and *

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Cancer Care Burden: Aiming at the Achilles Heel

Abstract: -

Cited by 4 publications

References 25 publications

Establishing and Evaluating Cancer Surveillance System in KwaZulu-Natal, South Africa

Establishing and Evaluating Cancer Surveillance System in KwaZulu-Natal, South Africa

Advances in paper-based electrochemical immunosensors: review of fabrication strategies and biomedical applications

The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis

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