Challenges and opportunities in cancer control in Africa: a perspective from the African Organisation for Research and Training in Cancer

Morhason-Bello, Imran O.; Odedina, Folakemi T.; Rebbeck, Timothy R.; Harford, Joe B.; Dangou, J. M.; Denny, Lynette; Adewole, Isaac F.

doi:10.1016/s1470-2045(12)70482-5

Cited by 248 publications

(257 citation statements)

References 40 publications

Supporting

Mentioning

250

Contrasting

Unclassified

Order By: Relevance

“…This undoubtedly reflects the low level of cancer awareness in Africa, both in the general population and among health care workers (76). Efforts to ameliorate this situation, so that patients with cancer present with disease at an earlier stage is surely a greater priority than attempting to implement population-based screening programs.…”

Section: Opportunities For Cancer Prevention and Controlmentioning

confidence: 99%

Cancer in Africa 2012

Parkin

Bray

Ferlay

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

301

280

View full text Add to dashboard Cite

Background: Noncommunicable diseases, and especially cancers, are recognized as an increasing problem for low and middle income countries. Effective control programs require adequate information on the size, nature, and evolution of the health problem that they pose.Methods: We present estimates of the incidence and mortality of cancer in Africa in 2012, derived from "GLOBOCAN 2012," published by the International Agency for Research on Cancer.Results: There were 847,000 new cancer cases (6% of the world total) and 591,000 deaths (7.2% of the world total) in the 54 countries of Africa in 2012, with about three quarters in the 47 countries of Sub-Saharan Africa. While the cancer profiles often differ markedly between regions, the most common cancers in men were prostate (16.4% of new cancers), liver (10.7%), and Kaposi sarcoma (6.7%); in women, by far the most important are cancers of the breast (27.6% of all cancers) and cervix uteri (20.4%).Conclusions: There are still deficiencies in surveillance systems, particularly in Sub-Saharan Africa and, specifically, of their most vital component, population-based cancer registries. With the number of annual cancer cases and deaths likely to increase by at least 70% by 2030, there is a pressing need for a coordinated approach to improving the extent and quality of services for cancer control in Africa, and better surveillance systems with which they can be planned and monitored.Impact: The results are the best data currently available and provide a reasonable appraisal of the cancer situation in Africa. Cancer Epidemiol Biomarkers Prev; 23(6); 953-66. Ó2014 AACR.

show abstract

Section: Opportunities For Cancer Prevention and Controlmentioning

confidence: 99%

Cancer in Africa 2012

Parkin

Bray

Ferlay

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

301

280

View full text Add to dashboard Cite

show abstract

“…[14] The African Organisation for Training and Research in Cancer (AORTIC) held a workshop in Durban to discuss ways of retaining specialists in their country of training. [15] • The high cost of immunisation against human papillomavirus and other infections that cause cancer. In SA, the state has recently started a national human papillomavirus immunisation campaign.…”

Section: Breast Cancer In South Africamentioning

confidence: 99%

The challenges of managing breast cancer in the developing world – a perspective from sub-Saharan Africa

Edge

Buccimazza²,

Cubasch

et al. 2014

S Afr Med J

View full text Add to dashboard Cite

“…An example is radiotherapy, which is routinely provided to ~50% of all patients diagnosed with cancer. [8] Currently, the public sector has <1 linear accelerator (0.4) per million people compared with the recommended minimum of at least 1 per million as per International Atomic Energy Agency (IAEA) and World Health Organization (WHO) guidelines and 3 per million as per the Econex report. [9] Significant shortfalls are even more pronounced in the poorer provinces, explaining the current delays for patients accessing radiotherapy.…”

Section: Sa Public Healthcare and Cancer Costmentioning

confidence: 99%

“…The development of better databases, and training of and incentives for oncology personnel, should be a national priority from primary to specialist level. [8] The retention of oncologists in the public sector institutions could also be prioritised and include compulsory service for newly qualified specialists, tagged with incentives to stay in the public sector. In addition, oncology exposure at undergraduate level needs to be improved so that primary care physicians are better equipped to make an early diagnosis of cancer.…”

Section: A Strategic Rethinkmentioning

confidence: 99%