Ethical, Socioeconomic, and Cultural Considerations in Gynecologic Cancer Care in Developing Countries

Aniebue, UU; Onyeka, Tonia C.

doi:10.1155/2014/141627

Cited by 17 publications

(20 citation statements)

References 43 publications

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“…Results also showed that cervical cancer is predominant in the younger age groups (40-49 years). For cervical cancer, the main histological type of cancer was squamous cell carcinoma, which is similar to a study performed in Nigeria in which squamous cell carcinoma was predominant (92%) (24).…”

Section: Discussionsupporting

confidence: 84%

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Pattern of gynaecological malignancies in south western region of Pakistan: An overview of 12 years

et al. 2017

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Abstract. Gynaecological malignancies contribute significantly to cancer burden and have a higher rate of mortality and morbidity. The aim of this retrospective study was to determine the pattern of gynaecological malignancies identified between January, 2000 and December, 2011, at the Centre for Nuclear Medicine and Radiotherapy (CENAR). At CENAR 5,072 female patients were registered with different malignancies, of which 632 cases were gynaecological malignancies. Ovarian cancer (47%) was the most common gynaecological malignancy, followed by cervical cancer (29%), uterine cancer (14%), vulvar and vaginal cancer (6%), and gestational trophoblastic neoplasm (4%). Of the ovarian cancer cases, 72.5% had epithelial while 26.5% had non-epithelial cancer. Squamous cell carcinoma was 75.9% in cervix and 87.8% in vulva and vagina while endometrial carcinoma (75.9%) was more frequent in uterus. For gestational trophoblastic neoplasm, 69.2% of patients had choriocarcinoma. Ovarian cancer was the most common type for the age range of 50-59 years. In the case of cervical and gestational trophoblastic neoplasm the majority of patients presented at the ages of 40-49 and 30-39 years while uterus, vulvar and vaginal tumor presented in the elderly (>60 years). Thus, ovarian cancer is the leading gynecological malignancy in Pakistan.

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Section: Discussionsupporting

confidence: 84%

“…Late stage diagnosis requires long, complex, very aggressive and costly treatment; thus, the management of ovarian cancer in developing countries poses a great challenge (24).…”

Section: Discussionmentioning

confidence: 99%

Pattern of gynaecological malignancies in south western region of Pakistan: An overview of 12 years

et al. 2017

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“…Socioeconomic and cultural factors often lead to late presentation and diagnosis, more mortality, and poor follow-up of cancer survivors. The above countries/societies are known to have rich and diverse cultures where religions, traditions, and family values greatly infl uence medical decision [14].…”

Section: Factors Interfering With Cancer Carementioning

confidence: 99%

“…Among the ethical challenges are issues like: individuals' autonomy, family and community participation in care, and end-of-life issues. For the successful development of a viable and sustainable model of cancer care in resource-poor environments, these issues must be dealt with [14].…”

Section: Factors Interfering With Cancer Carementioning

confidence: 99%

Cancer Care in Countries and Societies in Transition

Silbermann¹

2016

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“…10 in the developing countries, fear of cancer, lack of resources and lack of effective knowledge in avoiding screening for cancer are involved. 11 The obstacles in Iran are factors such as fear of pain during mammography and its complications, high costs, lack of physician recommendation on mammography, 12 the diagnosis of a serious illness and fear of rejection by their husbands, family members, and friends. In addition, Iran's religious background was involved in this attitude so that belief in fate and the will of God lead to their reluctance to do preventive measures.…”

Section: First Stagementioning

confidence: 99%

Cultural Aspects of Palliative Cancer Care in Iran

Fallahi¹,

Rassouli²,

Mojen³

2017

Palliat Med Hosp Care Open J

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Citation ABSTRACTPalliative care is a human need, which is essential for patients with chronic disorders such as cancer, and aims to prevent and relieve pain and improve the quality of life (QoL) of patients and their families. Since culture is an important factor in predicting health behavior, it can be effective in providing these services. Thus, this review study has been conducted to assess the cultural aspects of palliative care in Iran. The findings were classified and provided based on the definition of palliative care on three major topics including early diagnosis, during treatment and disease period, and finally death and later. In the beginning of diagnosis, the most important element of palliative care is informing the disease to the patient and family. Disclosure of the disease in Iran is not culturally possible. The most important cultural barrier is cancer stigma in Iran, which affects the related measures such as screening diagnosis. The most important challenge in the treatment is pain management, which overshadowed factors such as cultural beliefs. Despite the challenges in the diagnosis and treatment of patients, which make the care difficult, the religious and spiritual context of Iranian people in the death and bereavement, as well as the strong family connections, are considered as a strong point that is helpful in the process of passing from the stage. According to the statement of the Union for International Cancer Control in 2008 based on "a better attitude toward cancer by 2020 and removing misconceptions about the disease", the available cultural opportunities in the country can be considered as areas in need of strengthening. The negative attitudes and beliefs can be reformed by adopting strategies such as increasing the awareness of the community as the first strategy in changing the culture.

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Ethical, Socioeconomic, and Cultural Considerations in Gynecologic Cancer Care in Developing Countries

Cited by 17 publications

References 43 publications

Pattern of gynaecological malignancies in south western region of Pakistan: An overview of 12 years

Pattern of gynaecological malignancies in south western region of Pakistan: An overview of 12 years

Cancer Care in Countries and Societies in Transition

Cultural Aspects of Palliative Cancer Care in Iran

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