Barriers and challenges in providing standard breast cancer care in low resource settings.
Sanjay Kumar YadavDhananjaya SharmaDeepti Bala SharmaRonald Kintu-LuwagaChandan Kumar JhaSaket ShekharPublished in: Tropical doctor (2022)
In this study, we investigated the barriers to the delivery of internationally accepted breast cancer care in low resource settings (LRS) as compared to well-endowed resource settings (WRS) via an online survey. The survey was completed by 199 surgeons from eleven countries: 51 from WRS and 148 from LRS, based on our definition. The two most common facilities lacking in LRS were sentinel lymph node biopsy and immune-histochemistry (67% and 60% respectively). Only 22% respondents from LRS confirmed that all their eligible patients received hormonal therapy and only 8% radiotherapy as compared to 98% and 75% from WRS. Widespread limitations exist in most LRS, making internationally accepted breast cancer treatment guidelines impossible to follow, and thus resulting in suboptimal cancer care.
Keyphrases
- sentinel lymph node
- early stage
- end stage renal disease
- newly diagnosed
- healthcare
- quality improvement
- ejection fraction
- cross sectional
- lymph node
- palliative care
- neoadjuvant chemotherapy
- prognostic factors
- type diabetes
- locally advanced
- clinical practice
- patient reported outcomes
- mesenchymal stem cells
- young adults
- atomic force microscopy
- skeletal muscle
- childhood cancer