Skip to main content

Delivering Safe and Affordable Cancer Surgical Care

  • Chapter
  • First Online:
Cancer in Sub-Saharan Africa

Abstract

Cancer is a growing health burden in Africa; the annual number of new cases will grow to more than 1 million. Together with the immense loss in human life, there is a considerable economic setback. The scale of the problem is enormous and seemingly insurmountable. Despite successful surgical treatment, there is a high disability and mortality rate in sub-Saharan Africa due to the lack of affordable and available surgery. There are many challenges; lack of medical services and personnel, lack of access, and socio-cultural beliefs. The disparity in cancer risks combined with poor access to epidemiological data, research, treatment, and cancer control and prevention result in significantly poorer survival rates in sub-Saharan Africa. The aim should be co-operative development of a range of facilities, education and ease of access. Surgery remains at the centre of cancer management. The focus of African governments and the international community should be recognition of surgical care as an essential component of global cancer control.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Adebamowo CA, et al. Cancer in Africa:opportunities for collaborative research and training. Afr J Med Sci. 2009;38(suppl 2):5–13.

    Google Scholar 

  • Adewole I, et al. Building capacity for sustainable research programmes for cancer in Africa. Nat Rev Clin Oncol. 2014;11(5):251–9.

    Google Scholar 

  • Bristow RE, et al. Surgery for ovarian cancer: how to improve survival. Lancet. 2006;367(9522):1558–60.

    Article  PubMed  Google Scholar 

  • Dare AJ, Anderson BO, Sullivan R, et al. Surgical Services for Cancer Care. In: Gelband H, Jha P, Sankaranarayanan R, et al., editors. Cancer: Disease Control Priorities, Third Edition (Volume 3). Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2015 Nov 1. Chapter 13.

    Google Scholar 

  • Gyorki DE, et al. Cancer surgery in low-income countries: an unmet need. Arch Surg. 2012;147:1135–40.

    Article  PubMed  Google Scholar 

  • Kanavos A, et al. The rising burden of cancer in the developing world. Ann Oncol. 2006;17(suppl 8):15–23.

    Google Scholar 

  • Khakwani A, et al. The impact of the ‘hub and spoke’ model of care for lung cancer and equitable access to surgery. Thorax. 2015;70(2):146–51.

    Article  PubMed  Google Scholar 

  • Kingham TP, et al. Treatment of cancer in sub-Saharan Africa. Lancet Oncol. 2013;14(4):158–67.

    Article  Google Scholar 

  • Lavy C, et al. State of surgery in tropical Africa: a review. World J Surg. 2011;35:262–71.

    Article  PubMed  Google Scholar 

  • Lingwood RJ, et al. The challenge of cancer control in Africa. Nat Rev Cancer. 2008;8:398–403.

    Article  CAS  PubMed  Google Scholar 

  • Meara JG, et al. Surgery and global health. Lancet. 2013;383(9911):12–3.

    Article  PubMed  Google Scholar 

  • Morhason-Bello IO, et al. Challenges and opportunities in cancer control in Africa: a perspective from the African organisation for research and training in cancer. Lancet Oncol. 2013;14(4):142–51.

    Article  Google Scholar 

  • Sandro V, et al. Cancer control in Africa: which priorities? Lancet Oncol. 2013;14(4):277–9.

    Article  Google Scholar 

  • Stefan DC, et al. Developing cancer control plans in Africa: examples from five countries. Lancet Oncol. 2013;14(4):189–95.

    Article  Google Scholar 

  • Sullivan R, et al. Delivering affordable cancer care in high-income countries. Lancet Oncol. 2011;12(10):933–80.

    Article  PubMed  Google Scholar 

  • Sullivan R, et al. Global cancer surgery: delivering safe, affordable and timely cancer surgery. Lancet Oncol. 2015;16:1193–224.

    Article  PubMed  Google Scholar 

  • Thomas J. Cancer control in Africa: a call for action. Afr J Med Sci. 2004;33(1):1–4.

    Google Scholar 

  • Yaris N, et al. Childhood cancer in developing countries. Paediatr Haematol Oncol. 2004;21(3):237–53.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rotimi A. K. Jaiyesimi MBBS, FRCOG .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Jaiyesimi, R.A.K., Oshowo, A. (2017). Delivering Safe and Affordable Cancer Surgical Care. In: Adedeji, O. (eds) Cancer in Sub-Saharan Africa. Springer, Cham. https://doi.org/10.1007/978-3-319-52554-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52554-9_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52553-2

  • Online ISBN: 978-3-319-52554-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics