Cancer surgery on the global stage: Updates and progress

Shilpa S Murthy1, Chandrakanth Are2

  • 1Department of Surgery, Division of Colon and Rectal Surgery, Yale University, New Haven, Connecticut, USA.

PubMed

Insights

Millions lack surgical care, with cancer surgery demand rising globally, especially in low-income nations. This review examines progress and challenges in global surgical cancer care.

Area of Science:

  • Global Health
  • Surgical Oncology
  • Health Policy

Background:

  • Over 5 billion people worldwide lack access to essential surgical procedures.
  • The demand for cancer surgical procedures is projected to increase by 5 million from 2018 to 2040.
  • Low- and middle-income countries are expected to experience the most significant rise in demand for cancer surgeries.

Purpose of the Study:

  • To review global progress in surgical cancer care.
  • To identify persistent gaps in accessing surgical cancer treatment.
  • To discuss factors influencing the delivery of surgical cancer care.

Main Methods:

  • Literature review of global surgical cancer care initiatives.
  • Analysis of trends in surgical workforce and political support.
  • Examination of the impact of the COVID-19 pandemic on surgical services.
  • Assessment of the role of high-value cancer care principles.

Main Results:

  • Significant global disparities exist in access to basic surgical procedures.
  • The increasing burden of cancer necessitates a substantial rise in surgical capacity.
  • Progress in surgical cancer care is uneven, with critical gaps remaining, particularly in resource-limited settings.
  • Workforce shortages and the COVID-19 pandemic have exacerbated existing challenges.

Conclusions:

  • Addressing the growing demand for surgical cancer care requires sustained political commitment and strategic workforce development.
  • Implementing high-value care models is crucial for optimizing resource allocation and improving patient outcomes.
  • Bridging the gap in surgical access is essential for equitable cancer care globally.