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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.
Journal of Surgical Oncology
|December 7, 2023
Summary
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.
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