坦桑尼亚的结肠直肠癌:目前的状况和未来的方向
Larry Akoko1,2, Nathan Brand1,3,2, Vihar Kotecha4
1Department of Surgery, Muhimbili University for Health and Allied Sciences, PO Box 65001, Dar es Salaam, Tanzania.
Ecancermedicalscience
|July 3, 2023
概括
大肠直肠癌 (CRC) 在坦桑尼亚越来越令人担忧,其发病率越来越高,诊断迟到,阻碍有效治疗. 改善对诊断和协调护理的准入对于更好的患者结果至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因,预计到2030年发病率将增加.
- 撒哈拉以南非洲地区在准确的癌症数据方面面临挑战,但临床医生报告说,CRC病例的上升趋势.
- 坦桑尼亚外科协会的一次研讨会强调了需要解决CRC日益增长的负担.
研究的目的:
- 评估坦桑尼亚大肠直肠癌 (CRC) 护理的流行病学,临床表现和可用资源.
- 在坦桑尼亚医疗保健系统内确定最佳CRC治疗的障碍.
主要方法:
- 在CRC研讨会之后,成立了一个工作组,进行评估.
- 该评估涉及审查坦桑尼亚CRC的现有数据.
- 该研究的重点是流行病学,呈现模式和CRC护理资源的可用性.
主要成果:
- 坦桑尼亚的确切CRC发病率尚不清楚,但高人数的中心报告病例显著增加.
- 由于内镜和诊断服务有限,大多数患者出现了晚期CRC.
- 多学科护理 (手术,化疗,辐射) 是可用的,但在全国范围内容量和质量各不相同.
结论:
- 坦桑尼亚面临着大量且不断增加的结直肠癌负担.
- 晚期呈现和有限的诊断机会是有效的CRC治疗的主要障碍.
- 尽管有可用的多学科护理,但协调不良和资源限制阻碍了最佳的患者管理.
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