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Erschienen in: Current Breast Cancer Reports 3/2019

13.07.2019 | Global Breast Cancer (AB Chagpar, Section Editor)

Breast Cancer Treatment in Resource Constrained Countries: a Zimbabwean Perspective

verfasst von: Webster Kadzatsa, Sandra Ndarukwa-Jambwa

Erschienen in: Current Breast Cancer Reports | Ausgabe 3/2019

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Abstract

Purpose of Review

Breast cancer is becoming a significant burden to the healthcare system in Zimbabwe. The financial toxicity of breast cancer treatment is a significant problem for patients even in the developed world. This review looks at the management of breast cancer patients in Zimbabwe relating it to the other developed nations.

Recent Findings

Despite the tremendous progress made by science in the care of women with breast cancer over the past few decades, most of the women in Zimbabwe are yet to benefit from this progress. There is poor access to modern screening methods, quality chemotherapy drugs and reliable radiotherapy services and lack of evidence-based medicine derived from our own settings. Out-of-pocket payments for healthcare are still the major health-funding model, and it denies most women access to quality and appropriate healthcare services.

Summary

An increase in the number of medical specialists treating breast cancer over the past 10 years has resulted in a slight improvement in diagnostic and treatment capability of the country; however, resources for breast cancer management in Zimbabwe remain far from being adequate. Universal health coverage (UHC) if achieved through the drive to attain the 17 Sustainable Development Goals (SDGs) will improve care for breast cancer patients.
Literatur
1.
Zurück zum Zitat Chokunonga E, Borok M, Chingonzoh T, Chirenje Z, Makunike-Mutasa R, Manangazira P, et al. Pattern of cancer in Zimbabwe in 2016. ZNCR. 2018:2018. Chokunonga E, Borok M, Chingonzoh T, Chirenje Z, Makunike-Mutasa R, Manangazira P, et al. Pattern of cancer in Zimbabwe in 2016. ZNCR. 2018:2018.
3.
5.
Zurück zum Zitat •• Black E, Richmond R. Improving early detection of breast cancer in sub-Saharan Africa: why mammography may not be the way forward. Glob Health. 2019;15(1):3. https://doi.org/10.1186/s12992-018-0446-6 (The paper discuss the role of old breast screening methods in the developing world where access to modern methods is poor).CrossRef •• Black E, Richmond R. Improving early detection of breast cancer in sub-Saharan Africa: why mammography may not be the way forward. Glob Health. 2019;15(1):3. https://​doi.​org/​10.​1186/​s12992-018-0446-6 (The paper discuss the role of old breast screening methods in the developing world where access to modern methods is poor).CrossRef
7.
Zurück zum Zitat Mushonga M. Biomarker in breast cancer: therapeutic approaches in receptor undefined breast cancer patients and the discordance between best practices based on hormone receptor status in patients treated at Parirenyatwa Radiotherapy Centre [Master of Medicine in Radiotherapy]. [Harare]: University of Zimbabwe; 2018. Mushonga M. Biomarker in breast cancer: therapeutic approaches in receptor undefined breast cancer patients and the discordance between best practices based on hormone receptor status in patients treated at Parirenyatwa Radiotherapy Centre [Master of Medicine in Radiotherapy]. [Harare]: University of Zimbabwe; 2018.
9.
Zurück zum Zitat Rodby KA, Danielson KK, Shay E, Robinson E, Benjamin M, Antony AK. Trends in breast reconstruction by ethnicity: an institutional review centered on the treatment of an urban population. Am Surg. 2016;82(6):497–504.PubMed Rodby KA, Danielson KK, Shay E, Robinson E, Benjamin M, Antony AK. Trends in breast reconstruction by ethnicity: an institutional review centered on the treatment of an urban population. Am Surg. 2016;82(6):497–504.PubMed
13.
Zurück zum Zitat • Freitas AGQ, Weller M, Freitas AGQ, Weller M. Patient delays and system delays in breast cancer treatment in developed and developing countries. Ciênc Amp Saúde Coletiva. 2015;20(10):3177–89. https://doi.org/10.1590/1413-812320152010.19692014 (This paper analyze the cause of treatment delays in cancer treatment in both developed and developing countries).CrossRef • Freitas AGQ, Weller M, Freitas AGQ, Weller M. Patient delays and system delays in breast cancer treatment in developed and developing countries. Ciênc Amp Saúde Coletiva. 2015;20(10):3177–89. https://​doi.​org/​10.​1590/​1413-812320152010.​19692014 (This paper analyze the cause of treatment delays in cancer treatment in both developed and developing countries).CrossRef
16.
Zurück zum Zitat • Ndarukwa S, Nyakabau AM, Chagpar AB, Raben D, Ndlovu N, Kadzatsa W, et al. American Society of Clinical Oncology Multidisciplinary Cancer Management Course: connecting lives, cancer care, education, and compassion in Zimbabwe—a pilot for efforts of sustainable benefit? J Glob Oncol. 2016;3(4):409–17. https://doi.org/10.1200/JGO.2016.003673 (This paper discuss the role that ASCO is taking to improve cancer treatment worldwide).CrossRefPubMedPubMedCentral • Ndarukwa S, Nyakabau AM, Chagpar AB, Raben D, Ndlovu N, Kadzatsa W, et al. American Society of Clinical Oncology Multidisciplinary Cancer Management Course: connecting lives, cancer care, education, and compassion in Zimbabwe—a pilot for efforts of sustainable benefit? J Glob Oncol. 2016;3(4):409–17. https://​doi.​org/​10.​1200/​JGO.​2016.​003673 (This paper discuss the role that ASCO is taking to improve cancer treatment worldwide).CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat • Bese NS, Sut PA, Ober A. The effect of treatment interruptions in the postoperative irradiation of breast cancer. Oncology. 2005;69(3):214–23. https://doi.org/10.1159/000087909 (This paper indicates the need of reliable radiotherapy services in improving the outcome of breast cancer patients on RT).CrossRefPubMed • Bese NS, Sut PA, Ober A. The effect of treatment interruptions in the postoperative irradiation of breast cancer. Oncology. 2005;69(3):214–23. https://​doi.​org/​10.​1159/​000087909 (This paper indicates the need of reliable radiotherapy services in improving the outcome of breast cancer patients on RT).CrossRefPubMed
27.
Metadaten
Titel
Breast Cancer Treatment in Resource Constrained Countries: a Zimbabwean Perspective
verfasst von
Webster Kadzatsa
Sandra Ndarukwa-Jambwa
Publikationsdatum
13.07.2019
Verlag
Springer US
Erschienen in
Current Breast Cancer Reports / Ausgabe 3/2019
Print ISSN: 1943-4588
Elektronische ISSN: 1943-4596
DOI
https://doi.org/10.1007/s12609-019-00323-5

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