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Published in: Annals of Surgical Oncology 1/2016

01-01-2016 | Healthcare Policy and Outcomes

Global Cancer Surgery, or Lack Thereof: A Wake-Up Call

Authors: Chandrakanth Are, MD, Sandra Wong, MD, Augusto Leon, MD

Published in: Annals of Surgical Oncology | Issue 1/2016

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Excerpt

The alarming predictions of the rising global cancer burden should not come as any surprise to the informed reader and must serve as a prompt and substantial wake-up call for anyone involved in the delivery of cancer care.1 A glimpse of the worrisome metrics associated with the rising global cancer burden is outlined in Table 1. The magnitude of the pervasive consequences of rising global cancer burden on the individual patient, as well as the nation and the entire world, are increasingly evident. Several attempts and initiatives are under way to address this rising global cancer burden by targeting various points in the global chain of cancer care delivery. To address any issue, one needs to be aware of the magnitude of the problem and the myriad deficiencies associated with its targeted amelioration. The Lancet Oncology Commission on Global Cancer Surgery is a laudable attempt to address the inequities in cancer care with particular emphasis on the gross lack of surgical care for patients afflicted with cancer.1
Table 1
Significant metrics related to global cancer burden and global cancer surgery
2015
15.2 million new cancer patients, of whom 80 % will need surgery and 8.8 million of whom will experience cancer-related deaths
2030
45 million surgical procedures will be needed to treat cancer patients
2012
57 % of all new cancer cases and 65 % of all cancer-related deaths occur in LMICs
5 %
Percentage of global spending on cancer that occurs in the LMICs, although they account for the majority for the cases
2030
21.6 million new cancer cases, of which 17.3 million will need surgery
227
Number of different surgical procedures needed to treat cancers across all complexity
<5 %
Percentage of people from LMICs that have access to safe, affordable, and timely cancer surgery
25–31 %
Percentage of patients who will face catastrophic expenditure or bankruptcy after cancer surgery
$2 trillion
Lost worldwide gross domestic product (between 2015 and 2013) due to economic burden of surgical cancers
$100 billion
Global spending on cancer drugs in 2014
14 %
Percentage of patients who have access to and receive palliative care
82 %
Percentage of countries that cannot have access to adequate number of cancer surgeons, with most in the low- to middle-income categories
93 %
Global cancer research undertaken by 35 countries worldwide, with only 8 LMICs contributing just 15.2 % of the worldwide output of research
LMIC low- to middle-income country
Literature
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Metadata
Title
Global Cancer Surgery, or Lack Thereof: A Wake-Up Call
Authors
Chandrakanth Are, MD
Sandra Wong, MD
Augusto Leon, MD
Publication date
01-01-2016
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 1/2016
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-015-4964-7

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