Content area
Abstract
Summary
The first Lancet Oncology Commission on Global Cancer Surgery was published in 2015 and serves as a landmark paper in the field of cancer surgery. The Commission highlighted the burden of cancer and the importance of cancer surgery, while documenting the many inadequacies in the ability to deliver safe, timely, and affordable cancer surgical care. This Commission builds on the first Commission by focusing on solutions and actions to improve access to cancer surgery globally, developed by drawing upon the expertise from cancer surgery leaders across the world. We present solution frameworks in nine domains that can improve access to cancer surgery. These nine domains were refined to identify solutions specific to the six WHO regions. On the basis of these solutions, we developed eight actions to propel essential improvements in the global capacity for cancer surgery. Our initiatives are broad in scope, pragmatic, affordable, and contextually applicable, and aimed at cancer surgeons as well as leaders, administrators, elected officials, and health policy advocates. We envision that the solutions and actions contained within the Commission will address inequities and promote safe, timely, and affordable cancer surgery for every patient, regardless of their socioeconomic status or geographic location.
Details
Title
Global Cancer Surgery: pragmatic solutions to improve cancer surgery outcomes worldwide
Author
Chandrakanth Are 1 ; Murthy, Shilpa S 1 ; Sullivan, Richard 2 ; Schissel, Makayla 3 ; Chowdhury, Sanjib 4 ; Alatise, Olesegun 5 ; Anaya, Daniel 6 ; Are, Madhuri 7 ; Balch, Charles 8 ; Bartlett, David 9 ; Brennan, Murray 10 ; Cairncross, Lydia 11 ; Clark, Matthew 12 ; Deo, S V S 13 ; Dudeja, Vikas 14 ; D'Ugo, Domenico 15 ; Fadhil, Ibtihal 16 ; Giuliano, Armando 17 ; Gopal, Satish 18 ; Gutnik, Lily 19 ; Ilbawi, Andre 20 ; Jani, Pankaj 21 ; Kingham, T Peter 10 ; Lorenzon, Laura 15 ; Leiphrakpam, Premila 1 ; Leon, Augusto 22 ; Martinez-Said, Hector 23 ; McMasters, Kelly 24 ; Meltzer, David O 25 ; Mutebi, Miriam 26 ; Zafar, Syed Nabeel 27 ; Naik, Vibhavari 28 ; Newman, Lisa 29 ; Alexandre Ferreira Oliveira 30 ; Park, Do Joong 31 ; Pramesh, C S 32 ; Rao, Saieesh 33 ; Rao, T Subramanyeshwar 34 ; Bargallo-Rocha, Enrique 23 ; Romanoff, Anya 35 ; Rositch, Anne F 36 ; Rubio, Isabel T 37 ; Heber Salvador de Castro Ribeiro 38 ; Sbaity, Eman 39 ; Maheswari Senthil 40 ; Smith, Lynette 3 ; Masakazi Toi 41 ; Turaga, Kiran 42 ; Yanala, Ujwal 43 ; Cheng-Har Yip 44 ; Zaghloul, Ashraf 45 ; Anderson, Benjamin O 46
1 Division of Surgical Oncology, Department of Surgery, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, USA
2 Institute of Cancer Policy, School of Cancer Sciences, King's College London, London, UK
3 Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
4 Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA
5 Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
6 Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL, USA
7 Division of Pain Medicine, Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA
8 Department of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, Global Cancer Surgery: pragmatic solutions to improve USA
9 Department of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA
10 Memorial Sloan Kettering Cancer Center, New York, NY, USA
11 Department of Surgery, University of Cape Town, Cape Town, South Africa
12 University of Auckland School of Medicine, Auckland, New Zealand
13 Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India
14 Division of Surgical Oncology, University of Alabama at Birmingham, Birmingham, AL, USA
15 Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University, Rome, Italy
16 Eastern Mediterranean NCD Alliance, Kuwait City, Kuwait
17 Cedars–Sinai Medical Center, University of California, Los Angeles, Los Angeles, CA, USA
18 Center for Global Health, National Cancer Institute, Washington DC, USA
19 Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
20 Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
21 Department of Surgery, University of Nairobi, Nairobi, Kenya
22 Department of Surgical Oncology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
23 Department of Surgical Oncology, National Cancer Institute, Mexico City, Mexico
24 Division of Surgical Oncology, Hiram C Polk, Jr MD Department of Surgery, University of Louisville, Louisville, KY, USA
25 Section of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA
26 Department of Surgery, Aga Khan University Hospital, Nairobi, Kenya
27 Department of Surgery, University of Wisconsin Hospitals and Clinics, Madison, WI, USA
28 Department of Anesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, India
29 Department of Surgery, New York–Presbyterian, Weill Cornell Medicine, New York, NY, USA
30 Department of Surgical Oncology, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
31 Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea
32 Division of Thoracic Surgery, Department of Surgical Oncology, Tata Memorial Centre, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India
33 Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
34 Department of Surgical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, India
35 Department of Global Health and Health System Design, Icahn School of Medicine at Mount Sinai, New York, NY, USA
36 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
37 Breast Surgical Oncology, Clinica Universidad de Navarra, Madrid, Spain
38 Department of Abdominal Surgery, AC Camargo Cancer Center, São Paulo, Brazil
39 Division of General Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
40 Division of Surgical Oncology, Department of Surgery, University of California, Irvine, Irvine, CA, USA
41 Tokyo Metropolitan Cancer and Infectious Disease Center, Komagome Hospital, Tokyo, Japan
42 Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
43 Surgical Oncology, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL, USA
44 Department of Surgery, University of Malaya, Kuala Lumpur, Malaysia
45 Surgical Oncology, National Cancer Institute, Cairo, Egypt
46 School of Medicine, University of Washington, WA, USA
1 Division of Surgical Oncology, Department of Surgery, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, USA
2 Institute of Cancer Policy, School of Cancer Sciences, King's College London, London, UK
3 Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
4 Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA
5 Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
6 Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL, USA
7 Division of Pain Medicine, Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA
8 Department of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, Global Cancer Surgery: pragmatic solutions to improve USA
9 Department of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA
10 Memorial Sloan Kettering Cancer Center, New York, NY, USA
11 Department of Surgery, University of Cape Town, Cape Town, South Africa
12 University of Auckland School of Medicine, Auckland, New Zealand
13 Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India
14 Division of Surgical Oncology, University of Alabama at Birmingham, Birmingham, AL, USA
15 Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University, Rome, Italy
16 Eastern Mediterranean NCD Alliance, Kuwait City, Kuwait
17 Cedars–Sinai Medical Center, University of California, Los Angeles, Los Angeles, CA, USA
18 Center for Global Health, National Cancer Institute, Washington DC, USA
19 Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
20 Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
21 Department of Surgery, University of Nairobi, Nairobi, Kenya
22 Department of Surgical Oncology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
23 Department of Surgical Oncology, National Cancer Institute, Mexico City, Mexico
24 Division of Surgical Oncology, Hiram C Polk, Jr MD Department of Surgery, University of Louisville, Louisville, KY, USA
25 Section of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA
26 Department of Surgery, Aga Khan University Hospital, Nairobi, Kenya
27 Department of Surgery, University of Wisconsin Hospitals and Clinics, Madison, WI, USA
28 Department of Anesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, India
29 Department of Surgery, New York–Presbyterian, Weill Cornell Medicine, New York, NY, USA
30 Department of Surgical Oncology, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
31 Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea
32 Division of Thoracic Surgery, Department of Surgical Oncology, Tata Memorial Centre, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India
33 Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
34 Department of Surgical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, India
35 Department of Global Health and Health System Design, Icahn School of Medicine at Mount Sinai, New York, NY, USA
36 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
37 Breast Surgical Oncology, Clinica Universidad de Navarra, Madrid, Spain
38 Department of Abdominal Surgery, AC Camargo Cancer Center, São Paulo, Brazil
39 Division of General Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
40 Division of Surgical Oncology, Department of Surgery, University of California, Irvine, Irvine, CA, USA
41 Tokyo Metropolitan Cancer and Infectious Disease Center, Komagome Hospital, Tokyo, Japan
42 Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
43 Surgical Oncology, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL, USA
44 Department of Surgery, University of Malaya, Kuala Lumpur, Malaysia
45 Surgical Oncology, National Cancer Institute, Cairo, Egypt
46 School of Medicine, University of Washington, WA, USA
Pages
e472-e518
Section
The Lancet Oncology Commission
Publication year
2023
Publication date
Dec 2023
ISSN
14702045
e-ISSN
14745488
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2894695780
Copyright
©2023. Elsevier Ltd