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Global disparities in cancer supportive care: An international survey.
Chan, Alexandre; Eng, Lawson; Jiang, Changchuan; Dagsi, Mary; Ke, Yu; Tanay, Mary; Bergerot, Cristiane; Dixit, Niharika; Gutiérrez, Ana Cardeña; Velazquez, Ana I; Islami, Farhad; Soto-Perez-de-Celis, Enrique.
Afiliación
  • Chan A; School of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, Irvine, USA.
  • Eng L; National Cancer Centre Singapore, Singapore, Singapore.
  • Jiang C; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network, University of Toronto, Toronto, Ontario, Canada.
  • Dagsi M; Division of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
  • Ke Y; School of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, Irvine, USA.
  • Tanay M; National Cancer Centre Singapore, Singapore, Singapore.
  • Bergerot C; Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
  • Dixit N; Oncoclinicas, Brasilia, DF, Brazil.
  • Gutiérrez AC; University of California, San Francisco/Zuckerberg San Francisco General Hospital, San Francisco, California, USA.
  • Velazquez AI; Medical Oncology Department, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.
  • Islami F; University of California, San Francisco, Helen Diller Family Comprehensive Cancer Center, San Francisco, California, USA.
  • Soto-Perez-de-Celis E; Surveillance and Health Equity Science, American Cancer Society, Atlanta, Georgia, USA.
Cancer Med ; 13(17): e70234, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39268694
ABSTRACT

BACKGROUND:

The global cancer burden is rising, particularly in low- and middle-income countries (LMIC), highlighting a critical research gap in understanding disparities in supportive care access. To address this, the Multinational Association of Supportive Care in Cancer (MASCC) Health Disparities Committee initiated a global survey to investigate and delineate these disparities. This study aims to explore and compare supportive care access disparities between LMIC and High-Income Countries (HIC).

METHODS:

An online cross-sectional survey was conducted among active members of MASCC. Members, representing diverse healthcare professions received email invitations. The survey, available for 3 weeks, comprised sections covering (1) sociodemographic information; (2) clinical service/practice-related disparities in their region/nation; (3) population groups facing disparities within their region or country. Chi-squared or Fisher's exact test for cross-sectional analyses, and a multivariable logistic regression model was employed for statistical analysis.

RESULTS:

A total of 218 active members participated, with one-quarter (26.6%) from LMIC and 18.4% ethnic minorities, timely cancer care (43.7%) and timely supportive care (45.0%) emerged as the most pressing disparities globally. Notably, participants from LMIC underscored cancer drug affordability (56.4%) and supportive care guideline implementation (56.4%) as critical issues. Economically disadvantaged populations were noted as more likely to face disparities by both LMIC and HIC (non-US-based) respondents, while US-based respondents identified racial/ethnic minorities as facing more disparities.

CONCLUSION:

This global survey reveals significant disparities in cancer supportive care between LMIC and HIC, with a particular emphasis on medication affordability and guideline implementation in LMIC. Addressing these disparities requires targeted intervention, considering specific regional priorities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disparidades en Atención de Salud / Neoplasias Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Cancer Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disparidades en Atención de Salud / Neoplasias Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Cancer Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos