Global cancer surgery: delivering safe, aff ordable, and timely cancer surgery

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dc.contributor.authorSullivan, Richard
dc.contributor.authorAlatise, Olusegun Isaac
dc.contributor.authorAnderson, Benjamin O.
dc.contributor.authorAudisio, Riccardo
dc.contributor.authorAutier, Philippe
dc.contributor.authorAggarwal, Ajay
dc.contributor.authorBalch, Charles
dc.contributor.authorBrennan, Murray F.
dc.contributor.authorDare, Anna
dc.contributor.authorD'Cruz, Anil
dc.contributor.authorEggermont, Alexander M. M.
dc.contributor.authorFleming, Kenneth
dc.contributor.authorGueye, Serigne Magueye
dc.contributor.authorHagander, Lars
dc.contributor.authorHerrera, Cristian A.
dc.contributor.authorHolmer, Hampus
dc.contributor.authorIlbawi, Andre M.
dc.contributor.authorJarnheimer, Anton
dc.contributor.authorJi, Jia-fu
dc.contributor.authorKingham, T. Peter
dc.contributor.authorLiberman, Jonathan
dc.contributor.authorLeather, Andrew J. M.
dc.contributor.authorMeara, John G.
dc.contributor.authorMukhopadhyay, Swagoto
dc.contributor.authorMurthy, Shilpa S.
dc.contributor.authorOmar, Sherif
dc.contributor.authorParham, Groesbeck P.
dc.contributor.authorPramesh, C. S.
dc.contributor.authorRiviello, Robert
dc.contributor.authorRodin, Danielle
dc.contributor.authorSantini, Luiz
dc.contributor.authorShrikhande, Shailesh V.
dc.contributor.authorShrime, Mark
dc.contributor.authorThomas, Robert
dc.contributor.authorTsunoda, Audrey T.
dc.contributor.authorvan de Velde, Cornelis
dc.contributor.authorVeronesi, Umberto
dc.contributor.authorVijaykumar, Dehannathparambil Kottarathil
dc.contributor.authorWatters, David
dc.contributor.authorWang, Shan
dc.contributor.authorWu, Yi-Long
dc.contributor.authorZeiton, Moez
dc.contributor.authorPurushotham, Arnie
dc.date.accessioned2025-01-23T21:34:21Z
dc.date.available2025-01-23T21:34:21Z
dc.date.issued2015
dc.description.abstractSurgery is essential for global cancer care in all resource settings. Of the 15.2 million new cases of cancer in 2015, over 80% of cases will need surgery, some several times. By 2030, we estimate that annually 45 million surgical procedures will be needed worldwide. Yet, less than 25% of patients with cancer worldwide actually get safe, aff ordable, or timely surgery. This Commission on global cancer surgery, building on Global Surgery 2030, has examined the state of global cancer surgery through an analysis of the burden of surgical disease and breadth of cancer surgery, economics and fi nancing, factors for strengthening surgical systems for cancer with multiple-country studies, the research agenda, and the political factors that frame policy making in this area. We found wide equity and economic gaps in global cancer surgery. Many patients throughout the world do not have access to cancer surgery, and the failure to train more cancer surgeons and strengthen systems could result in as much as US$ 6.2 trillion in lost cumulative gross domestic product by 2030. Many of the key adjunct treatment modalities for cancer surgery-eg, pathology and imaging-are also inadequate. Our analysis identifi ed substantial issues, but also highlights solutions and innovations. Issues of access, a paucity of investment in public surgical systems, low investment in research, and training and education gaps are remarkably widespread. Solutions include better regulated public systems, international partnerships, super-centralisation of surgical services, novel surgical clinical trials, and new approaches to improve quality and scale up cancer surgical systems through education and training. Our key messages are directed at many global stakeholders, but the central message is that to deliver safe, aff ordable, and timely cancer surgery to all, surgery must be at the heart of global and national cancer control planning.
dc.fuente.origenWOS
dc.identifier.eissn1474-5488
dc.identifier.issn1470-2045
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101534
dc.identifier.wosidWOS:000361875200006
dc.issue.numero11
dc.language.isoen
dc.pagina.final1224
dc.pagina.inicio1193
dc.revistaLancet oncology
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.ods05 Gender Equality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa05 Igualdad de género
dc.titleGlobal cancer surgery: delivering safe, aff ordable, and timely cancer surgery
dc.typeartículo
dc.volumen16
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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