Estimating the Global Demand and Delivery of Cancer Surgery

Background Cancer is a leading cause of death and disability globally. While surgery remains a vital part of cancer management, access to surgical care remains inconsistent. Our objective was to estimate the global need for cancer-related surgery and to identify disparities in the surgeon workforce....

Full description

Saved in:
Bibliographic Details
Published in:World journal of surgery 2019-09, Vol.43 (9), p.2203-2210
Main Authors: Zafar, Syed Nabeel, Siddiqui, Asif H., Channa, Roomasa, Ahmed, Shayan, Javed, Ammar A., Bafford, Andrea
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cancer
Cancer surgery
Cardiac Surgery
Epidemiology
General Surgery
Global Health
Health care
Health Expenditures
Humans
Income
Medical personnel
Medicine
Medicine & Public Health
Neoplasms - surgery
Occupational health
Original Scientific Report
Surgeons
Surgeons - supply & distribution
Surgery
Thoracic Surgery
Vascular Surgery
Workforce
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Cancer is a leading cause of death and disability globally. While surgery remains a vital part of cancer management, access to surgical care remains inconsistent. Our objective was to estimate the global need for cancer-related surgery and to identify disparities in the surgeon workforce. Methods The World Health Organization International Agency for Research on Cancer and the Global Cancer Observatory were queried for estimates on national incidences of 35 different malignancies. The proportion of patients requiring surgery for each of these cancers was extrapolated from the United States Surveillance, Epidemiology and End-Result database. The number of people requiring cancer surgery in each country was calculated and compared with the surgical workforce. Estimates were presented as choropleth maps. Associations were tested with country development indicators. Results An estimated 9,464,214 (95% CI 4,364,196–14,564,230) patients required cancer-related surgical care in 2018. An overall 1.24 people needed cancer surgery per 1000 population. This was related to income status ( p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-019-05035-6