Cancer control in the Caribbean island countries and territories: some progress but the journey continues - 05/09/19

Doi : 10.1016/S1470-2045(19)30512-1

Dingle Spence, FRCR ^a,^w,⁎ , Rachel Dyer, MBChB ^b, Glennis Andall-Brereton, PhD ^c, Michael Barton, ProfMBBS ^d, Susannah Stanway, MD ^e, M Austin Argentieri, MPhil ^f,^g,^w, Freddie Bray, PhD ^h, Shamir Cawich, ProfDM ^j, Sophia Edwards-Bennett, PhD ^k, Christopher Fosker, MBChB ^l, Owen Gabriel, DM ^m, Natalie Greaves, PhD ⁿ, Barrie Hanchard, ProfMBBS ^o, James Hospedales, MSc ^p, Silvana Luciani, MHSc ^q, Damali Martin, PhD ^r, Marisa Nimrod, MD ^s, Camille Ragin, PhD ^t, Donald Simeon, ProfPhD ⁱ, Guillermo Tortolero-Luna, PhD ^u, Gilian Wharfe, DM ^v, Diana Sarfati, ProfPhD ^b

^a Hope Institute Hospital, Kingston, Jamaica

^b Department of Public Health, University of Otago, Wellington, Wellington, New Zealand

^c Caribbean Public Health Agency, Port of Spain, Trinidad and Tobago

^d Collaboration for Cancer Outcomes Research and Evaluation, Ingham Institute for Applied Medical Research, University of New South Wales, NSW, Australia

^e Breast Unit, Royal Marsden NHS Foundation Trust, Sutton, UK

^f Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

^g School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK

^h Cancer Surveillance Section, International Agency for Research on Cancer, Lyon, France

ⁱ Caribbean Centre for Health Systems Research and Development, University of the West Indies, St Augustine Campus, Trinidad and Tobago

^j Department of Surgery, University of the West Indies, St Augustine Campus, Trinidad and Tobago

^k Educational and Support Services, Cyberknife Center of Miami, FL, USA

^l Bermuda Cancer and Health Centre and Bermuda Hospitals Board, Hamilton, Bermuda

^m Department of Oncology Victoria Hospital, Castries, Saint Lucia

ⁿ Faculty of Medical Sciences, University of the West Indies, Cave Hill Campus, Bridgetown, Barbados

^o Department of Pathology, University of the West Indies, Kingston, Jamaica

^p Caribbean Public Health Agency, Kingston, Jamaica

^q Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization, Washington, DC, USA

^r National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

^s Caribbean Association for Oncology and Hematology, Port of Spain, Trinidad and Tobago

^t Fox Chase Cancer Center, Philadelphia, PA, USA

^u Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Centre, Puerto Rico

^v Department of Pathology, University of the West Indies, Mona, Jamaica

^w Jamaica Cancer Care and Research Institute, University of the West Indies, Mona, Jamaica

^* Correspondence to: Dr Dingle Spence, Hope Institute Hospital, Golding Avenue, Kingston 7, Jamaica Hope Institute Hospital Golding Avenue Kingston 7 Jamaica

Summary

Cancer causes a fifth of deaths in the Caribbean region and its incidence is increasing. Incidence and mortality patterns of cancer in the Caribbean reflect globally widespread epidemiological transitions, and show cancer profiles that are unique to the region. Providing comprehensive and locally responsive cancer care is particularly challenging in the Caribbean because of the geographical spread of the islands, the frequently under-resourced health-care systems, and the absence of a cohesive approach to cancer control. In many Caribbean countries and territories, cancer surveillance systems are poorly developed, advanced disease presentations are commonplace, and access to cancer screening, diagnostics, and treatment is often suboptimal, with many patients with cancer seeking treatment abroad. Capacity building across the cancer-control continuum in the region is urgently needed and can be accomplished through collaborative efforts and increased investment in health care and cancer control.

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Plan

Introduction

Political, economic, and health systems in the Caribbean region

NCD policy and risk factors

Cancer surveillance and epidemiology

Cancer-control planning in the region

Immunisation and screening

Cancer diagnosis and treatment

Pathology, laboratory, and radiology services

Palliative care services

Traditional and alternative medicine

Travel for cancer services and overseas referral

Research

Conclusion and recommendations

Search strategy and selection criteria

Export

Vol 20 - N° 9

P. e503-e521 - septembre 2019 Retour au numéro

Article précédent

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Advancing cancer care and prevention in the Caribbean: a survey of strategies for the region
Dingle Spence, M Austin Argentieri, Glennis Andall-Brereton, Benjamin O Anderson, Catherine Duggan, Curt Bodkyn, Freddie Bray, Tracey Gibson, Wendy Gomez Garcia, Natalie Greaves, Sumit Gupta, Virginia Hobday, Felicia McLean, Les Mery, Marisa Nimrod, Oscar Ocho, Corrine Sin Quee-Brown, Guillermo Tortolero-Luna, Alexandra E Shields

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Cancer control in the Caribbean island countries and territories: some progress but the journey continues - 05/09/19

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