| Autor: |
Tolia, Maria, Symvoulakis, Emmanouil K, Kamposioras, Konstantinos, Mauri, Davide, Skoutari, Angeliki, Volkos, Panagiotis, Schizas, Dimitrios, Spanos, Athanasios, Kokakis, Ioannis, Tsoukalas, Nikolaos, Charalampakis, Nikolaos, Cuccia, Francesco, Alongi, Filippo, de Mello, Ramon Andrade, Antoniou, Katerina M, Hyphantis, Thomas, Nixon, Ioanna, Matthaios, Dimitris, Nikolaou, Michail, de Lorenzo, Francesco, Apostolidis, Kathi |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| ISSN: |
2241-6293 |
| Popis: |
Purpose: Inmate oncologic patients' rates increased drastically worldwide. Elderly, limited exercise, unhealthy diet, hepatitis, HIV+ status, tobacco and alcohol use, constitute the main cancer risk factors. We present an outline of practical oncological management and ethical thinking, in the specific environment of a detention facility. Methods: PubMed, Cochrane Database of Controlled Trials, SCOPUS and grey literature were extensively searched upto October 2021. Ιncarcerated oncologic patients experiencevarious everyday challenges:their confinement in high securityfacilities, the lack of access to critical care and related ethicaldilemmas inherent to the context of a correctional facility. Results: The detention facilities may be inadequate in providing early cancer diagnosis and appropriate care mainlydue to a lack of specialized personnel, b) in-house or in external specialized cancer hospitals, care variability (e.g. admissions in small local or regional hospitals), c) delays inproviding access and d) gatekeeper systems. There is a paucity of administration of a) systemic therapy(chemotherapy, targeted drug therapy etc), b) radiotherapy, c)palliative care, and d) enrollment in clinical trials. Conclusions: Correctional facilities must encourage teamwork between healthcare and correctional professionals inorder to improve the provided anticancer care. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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