Real-world challenges for patients with breast cancer in sub-Saharan Africa: a retrospective observational study of access to care in Ghana, Kenya and Nigeria
| Autor: | Gitangu Mangutha, Borna Müller, Philip W. Anderson, Emmanuel Olatunbosun Benjamin, Razaq Oyesegun, Charles Ngoh, Clement Edusa, Joel Yarney, Chukwumere Nwogu, Majid Twahir, Andrew Gachii |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medical procedure health services administration & management Population Psychological intervention Nigeria Breast Neoplasms breast tumours Ghana Health Services Accessibility quality in health care 03 medical and health sciences 0302 clinical medicine Breast cancer Health care parasitic diseases Medicine Mammography health economics Humans 030212 general & internal medicine education Mastectomy Retrospective Studies education.field_of_study Health economics medicine.diagnostic_test business.industry Retrospective cohort study General Medicine medicine.disease Kenya Oncology 030220 oncology & carcinogenesis Family medicine business |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 3 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveTo evaluate medical resource utilisation and timeliness of access to specific aspects of a standard care pathway for breast cancer at tertiary centres in sub-Saharan Africa.DesignData were retrospectively abstracted from records of patients with breast cancer treated within a prespecified 2-year period between 2014 and 2017. The study protocol was approved by local institutional review boards.SettingSix tertiary care institutions in Ghana, Kenya and Nigeria were included.ParticipantsHealth records of 862 patients with breast cancer were analysed: 299 in Ghana; 314 in Kenya; and 249 in Nigeria.InterventionsAs directed by the treating physician.Outcome measuresParameters selected for evaluation included healthcare resource and use, medical procedure turnaround times and out-of-pocket (OOP) payment patterns.ResultsUse of mammography or breast ultrasonography was ConclusionsPatients with breast cancer treated in tertiary facilities in sub-Saharan Africa lack access to timely diagnosis and modern systemic therapies. Most patients in Ghana and Nigeria bore the full cost of their healthcare and were more likely to be employed and have secondary or postsecondary education. Access to screening/diagnosis and appropriate care is likely to be substantively lower for the general population. |
| Databáze: | OpenAIRE |
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