Burden of General Surgical Cancer Care in West Africa: A Review of the Literature

PURPOSEThe global burden of cancer is growing rapidly, with a disproportionately higher increase in low- and middle-income countries. West Africa is particularly affected by this rise, where cancer control systems are woefully inadequate to meet the increasing needs of patients. Although many gaps e...

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Main Authors: Nikita Arora, Linda Fei, Matthew Jalink, Olusegun Isaac Alatise, Gregory Knapp, Faizal Haji, Emmanuel Ezeome, Sulaiman Nanji
Format: Article
Language:English
Published: American Society of Clinical Oncology 2025-06-01
Series:JCO Global Oncology
Online Access:https://ascopubs.org/doi/10.1200/GO-24-00459
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author Nikita Arora
Linda Fei
Matthew Jalink
Olusegun Isaac Alatise
Gregory Knapp
Faizal Haji
Emmanuel Ezeome
Sulaiman Nanji
author_facet Nikita Arora
Linda Fei
Matthew Jalink
Olusegun Isaac Alatise
Gregory Knapp
Faizal Haji
Emmanuel Ezeome
Sulaiman Nanji
author_sort Nikita Arora
collection DOAJ
description PURPOSEThe global burden of cancer is growing rapidly, with a disproportionately higher increase in low- and middle-income countries. West Africa is particularly affected by this rise, where cancer control systems are woefully inadequate to meet the increasing needs of patients. Although many gaps exist across the continuum of cancer care, perhaps the most striking is the lack of surgical services, which plays a vital role in up to 80% of all patients with cancer. To address this critical gap in cancer care, the West African College of Surgeons established a bilateral partnership with Queen's University, Canada, to grow the surgical oncology workforce for the region by cocreating and implementing a general surgical oncology fellowship training program.METHODSTo inform the design of the curriculum tailored to the cancer care needs of West Africa, a narrative review of the literature was performed to identify the incidence and mortality associated with general surgical cancers in the region, as well as the health care resources available to address these malignancies.RESULTSThis comprehensive report provides a contemporary understanding of the landscape of cancer care with respect to the burden of disease, the existing resources, and the challenges in delivery of cancer services for West Africa.CONCLUSIONThe findings in this report quantify the unmet demand for cancer care in West Africa and highlight the scope for context-specific cancer training in this region.
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spelling doaj-art-a5bc9fcaf6bf4ec790e467f9f2db096b2025-08-20T02:36:00ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412025-06-011110.1200/GO-24-00459Burden of General Surgical Cancer Care in West Africa: A Review of the LiteratureNikita Arora0Linda Fei1Matthew Jalink2Olusegun Isaac Alatise3Gregory Knapp4Faizal Haji5Emmanuel Ezeome6Sulaiman Nanji7Department of Surgery, Kingston Health Sciences Center, Queen's University, Kingston, ON, CanadaDepartment of Surgery, Kingston Health Sciences Center, Queen's University, Kingston, ON, CanadaDepartment of Public Health Sciences, Queen's University, Kingston, ON, CanadaDepartment of Surgery, Obafemi Awolowo University Teaching Hospital, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Surgery, Dalhousie University, Halifax, NS, CanadaDepartment of Surgery, BC Children's Hospital, University of British Columbia, Vancouver, BC, CanadaFaculty of Surgery, West African College of Surgeons, Lagos, NigeriaDepartment of Surgery, Kingston Health Sciences Center, Queen's University, Kingston, ON, CanadaPURPOSEThe global burden of cancer is growing rapidly, with a disproportionately higher increase in low- and middle-income countries. West Africa is particularly affected by this rise, where cancer control systems are woefully inadequate to meet the increasing needs of patients. Although many gaps exist across the continuum of cancer care, perhaps the most striking is the lack of surgical services, which plays a vital role in up to 80% of all patients with cancer. To address this critical gap in cancer care, the West African College of Surgeons established a bilateral partnership with Queen's University, Canada, to grow the surgical oncology workforce for the region by cocreating and implementing a general surgical oncology fellowship training program.METHODSTo inform the design of the curriculum tailored to the cancer care needs of West Africa, a narrative review of the literature was performed to identify the incidence and mortality associated with general surgical cancers in the region, as well as the health care resources available to address these malignancies.RESULTSThis comprehensive report provides a contemporary understanding of the landscape of cancer care with respect to the burden of disease, the existing resources, and the challenges in delivery of cancer services for West Africa.CONCLUSIONThe findings in this report quantify the unmet demand for cancer care in West Africa and highlight the scope for context-specific cancer training in this region.https://ascopubs.org/doi/10.1200/GO-24-00459
spellingShingle Nikita Arora
Linda Fei
Matthew Jalink
Olusegun Isaac Alatise
Gregory Knapp
Faizal Haji
Emmanuel Ezeome
Sulaiman Nanji
Burden of General Surgical Cancer Care in West Africa: A Review of the Literature
JCO Global Oncology
title Burden of General Surgical Cancer Care in West Africa: A Review of the Literature
title_full Burden of General Surgical Cancer Care in West Africa: A Review of the Literature
title_fullStr Burden of General Surgical Cancer Care in West Africa: A Review of the Literature
title_full_unstemmed Burden of General Surgical Cancer Care in West Africa: A Review of the Literature
title_short Burden of General Surgical Cancer Care in West Africa: A Review of the Literature
title_sort burden of general surgical cancer care in west africa a review of the literature
url https://ascopubs.org/doi/10.1200/GO-24-00459
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