Global Cancer Surgery: pragmatic solutions to improve cancer surgery outcomes worldwide

Are C 1 , Murthy SS 2 , Sullivan R 3 , Schissel M 4 , Chowdhury S 5 , Alatise O 6 Show all authors , Anaya D 7 , Are M 8 , Balch C 9 , Bartlett D 10 , Brennan M 11 , Cairncross L 12 , Clark M 13 , Deo SVS 14 , Dudeja V 15 , D'Ugo D 16 , Fadhil I 17 , Giuliano A 18 , Gopal S 19 , Gutnik L 20 , Ilbawi A 21 , Jani P 22 , Kingham TP 11 , Lorenzon L 16 , Leiphrakpam P 2 , Leon A 23 , Martinez-Said H 24 , McMasters K 25 , Meltzer DO 26 , Mutebi M 27 , Zafar SN 28 , Naik V 29 , Newman L 30 , Oliveira AF 31 , Park DJ 32 , Pramesh CS 33 , Rao S 34 , Subramanyeshwar Rao T 35 , Bargallo-Rocha E 24 , Romanoff A 36 , Rositch AF 37 , Rubio IT 38 , Salvador de Castro Ribeiro H 39 , Sbaity E 40 , Senthil M 41 , Smith L 4 , Toi M 42 , Turaga K 43 , Yanala U 44 , Yip CH 45 , Zaghloul A 46 , Anderson BO 47

Affiliations 

  • 1 Division of Surgical Oncology, Department of Surgery, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, USA. Electronic address: [email protected]
  • 2 Division of Surgical Oncology, Department of Surgery, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, USA
  • 3 Institute of Cancer Policy, School of Cancer Sciences, King's College London, London, UK
  • 4 Department of Biostatistics, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA
  • 5 Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA
  • 6 Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria
  • 7 Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL, USA
  • 8 Division of Pain Medicine, Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, USA
  • 9 Department of Surgical Oncology, MD Anderson Cancer Center, Houston, TX, Global Cancer Surgery: pragmatic solutions to improve USA
  • 10 Department of Surgery, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA
  • 11 Memorial Sloan Kettering Cancer Center, New York, NY, USA
  • 12 Department of Surgery, University of Cape Town, Cape Town, South Africa
  • 13 University of Auckland School of Medicine, Auckland, New Zealand
  • 14 Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India
  • 15 Division of Surgical Oncology, University of Alabama at Birmingham, Birmingham, AL, USA
  • 16 Department of Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University, Rome, Italy
  • 17 Eastern Mediterranean NCD Alliance, Kuwait City, Kuwait
  • 18 Cedars-Sinai Medical Center, University of California, Los Angeles, Los Angeles, CA, USA
  • 19 Center for Global Health, National Cancer Institute, Washington DC, USA
  • 20 Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
  • 21 Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
  • 22 Department of Surgery, University of Nairobi, Nairobi, Kenya
  • 23 Department of Surgical Oncology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
  • 24 Department of Surgical Oncology, National Cancer Institute, Mexico City, Mexico
  • 25 Division of Surgical Oncology, Hiram C Polk, Jr MD Department of Surgery, University of Louisville, Louisville, KY, USA
  • 26 Section of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA
  • 27 Department of Surgery, Aga Khan University Hospital, Nairobi, Kenya
  • 28 Department of Surgery, University of Wisconsin Hospitals and Clinics, Madison, WI, USA
  • 29 Department of Anesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, India
  • 30 Department of Surgery, New York-Presbyterian, Weill Cornell Medicine, New York, NY, USA
  • 31 Department of Surgical Oncology, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
  • 32 Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea
  • 33 Division of Thoracic Surgery, Department of Surgical Oncology, Tata Memorial Centre, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India
  • 34 Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
  • 35 Department of Surgical Oncology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, India
  • 36 Department of Global Health and Health System Design, Icahn School of Medicine at Mount Sinai, New York, NY, USA
  • 37 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
  • 38 Breast Surgical Oncology, Clinica Universidad de Navarra, Madrid, Spain
  • 39 Department of Abdominal Surgery, AC Camargo Cancer Center, São Paulo, Brazil
  • 40 Division of General Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
  • 41 Division of Surgical Oncology, Department of Surgery, University of California, Irvine, Irvine, CA, USA
  • 42 Tokyo Metropolitan Cancer and Infectious Disease Center, Komagome Hospital, Tokyo, Japan
  • 43 Department of Surgery, Yale University School of Medicine, New Haven, CT, USA
  • 44 Surgical Oncology, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL, USA
  • 45 Department of Surgery, University of Malaya, Kuala Lumpur, Malaysia
  • 46 Surgical Oncology, National Cancer Institute, Cairo, Egypt
  • 47 School of Medicine, University of Washington, WA, USA
Lancet Oncol, 2023 Dec;24(12):e472-e518.
PMID: 37924819 DOI: 10.1016/S1470-2045(23)00412-6

Abstract

The first Lancet Oncology Commission on Global Cancer Surgery was published in 2015 and serves as a landmark paper in the field of cancer surgery. The Commission highlighted the burden of cancer and the importance of cancer surgery, while documenting the many inadequacies in the ability to deliver safe, timely, and affordable cancer surgical care. This Commission builds on the first Commission by focusing on solutions and actions to improve access to cancer surgery globally, developed by drawing upon the expertise from cancer surgery leaders across the world. We present solution frameworks in nine domains that can improve access to cancer surgery. These nine domains were refined to identify solutions specific to the six WHO regions. On the basis of these solutions, we developed eight actions to propel essential improvements in the global capacity for cancer surgery. Our initiatives are broad in scope, pragmatic, affordable, and contextually applicable, and aimed at cancer surgeons as well as leaders, administrators, elected officials, and health policy advocates. We envision that the solutions and actions contained within the Commission will address inequities and promote safe, timely, and affordable cancer surgery for every patient, regardless of their socioeconomic status or geographic location.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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