Colorectal Cancer Outcomes: A Comparative Review of Resource-Limited Settings in Low- and Middle-Income Countries and Rural America.
Simple Summary: Colorectal cancer is becoming more common in low- and middle-income countries (LMICs). The challenges faced by communities in LMICs, settings with few resources available, can be compared to rural America, where resources are also limited. Common barriers to taking care of colorectal...
| Publicado en: | Cancers Vol. 16; no. 19; pp. 3302 - 3318 |
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| Autores principales: | , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
MDPI
Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=180274199&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180274199 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20726694 B74B jtl: Cancers issn: 20726694 maglogo: N pubinfo: dt: Oct2024 vid: 16 iid: 19 pid: 97109 pub: MDPI artinfo: ui: 180274199 180274199 180274199 10.3390/cancers16193302 180274199 ppf: 3302 ppct: 16 formats: tig: atl: Colorectal Cancer Outcomes: A Comparative Review of Resource-Limited Settings in Low- and Middle-Income Countries and Rural America. aug: au: Jacobson, Clare E. Harbaugh, Calista M. Agbedinu, Kwabena Kwakye, Gifty affil: Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA sug: subj: Colorectal Neoplasms Surgery Colorectal Neoplasms Epidemiology Colorectal Neoplasms Mortality Resource-Limited Settings Low and Middle Income Countries Rural Health United States Patient Centered Care Treatment Outcomes United States Cancer Patients Attitude of Health Personnel Social Determinants of Health Poverty Health Care Delivery Communities Health Status Disparities Health Resource Utilization Implementation Science Training Support, Financial Colonic Neoplasms Surgery ab: Simple Summary: Colorectal cancer is becoming more common in low- and middle-income countries (LMICs). The challenges faced by communities in LMICs, settings with few resources available, can be compared to rural America, where resources are also limited. Common barriers to taking care of colorectal cancer patients in these communities are variation in individual provider behavior, social determinants of health such as poverty, how healthcare systems are set up, and the number of specialty doctors practicing in these communities. This review also highlights how LMICs and rural American communities have addressed these problems, through projects such as training new specialty doctors, collaborating with larger hospitals, and technological innovation. Finally, as an example, we highlight a new colorectal surgery fellowship program that addresses the barriers to providing colorectal cancer care in a low-resource setting at both the individual patient and provider level, all the way to the systems level. Background/Objectives: Colorectal cancer remains a significant global health challenge, particularly in resource-limited settings where patient-centered outcomes following surgery are often suboptimal. Although more prevalent in low- and middle-income countries (LMICs), segments of the United States have similarly limited healthcare resources, resulting in stark inequities even within close geographic proximity. Methods: This review compares and contrasts colorectal cancer outcomes in LMICs with those in resource-constrained communities in rural America, utilizing an established implementation science framework to identify key determinants of practice for delivering high-quality colorectal cancer care. Results: Barriers and innovative, community-based strategies aimed at improving patient-centered outcomes for colorectal cancer patients in low resource settings are identified. We explore innovative approaches and community-based strategies aimed at improving patient-centered outcomes, highlighting the newly developed colorectal surgery fellowship in Sub-Saharan Africa as a model of innovation in this field. Conclusions: By exploring these diverse contexts, this paper proposes actionable solutions and strategies to enhance surgical care of colorectal cancer and patient outcomes, ultimately aiming to inform global health practices, inspire collaboration between LMIC and rural communities, and improve care delivery across various resource settings. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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