Patterns of practice in palliative radiotherapy in Africa - case revisited.
Identifieur interne : 000309 ( Ncbi/Merge ); précédent : 000308; suivant : 000310Patterns of practice in palliative radiotherapy in Africa - case revisited.
Auteurs : B. Jeremic [Afrique du Sud] ; V. Vanderpuye [Ghana] ; S. Abdel-Wahab [Égypte] ; P. Gaye [Sénégal] ; L. Kochbati [Tunisie] ; M. Diwani [Tanzanie] ; P. Emwula [Namibie] ; B. Oro [Zimbabwe] ; K. Lishimpi [Zambie] ; J. Kigula-Mugambe [Ouganda] ; D. Dawotola [Nigeria] ; T. Wondemagegnehu [Éthiopie] ; C. Nyongesa [Kenya] ; N. Oumar [Mauritanie] ; A. El-Omrani [Maroc] ; T. Shuman [Égypte] ; L. Langenhoven [Afrique du Sud] ; L. Fourie [Afrique du Sud]Source :
- Clinical oncology (Royal College of Radiologists (Great Britain)) [ 1433-2981 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- radiothérapie : Métastase tumorale, Tumeurs.
- utilisation : Soins palliatifs.
- Afrique, Enquêtes et questionnaires, Femelle, Fractionnement de la dose d'irradiation, Humains, Mâle, Pays en voie de développement, Soins palliatifs.
English descriptors
- KwdEn :
- MESH :
- geographic : Africa.
- methods : Palliative Care.
- radiotherapy : Neoplasm Metastasis, Neoplasms.
- utilization : Palliative Care.
- Developing Countries, Dose Fractionation, Female, Humans, Male, Surveys and Questionnaires.
Abstract
To investigate patterns of practice in palliative radiotherapy in Africa.
DOI: 10.1016/j.clon.2014.03.004
PubMed: 24746747
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pubmed:24746747Le document en format XML
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<front><div type="abstract" xml:lang="en">To investigate patterns of practice in palliative radiotherapy in Africa.</div>
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<Title>Clinical oncology (Royal College of Radiologists (Great Britain))</Title>
<ISOAbbreviation>Clin Oncol (R Coll Radiol)</ISOAbbreviation>
</Journal>
<ArticleTitle>Patterns of practice in palliative radiotherapy in Africa - case revisited.</ArticleTitle>
<Pagination><MedlinePgn>333-43</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clon.2014.03.004</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0936-6555(14)00087-9</ELocationID>
<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To investigate patterns of practice in palliative radiotherapy in Africa.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fifteen centres in Africa provided detailed information about radiotherapy in both metastatic and locally advanced disease via a questionnaire. Information included general information (institution status, equipment, staff, patient number), radiotherapy and other treatment characteristics in bone metastasis, brain metastasis, metastatic spinal cord compression, lung and liver metastasis, as well as locally advanced tumours.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The number of patients annually seen/treated ranged from 285 to 5000. Breast, cervix, head and neck, gastrointestinal and prostate cancer were the top five cancers overall. Eight (53%) institutions were without linear accelerators, four (27%) had a single one, whereas one institution each had two, three and four linear accelerators. The number of cobalt machines ranged from 0 to 2 (median 1). Most centres still prefer to use fractionated radiotherapy regimens over single-fraction regimens in bone metastasis, although most centres are now using single-fraction radiotherapy in retreatments. Radiotherapy in brain metastasis and metastatic spinal cord compression mostly conform to worldwide standards. Lung and liver metastases are rarely irradiated, largely as a consequence of the lack of modern radiotherapy technology. Locally advanced disease in various tumour sites was mostly palliated, in agreement with current evidence-based practices.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">African countries still lack adequate staffing and equipment to adequately address their clinical burden, being palliative in most cases. Emphasis should also be made on more rationally using existing capacities by using more of the single-fraction radiotherapy regimens, especially in bone metastasis.</AbstractText>
<CopyrightInformation>Copyright © 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jeremic</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa. Electronic address: bjeremic@sun.ac.za.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vanderpuye</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>National Center for Radiotherapy, Accra, Ghana.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Abdel-Wahab</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Ain Shams University, Cairo, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gaye</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Institut de Curie, Dakar, Senegal.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kochbati</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Salah Aziz Institute of Cancer, Tunis, Tunisia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Diwani</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Ocean Road Cancer Institute, Dar es Sala'am, Tanzania.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Emwula</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Windhoek Central Hospital, Windhoek, Namibia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oro</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Radiotherapy Centre, Parirenyatwa Group of Hospitals, Harare, Zimbabwe.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lishimpi</LastName>
<ForeName>K</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Cancer Diseases Hospital, Lusaka, Zambia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kigula-Mugambe</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Mulago Hospital, Makerere University, Kampala, Uganda.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dawotola</LastName>
<ForeName>D</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>A B University Teaching Hospital, Zaria, Nigeria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wondemagegnehu</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Addis Ababa University, Addis Ababa, Ethiopia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nyongesa</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Kenyatta National Hospital, Nairobi, Kenya.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Oumar</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Centre National d'Oncologie, Mauritania.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>El-Omrani</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Mohammed VI University Hospital, Marrakech, Morocco.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shuman</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>National Cancer Institute, Cairo, Egypt.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Langenhoven</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fourie</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Stellenbosch University and Tygerberg Hospital, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>ENG</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>Apr</Month>
<Day>18</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Clin Oncol (R Coll Radiol)</MedlineTA>
<NlmUniqueID>9002902</NlmUniqueID>
<ISSNLinking>0936-6555</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Clin Oncol (R Coll Radiol). 2014 Nov;26(11):730-1</RefSource>
<PMID Version="1">25023292</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="CommentIn"><RefSource>Clin Oncol (R Coll Radiol). 2014 Nov;26(11):730</RefSource>
<PMID Version="1">24998429</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000349" MajorTopicYN="N" Type="Geographic">Africa</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003906" MajorTopicYN="N">Developing Countries</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019583" MajorTopicYN="N">Dose Fractionation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009362" MajorTopicYN="N">Neoplasm Metastasis</DescriptorName>
<QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010166" MajorTopicYN="N">Palliative Care</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Africa</Keyword>
<Keyword MajorTopicYN="N">developing countries</Keyword>
<Keyword MajorTopicYN="N">locally advanced disease</Keyword>
<Keyword MajorTopicYN="N">metastatic disease</Keyword>
<Keyword MajorTopicYN="N">palliation</Keyword>
<Keyword MajorTopicYN="N">radiotherapy</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>1</Month>
<Day>2</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2014</Year>
<Month>2</Month>
<Day>14</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>3</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>4</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2014</Year>
<Month>4</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2015</Year>
<Month>8</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">24746747</ArticleId>
<ArticleId IdType="pii">S0936-6555(14)00087-9</ArticleId>
<ArticleId IdType="doi">10.1016/j.clon.2014.03.004</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Ghana</li>
<li>Kenya</li>
<li>Maroc</li>
<li>Mauritanie</li>
<li>Namibie</li>
<li>Nigeria</li>
<li>Ouganda</li>
<li>Sénégal</li>
<li>Tanzanie</li>
<li>Tunisie</li>
<li>Zambie</li>
<li>Zimbabwe</li>
<li>Égypte</li>
<li>Éthiopie</li>
</country>
<region><li>Gouvernorat de Tunis</li>
<li>Marrakech-Tensift-Al Haouz</li>
<li>Région du Grand Accra</li>
</region>
<settlement><li>Accra</li>
<li>Marrakech</li>
<li>Tunis</li>
</settlement>
</list>
<tree><country name="Afrique du Sud"><noRegion><name sortKey="Jeremic, B" sort="Jeremic, B" uniqKey="Jeremic B" first="B" last="Jeremic">B. Jeremic</name>
</noRegion>
<name sortKey="Fourie, L" sort="Fourie, L" uniqKey="Fourie L" first="L" last="Fourie">L. Fourie</name>
<name sortKey="Langenhoven, L" sort="Langenhoven, L" uniqKey="Langenhoven L" first="L" last="Langenhoven">L. Langenhoven</name>
</country>
<country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Vanderpuye, V" sort="Vanderpuye, V" uniqKey="Vanderpuye V" first="V" last="Vanderpuye">V. Vanderpuye</name>
</region>
</country>
<country name="Égypte"><noRegion><name sortKey="Abdel Wahab, S" sort="Abdel Wahab, S" uniqKey="Abdel Wahab S" first="S" last="Abdel-Wahab">S. Abdel-Wahab</name>
</noRegion>
<name sortKey="Shuman, T" sort="Shuman, T" uniqKey="Shuman T" first="T" last="Shuman">T. Shuman</name>
</country>
<country name="Sénégal"><noRegion><name sortKey="Gaye, P" sort="Gaye, P" uniqKey="Gaye P" first="P" last="Gaye">P. Gaye</name>
</noRegion>
</country>
<country name="Tunisie"><region name="Gouvernorat de Tunis"><name sortKey="Kochbati, L" sort="Kochbati, L" uniqKey="Kochbati L" first="L" last="Kochbati">L. Kochbati</name>
</region>
</country>
<country name="Tanzanie"><noRegion><name sortKey="Diwani, M" sort="Diwani, M" uniqKey="Diwani M" first="M" last="Diwani">M. Diwani</name>
</noRegion>
</country>
<country name="Namibie"><noRegion><name sortKey="Emwula, P" sort="Emwula, P" uniqKey="Emwula P" first="P" last="Emwula">P. Emwula</name>
</noRegion>
</country>
<country name="Zimbabwe"><noRegion><name sortKey="Oro, B" sort="Oro, B" uniqKey="Oro B" first="B" last="Oro">B. Oro</name>
</noRegion>
</country>
<country name="Zambie"><noRegion><name sortKey="Lishimpi, K" sort="Lishimpi, K" uniqKey="Lishimpi K" first="K" last="Lishimpi">K. Lishimpi</name>
</noRegion>
</country>
<country name="Ouganda"><noRegion><name sortKey="Kigula Mugambe, J" sort="Kigula Mugambe, J" uniqKey="Kigula Mugambe J" first="J" last="Kigula-Mugambe">J. Kigula-Mugambe</name>
</noRegion>
</country>
<country name="Nigeria"><noRegion><name sortKey="Dawotola, D" sort="Dawotola, D" uniqKey="Dawotola D" first="D" last="Dawotola">D. Dawotola</name>
</noRegion>
</country>
<country name="Éthiopie"><noRegion><name sortKey="Wondemagegnehu, T" sort="Wondemagegnehu, T" uniqKey="Wondemagegnehu T" first="T" last="Wondemagegnehu">T. Wondemagegnehu</name>
</noRegion>
</country>
<country name="Kenya"><noRegion><name sortKey="Nyongesa, C" sort="Nyongesa, C" uniqKey="Nyongesa C" first="C" last="Nyongesa">C. Nyongesa</name>
</noRegion>
</country>
<country name="Mauritanie"><noRegion><name sortKey="Oumar, N" sort="Oumar, N" uniqKey="Oumar N" first="N" last="Oumar">N. Oumar</name>
</noRegion>
</country>
<country name="Maroc"><region name="Marrakech-Tensift-Al Haouz"><name sortKey="El Omrani, A" sort="El Omrani, A" uniqKey="El Omrani A" first="A" last="El-Omrani">A. El-Omrani</name>
</region>
</country>
</tree>
</affiliations>
</record>
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