Global disparities in cancer supportive care: An international survey
Abstract Background The global cancer burden is rising, particularly in low‐ and middle‐income countries (LMIC), highlighting a critical research gap in understanding disparities in supportive care access. To address this, the Multinational Association of Supportive Care in Cancer (MASCC) Health Dis...
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| Format: | Article |
| Language: | English |
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Wiley
2024-09-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.70234 |
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| author | Alexandre Chan Lawson Eng Changchuan Jiang Mary Dagsi Yu Ke Mary Tanay Cristiane Bergerot Niharika Dixit Ana Cardeña Gutiérrez Ana I. Velazquez Farhad Islami Enrique Soto‐Perez‐de‐Celis |
| author_facet | Alexandre Chan Lawson Eng Changchuan Jiang Mary Dagsi Yu Ke Mary Tanay Cristiane Bergerot Niharika Dixit Ana Cardeña Gutiérrez Ana I. Velazquez Farhad Islami Enrique Soto‐Perez‐de‐Celis |
| author_sort | Alexandre Chan |
| collection | DOAJ |
| description | Abstract Background The global cancer burden is rising, particularly in low‐ and middle‐income countries (LMIC), highlighting a critical research gap in understanding disparities in supportive care access. To address this, the Multinational Association of Supportive Care in Cancer (MASCC) Health Disparities Committee initiated a global survey to investigate and delineate these disparities. This study aims to explore and compare supportive care access disparities between LMIC and High‐Income Countries (HIC). Methods An online cross‐sectional survey was conducted among active members of MASCC. Members, representing diverse healthcare professions received email invitations. The survey, available for 3 weeks, comprised sections covering (1) sociodemographic information; (2) clinical service/practice‐related disparities in their region/nation; (3) population groups facing disparities within their region or country. Chi‐squared or Fisher's exact test for cross‐sectional analyses, and a multivariable logistic regression model was employed for statistical analysis. Results A total of 218 active members participated, with one‐quarter (26.6%) from LMIC and 18.4% ethnic minorities, timely cancer care (43.7%) and timely supportive care (45.0%) emerged as the most pressing disparities globally. Notably, participants from LMIC underscored cancer drug affordability (56.4%) and supportive care guideline implementation (56.4%) as critical issues. Economically disadvantaged populations were noted as more likely to face disparities by both LMIC and HIC (non‐US‐based) respondents, while US‐based respondents identified racial/ethnic minorities as facing more disparities. Conclusion This global survey reveals significant disparities in cancer supportive care between LMIC and HIC, with a particular emphasis on medication affordability and guideline implementation in LMIC. Addressing these disparities requires targeted intervention, considering specific regional priorities. |
| format | Article |
| id | doaj-art-f58536f4c6224eb49e4eeea77700443c |
| institution | Kabale University |
| issn | 2045-7634 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-f58536f4c6224eb49e4eeea77700443c2025-02-07T09:08:08ZengWileyCancer Medicine2045-76342024-09-011317n/an/a10.1002/cam4.70234Global disparities in cancer supportive care: An international surveyAlexandre Chan0Lawson Eng1Changchuan Jiang2Mary Dagsi3Yu Ke4Mary Tanay5Cristiane Bergerot6Niharika Dixit7Ana Cardeña Gutiérrez8Ana I. Velazquez9Farhad Islami10Enrique Soto‐Perez‐de‐Celis11School of Pharmacy & Pharmaceutical Sciences University of California Irvine Irvine USADivision of Medical Oncology and Hematology, Department of Medicine Princess Margaret Cancer Centre/University Health Network, University of Toronto Toronto Ontario CanadaDivision of Hematology and Oncology, Department of Internal Medicine University of Texas Southwestern Medical Center Dallas Texas USASchool of Pharmacy & Pharmaceutical Sciences University of California Irvine Irvine USANational Cancer Centre Singapore Singapore SingaporeFlorence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London London UKOncoclinicas Brasilia DF BrazilUniversity of California, San Francisco/Zuckerberg San Francisco General Hospital San Francisco California USAMedical Oncology Department Hospital Universitario Nuestra Señora de Candelaria Santa Cruz de Tenerife SpainUniversity of California, San Francisco, Helen Diller Family Comprehensive Cancer Center San Francisco California USASurveillance and Health Equity Science, American Cancer Society Atlanta Georgia USADepartment of Geriatrics Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City MexicoAbstract Background The global cancer burden is rising, particularly in low‐ and middle‐income countries (LMIC), highlighting a critical research gap in understanding disparities in supportive care access. To address this, the Multinational Association of Supportive Care in Cancer (MASCC) Health Disparities Committee initiated a global survey to investigate and delineate these disparities. This study aims to explore and compare supportive care access disparities between LMIC and High‐Income Countries (HIC). Methods An online cross‐sectional survey was conducted among active members of MASCC. Members, representing diverse healthcare professions received email invitations. The survey, available for 3 weeks, comprised sections covering (1) sociodemographic information; (2) clinical service/practice‐related disparities in their region/nation; (3) population groups facing disparities within their region or country. Chi‐squared or Fisher's exact test for cross‐sectional analyses, and a multivariable logistic regression model was employed for statistical analysis. Results A total of 218 active members participated, with one‐quarter (26.6%) from LMIC and 18.4% ethnic minorities, timely cancer care (43.7%) and timely supportive care (45.0%) emerged as the most pressing disparities globally. Notably, participants from LMIC underscored cancer drug affordability (56.4%) and supportive care guideline implementation (56.4%) as critical issues. Economically disadvantaged populations were noted as more likely to face disparities by both LMIC and HIC (non‐US‐based) respondents, while US‐based respondents identified racial/ethnic minorities as facing more disparities. Conclusion This global survey reveals significant disparities in cancer supportive care between LMIC and HIC, with a particular emphasis on medication affordability and guideline implementation in LMIC. Addressing these disparities requires targeted intervention, considering specific regional priorities.https://doi.org/10.1002/cam4.70234cancer supportive carefinancial toxicitieshealth disparitieshealthcare professionalslow‐ and middle‐income countriessocial needs |
| spellingShingle | Alexandre Chan Lawson Eng Changchuan Jiang Mary Dagsi Yu Ke Mary Tanay Cristiane Bergerot Niharika Dixit Ana Cardeña Gutiérrez Ana I. Velazquez Farhad Islami Enrique Soto‐Perez‐de‐Celis Global disparities in cancer supportive care: An international survey Cancer Medicine cancer supportive care financial toxicities health disparities healthcare professionals low‐ and middle‐income countries social needs |
| title | Global disparities in cancer supportive care: An international survey |
| title_full | Global disparities in cancer supportive care: An international survey |
| title_fullStr | Global disparities in cancer supportive care: An international survey |
| title_full_unstemmed | Global disparities in cancer supportive care: An international survey |
| title_short | Global disparities in cancer supportive care: An international survey |
| title_sort | global disparities in cancer supportive care an international survey |
| topic | cancer supportive care financial toxicities health disparities healthcare professionals low‐ and middle‐income countries social needs |
| url | https://doi.org/10.1002/cam4.70234 |
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