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Understanding the challenges of delivering radiotherapy in low- and middle-income countries in Africa
/ Ige, Taofeeq (Nigeria U.) ; Lewis, Philippa (JAI, UK) ; Shelley, Charlotte (U. Manchester (main)) ; Pistenmaa, David ; Coleman, C Norman ; Aggarwal, Ajay (King's Coll. London) ; Dosanjh, Manjit (CERN ; Oxford U.)
Background
Access to high quality radiotherapy (RT) continues to be a major issue across Africa with Africa having just 34% of its optimal capacity.
Methods
We co-developed a survey with clinical, academic and policy stakeholders designed to provide a structured assessment of the barriers and enablers to RT capacity building in Africa. The survey covered nine key themes including funding, procurement, education and training. [...]
2023 - 8 p.
- Published in : Journal of Cancer Policy 35 (2023) 100372
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Improving access to radiotherapy in LMICs through a collaborative initiative to reduce technology downtime
/ Ige, Taofeeq A (Natl. Hospital Abuja, Nigeria ; Lancaster U.) ; Jenkins, Alexander (Lancaster U. ; Oxford U.) ; Dosanjh, Manjit (Lancaster U. ; Oxford U. ; Internatl. Cancer Expert Corps, Washington) ; O’Brien, Donna (Internatl. Cancer Expert Corps, Washington) ; Pistenmaa, David (Lancaster U. ; Internatl. Cancer Expert Corps, Washington) ; Coleman, C Norman (Internatl. Cancer Expert Corps, Washington)
This chapter covers approaches that aim to increase access to radiotherapy care in Africa by reducing machine downtime. It includes a survey design covering this issue across Africa..
2022 - 10 p.
- Published in : 10.1088/978-0-7503-3075-6ch21
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Comparative Analysis of Radiotherapy Linear Accelerator Downtime and Failure Modes in the UK, Nigeria and Botswana
/ Wroe, Laurence M. (Oxford U.) ; Ige, Taofeeq A. ; Asogwa, Obinna C. ; Aruah, Simeon C. (Unlisted, NG) ; Grover, Surbhi (Botswana U.) ; Makufa, Remigio (Botswana U.) ; Fitz-Gibbon, Matthew (U. Oxford (main)) ; Coleman, N. (Unlisted, US, DC) ; Dosanjh, M. (Oxford U. ; CERN) ; Van den Heuvel, F. (Unlisted, UK ; U. Oxford (main)) et al.
The lack of radiotherapy linear accelerators (LINACs) in Low- and Middle- Income Countries (LMICs) has been recognised as a major barrier to providing quality cancer care in these regions, along with a shortfall in the number of highly qualified personnel. It is expected that additional challenges will be faced in operating precise, high tech radiotherapy equipment in these environments, and anecdotal evidence suggests that LINACs have greater downtime and higher failure rates of components than their counterparts in High-Income Countries. [...]
arXiv:1905.03447.-
2020-03-01 - 8 p.
- Published in : Clinical Oncology: 32 (2020) , pp. e111-e118
- Published in : Clinical Oncology: 35 (2023) , no. 5, pp. e347
Fulltext: 1905.03447 - PDF; Publication - PDF; Erratum - PDF;
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Abstract D066: A prospective study on chemotherapy-induced anemia using serial hemoglobin measurement in cancer patients undergoing treatment at National Hospital Abuja, Nigeria
/ Aruah, Simeon Chinedu (NMC, Abuja) ; Oyesegun, Rasaq (NMC, Abuja) ; Ogbe, Oche (NMC, Abuja) ; Ezikeanyi, Sampson (NMC, Abuja) ; Aniwada, Elias (Enugu State U. Sci. Tech.) ; Dosanjh, Manjit (CERN) ; Wroe, Laurence (Oxford U.) ; Coleman, Norman (Int. Cancer Expert Corps. Inc., Washington)
Anaemia is a common complication of myelo-suppressive chemotherapy. Severe anaemia is usually treated with red blood cell transfusion, however, mild-to-moderate anaemia are most often managed conservatively. [...]
2020
- Published in : Cancer Epidemiology, Biomarkers & Prevention 29 (2020) D066
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Availability of technology for managing cancer patients in the Southeast European (SEE) region
/ Dosanjh, Manjit (CERN ; Int. Cancer Expert Corps, Washington) ; Ristova, Mimoza (CERN ; Skopje U.) ; Gershan, Vesna (Skopje U.) ; Georgieva, Petya (CERN) ; Balin Kovacevic, Marijana ; Bregu, Ledio ; Coralic, Irma ; Djurovic, Tamara ; Dosieva, Deyana ; Foka, Yiota (CERN ; Darmstadt, GSI) et al.
Background: The Southeast European (SEE) region of 10 countries and about 43 million people differs from
Western Europe in that most SEE countries lack active cancer registries and have fewer diagnostic imaging
devices and radiotherapy (RT) units. The main objective of this research is to initiate a common platform for
gathering SEE regional cancer data from the ground up to help these countries develop common cancer management strategies.
Methods: To obtain detailed on-the-ground information, we developed separate questionnaires for two SEE
groups: a) ONCO - oncologists regarding cancer treatment modalities and the availability of diagnostic imaging and radiotherapy equipment; and b) REG - national radiation protection and safety regulatory bodies regarding
diagnostic imaging and radiotherapy equipment in SEE facilities.
Results: Based on responses from 13/17 ONCO participants (at least one from each country) and from 9/10 REG
participants (all countries but Albania), cancer incidence rates are higher in those SEE countries that have greater
access to diagnostic imaging equipment while cancer mortality-to-incidence (MIR) ratios are higher in countries
that lack radiotherapy equipment.
Conclusion: By combining unique SEE region information with data available from major global databases, we
demonstrated that the availability of diagnostic imaging and radiotherapy equipment in the SEE countries is
related to their economic development. [...]
2022 - 10 p.
- Published in : Clinical and Translational Radiation Oncology 34 (2022) 57-66
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Surveying the Challenges to Improve Linear Accelerator-based Radiation Therapy in Africa: a Unique Collaborative Platform of All 28 African Countries Offering Such Treatment
/ Ige, T A (NMC, Abuja) ; Jenkins, A (Oxford U.) ; Burt, G (Lancaster U.) ; Angal-Kalinin, D (Daresbury) ; McIntosh, P (Daresbury) ; Coleman, C N (Unlisted, US) ; Pistenmaa, D A (Unlisted, US) ; O'Brien, D (Unlisted, US) ; Dosanjh, M (Oxford U. ; Unlisted, US ; CERN)
Radiation therapy is a critical component for curative and palliative treatment of cancer and is used in more than half of all patients with cancer. Yet there is a global shortage of access to this treatment, especially in Sub-Saharan Africa, where there is a shortage of technical staff as well as equipment. [...]
2021
- Published in : Clinical oncology 33 (2021) 521
fulltext from publisher: PDF;
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Capturing Acquired Wisdom, Enabling Healthful Aging, and Building Multinational Partnerships Through Senior Global Health Mentorship
/ Coleman, C Norman (International Cancer Expert Corps, Washington) ; Wong, John E (Singapore Natl. U.) ; Wendling, Eugenia (International Cancer Expert Corps, Washington) ; Gospodarowicz, Mary (Toronto U.) ; O'Brien, Donna (International Cancer Expert Corps, Washington) ; Ige, Taofeeq Abdallah (NMC, Abuja) ; Aruah, Simeon Chinedu (NMC, Abuja) ; Pistenmaa, David A (International Cancer Expert Corps, Washington ; Natl. Cancer Inst., Washington) ; Amaldi, Ugo (TERA, Novara) ; Balogun, Onyi-Onyinye (International Cancer Expert Corps, Washington ; Weill-Cornell Medical Center, New York City) et al.
An opportunity to have a substantial impact on multiple challenging societal problems exists in simultaneously addressing the following: (a) the urgent need for sustainable health care; (b) the importance of mentorship in enabling the emergence of new generations of leaders; (c) the essential need for cross-cultural competency1 to address global crises through problem solving across societal boundaries; and (d) options for continued productivity by the increasing number of older people. Sustainable health care needs to build on cancer care, which requires urgent intervention and encompasses noncommunicable and infectious diseases in low- and middle-income countries (LMICs) and geographically isolated populations in high-income countries (HICs). [...]
2020 - 12 p.
- Published in : Global Health: Science and Practice 8 (2020) 626-637
Fulltext from publisher: PDF;
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