Cancer Registration in the Middle East, North Africa, and Turkey: Scope and Challenges.
Cancer Registration in the Middle East, North Africa, and Turkey: Scope and Challenges.
复制标题
DOI：
10.1200/go.21.00065
复制
发表时间：
2021-07
影响因子：
4.5
通讯作者：
ICRIM
中科院分区：
文献类型：
--
作者：
Abdul-Sater Z;Shamseddine A;Taher A;Fouad F;Abu-Sitta G;Fadhil I;Saab R;Sullivan R;Adib SM;Saleh S;Mukherji D;ICRIM
国家癌症控制战略已被确定为减少和管理低收入和中等收入国家日益增长的癌症负担的基本工具。癌症登记是任何癌症控制战略的重要组成部分，为有效的癌症政策提供数据。在中东、北非和土耳其(MENAT)地区，癌症登记情况千差万别，面临着多方面的挑战，包括旷日持久的冲突。这项研究调查和规划了中东和北非地区癌症登记的现有能力和产出，并确定了实施和利用癌症登记数据所面临的专题障碍。我们使用了一项针对MENAT国家的国家和机构癌症登记管理人员的开放式和封闭式问题的自我管理在线调查。来自19个MENAT国家的登记管理人员报告说，存在97个基于人群、48个基于医院和24个基于病理的登记。大多数以人口为基础的登记册都很发达或不发达。缺乏准确的死亡记录、完整的医疗记录、利益攸关方之间的沟通以及缺乏训练有素的人员是严重的挑战，在活跃的冲突地区和邻近受冲突影响的地区更为严重。癌症登记面临的挑战包括卫生基础设施薄弱，缺乏强制癌症登记的立法，以及由于活跃的冲突和资金损失而扰乱癌症登记。难民收容国，如黎巴嫩、土耳其和约旦，也报告了与冲突有关的挑战，包括难民流动和缺乏关于强迫移民的准确数据。这项研究提供了对影响MENAT癌症登记的当前形势和背景挑战的迫切需要的理解。这些数据对于确定区域加强能力倡议的重点领域很重要。
National cancer control strategies have been identified as essential tools for reducing and managing the growing burden of cancer in low- and middle-income countries. Cancer registration is an instrumental component of any cancer control strategy, providing the data to inform effective cancer policy. In the Middle East, North Africa, and Turkey (MENAT) region, cancer registration varies immensely and faces multifaceted challenges including protracted conflict. This study investigates and maps out the present capacities and outputs of cancer registration in the MENAT region and identifies thematic barriers facing implementation and utilization of cancer registry data. We used a self-administered online survey with open and close-ended questions targeting national and institutional cancer registry managers in the MENAT countries. Registry managers from 19 MENAT countries reported the presence of 97 population-based, 48 hospital-based, and 24 pathology-based registries. Most population-based registries were well- or partially developed. Lack of accurate death records, complete medical records, and communication between stakeholders and deficiencies in trained personnel were critical challenges that were more severe in active conflict zones and neighboring conflict-affected regions. Cancer registration challenges included weak health infrastructure, absence of legislation mandating cancer registration, and disruption of cancer registration because of active conflict and loss of funding. Refugee host countries, such as Lebanon, Turkey, and Jordan, also reported conflict-related challenges including refugee mobility and lack of accurate data on forced migrants. This study provides a much-needed understanding of the current landscape and contextual challenges affecting cancer registration in the MENAT. These data are important for identifying areas on which to focus regional capacity-strengthening initiatives.