Downstaging cancer in rural Africa
Downstaging cancer in rural Africa
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DOI：
10.1002/ijc.29348
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发表时间：
2015-06-15
影响因子：
6.4
通讯作者：
Holland, James F.
中科院分区：
文献类型：
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作者：
Ngoma, Twalib;Mandeli, John;Holland, James F.
在非洲农村，癌症通常诊断较晚，导致无法治愈和缩短生存期。许多可治愈的癌症出现在身体表面，通常被外行人早期识别为可疑，有理由进行专业转诊。在两个随机选择的坦桑尼亚村庄，比较了传统药房自我转诊与主动上门就诊后的癌症诊断。村导航员组织旅行进行专业咨询。在对照村21%的人是自我推荐的，20%的人被认为是可疑的，78%的人患有癌症（8%的男性），占全村人口的0.9%。在干预村，99%的人接受了筛查，14%的人接受了专业意见，93%的人患有癌症（男性32%），1.6% (p
Cancer is usually diagnosed late in rural Africa leading to incurability and abbreviated survival. Many curable cancers present on the body surface, often recognizable early by laymen as suspicious, justifying professional referral. Cancer diagnoses in two randomly chosen Tanzanian villages were compared after conventional dispensary self-referral vs. proactive visits in the home. Village navigators organized trips for professional consultation. In the control village 21% were self-referred, 20% of them were sent on as suspicious, 78% had cancer (8% in men) 0.9% of the village population. In the intervention village 99% were screened, 14% were referred for professional opinion, 93% had cancer (32% in men) 1.6% (p