Radiation Therapy for Breast Cancer in Africa

dc.contributor.authorOppong, Rita
dc.contributor.authorYeboah, David
dc.contributor.authorOwusu-Ansah, Mohammed
dc.contributor.authorSalifu, Samson Pandam
dc.contributor.orcid0000-0003-2092-6452
dc.date.accessioned2024-07-24T09:05:01Z
dc.date.available2024-07-24T09:05:01Z
dc.date.issued2024
dc.descriptionThis article is published by Elseviere, 2023 and is also available at https://doi.org/10.1016/j.adro.2024.101488
dc.description.abstractPurpose: Although radiation therapy is an effective treatment for breast cancer, it has a low rate of use in African countries. A systematic review was undertaken to investigate studies that used radiation therapy as a treatment modality for patients with breast cancer in Africa, focusing on survival outcomes, adverse effects, radiation therapy techniques, fractionation schedules, and effectiveness of radiation therapy. Methods and Materials: We conducted a comprehensive literature search for studies that treated breast cancer with radiation therapy, using different electronic databases (PubMed, Scopus, and EBSCOhost) up to February 2023. The output was exported to a reference management system for analyses. Results: The literature search primarily identified 3804 records from Scopus (2427), PubMed (982), and EBSCOhost (395). Based on the inclusion and exclusion criteria, 19 articles were finally included in this systematic review. Most of the studies published were conducted in North Africa (63%), followed by West Africa (21%) and Southeast Africa (16%). Most centers employed external beam radiation therapy to deliver radiation therapy to patients with breast cancer with the standard fractionation size of 50 Gy in 25 fractions. The long-term outcomes with regards to adverse effect suggests that radiation therapy was fairly tolerated among patients with breast cancer. Conclusions: The reports provide substantial evidence that there are limited number of published studies on the use of radiation therapy for breast cancer treatment in Africa, as well as lower overall survival rate compared with developed countries. To improve breast cancer survivorship, it is necessary for government and other health care planners to provide more radiation therapy resources and implement training programs for personnels.
dc.description.sponsorshipKNUST
dc.identifier.citationAdvances in Radiation Oncology (2024) 9, 101488
dc.identifier.uri10.1016/j.adro.2024.101488
dc.identifier.urihttps://ir.knust.edu.gh/handle/123456789/15868
dc.language.isoen
dc.publisherElsevier
dc.titleRadiation Therapy for Breast Cancer in Africa
dc.typeArticle
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