Tripathee Sheela, MacLennan Sara Jane, Poobalan Amudha, Omar Muhammad Imran, Guntupalli Aravinda Meera
Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Health Syst (Basingstoke). 2023 May 27;13(3):177-191. doi: 10.1080/20476965.2023.2216749. eCollection 2024.
Cancer is a leading cause of mortality, with 10 million deaths in 2020. With the number of people impacted by cancer projected to increase, a better-integrated cancer care is needed. Evidence suggests that Hospital-Based Cancer Registries (HBCRs) that collect administrative and clinical data could improve integrated and equitable evidence-based care. However, the state and HBCR's role in the delivery of integrated cancer care for improved health outcomes, particularly in low- and middle-income countries (LMICs), is poorly understood and is assessed in this scoping review. A systematic search was conducted in April 2020. Thirty articles were included. This review found that while HBCRs have been implemented in several countries, few studies have evaluated the quality and effectiveness of registries, especially in LMICs. HBCRs in LMICs function more as data collection tools than information systems to influence clinical care decisions and monitoring, missing the opportunity to guide cancer care priorities and policies.
癌症是主要的死因之一,2020年有1000万人死于癌症。预计受癌症影响的人数将会增加,因此需要更好地整合癌症护理。有证据表明,收集管理和临床数据的医院癌症登记处(HBCRs)可以改善整合性和公平的循证护理。然而,国家和HBCRs在提供整合性癌症护理以改善健康结果方面所起的作用,尤其是在低收入和中等收入国家(LMICs),人们了解甚少,本综述对此进行了评估。2020年4月进行了系统检索。纳入了30篇文章。该综述发现,虽然HBCRs已在多个国家实施,但很少有研究评估登记处的质量和有效性,尤其是在LMICs。LMICs的HBCRs更多地作为数据收集工具,而非影响临床护理决策和监测的信息系统,从而错失了指导癌症护理重点和政策的机会。