Ida Akiko, Htay Zin Wai
Ogata Sadako Research Institute for Peace and Development, Japan International Cooperation Agency, Tokyo, Japan
National Institute for Environmental Studies, Tsukuba, Japan.
BMJ Open. 2024 Sep 16;14(9):e084148. doi: 10.1136/bmjopen-2024-084148.
In sub-Saharan Africa (SSA), the number of cancer deaths is expected to double between 2020 and 2030; however, financial costs remain a barrier to accessing cancer treatment and care. There is an evidence gap on financial toxicity related to cancer care in SSA, both for the patient and for the family members providing care. Against this background, this review aims to analyse cancer care-related financial toxicity for the patient and family caregivers in SSA.
A comprehensive search of peer-reviewed articles in the English language reporting the financial burden of cancer care on patients and family caregivers in SSA will be conducted using PubMed, Scopus and Web of Science from 1 January 2000 to 13 October 2023. Two researchers will independently review the titles, abstracts and full-text articles, and any disagreements will be resolved through consensus. A risk of bias assessment will be conducted using the assessment tools from the Joanna Briggs Institute Critical Appraisal Checklist. A quantitative and narrative synthesis of included studies, including the prevalence of financial toxicity of cancer care in SSA, will be developed. The review will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Ethical review is not required because this review draws on published literature. The results will be presented at leading cancer and public health conferences, published in peer-reviewed journals and disseminated via website posts and social media channels to improve access to cancer care and to facilitate evidence-based policymaking in SSA.
CRD42023469011.
在撒哈拉以南非洲地区（SSA），预计2020年至2030年间癌症死亡人数将翻倍；然而，经济成本仍是获得癌症治疗和护理的障碍。对于SSA地区的患者及其提供护理的家庭成员而言，关于癌症护理相关经济毒性的证据存在空白。在此背景下，本综述旨在分析SSA地区患者及其家庭护理人员与癌症护理相关的经济毒性。
将使用PubMed、Scopus和Web of Science对2000年1月1日至2023年10月13日期间以英文发表的、报道SSA地区患者及其家庭护理人员癌症护理经济负担的同行评议文章进行全面检索。两名研究人员将独立审查文章标题、摘要和全文，任何分歧将通过协商解决。将使用乔安娜·布里格斯研究所批判性评价清单中的评估工具进行偏倚风险评估。将对纳入研究进行定量和叙述性综合分析，包括SSA地区癌症护理经济毒性的患病率。本综述将按照系统评价和Meta分析的首选报告项目指南进行报告。
由于本综述借鉴已发表的文献，因此无需进行伦理审查。研究结果将在主要的癌症和公共卫生会议上展示，发表在同行评议期刊上，并通过网站文章和社交媒体渠道传播，以改善SSA地区获得癌症护理的机会，并促进基于证据的政策制定。
PROSPERO注册号：CRD42023469011。
