Onyeka Tonia, Zakieh Abdulhafiz, Gitonga Isaiah, Nchasi Goodluck, Rahman Md Ahasanur, Prattipati Nikki, Livinski Alicia A, Nolan Timiya S, Cira Mishka Kohli
Department of Anaesthesia/Pain & Palliative Care Unit, College of Medicine, University of Nigeria/IVAN Research Institute, Ituku-Ozalla Campus, Enugu, Nigeria.
Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
J Cancer Surviv. 2025 Apr 25. doi: 10.1007/s11764-025-01805-5.
The scope of cancer survivorship in Africa remains largely unexplored. This scoping review aims to describe current survivorship-related factors and care delivery characteristics in Africa, and to provide insights that can inform a more systematic integration of survivorship care into the broader cancer care continuum.
Four databases (PubMed, Embase, Web of Science: Core, CINAHL Plus) were searched for journal articles and grey literature published from 2011 to August 2024 in English. Articles were included if they focused on post-treatment care for African cancer survivors. Covidence® was utilised for screening and data collection. Microsoft Excel was used for data cleaning and analysis.
A total of 9417 articles were screened and 181 included. The number of studies per year grew from 6 (2011) to 32 (2023). These comprised 71 conference abstracts and 110 journal articles conducted in 19 African countries. The study methodologies utilised include 97 quantitative, 42 qualitative, 25 programme descriptions, and 18 mixed methods. Childhood survivorship was the focus for 40 studies. Psychosocial effects of cancer and its treatment were discussed in 104 studies.
Interest in post-treatment cancer survivorship and related care is increasing across Africa. While significant research has explored the physical and psychosocial effects of cancer, there remains a critical need for studies focused on care coordination, targeted interventions, and strategies to improve quality-of-life outcomes for survivors.
The overall scope of post-treatment cancer survivorship care in Africa primarily centres on psychosocial outcomes, with limited emphasis on care coordination. This underscores the need for further research and the development of context-relevant, feasible, and integrated care models within African health systems.
非洲癌症幸存者的范围在很大程度上仍未得到充分探索。本综述旨在描述非洲目前与幸存者相关的因素和护理提供特征，并提供见解，以便为将幸存者护理更系统地纳入更广泛的癌症护理连续统一体提供参考。
在四个数据库（PubMed、Embase、科学网核心合集、护理学与健康领域数据库）中检索2011年至2024年8月以英文发表的期刊文章和灰色文献。如果文章关注非洲癌症幸存者的治疗后护理，则将其纳入。使用Covidence®进行筛选和数据收集。使用Microsoft Excel进行数据清理和分析。
共筛选了9417篇文章，纳入181篇。每年的研究数量从2011年的6篇增加到2023年的32篇。这些研究包括在19个非洲国家进行的71篇会议摘要和110篇期刊文章。所采用的研究方法包括97项定量研究、42项定性研究、25项项目描述和18项混合方法。40项研究聚焦于儿童幸存者。104项研究讨论了癌症及其治疗的心理社会影响。
非洲各地对癌症治疗后幸存者及相关护理的关注度正在上升。虽然已有大量研究探讨了癌症的身体和心理社会影响，但仍迫切需要开展关注护理协调、针对性干预以及改善幸存者生活质量结果策略的研究。
非洲癌症治疗后幸存者护理的总体范围主要集中在心理社会结果上，对护理协调的重视有限。这凸显了在非洲卫生系统内进行进一步研究以及开发与实际情况相关、可行且综合的护理模式的必要性。
