Access to Palliative Care in Patients with Advanced Cancer of the Uterine Cervix in the Low- and Middle-Income Countries: A Systematic Review

Author:

Ooko Francis1,Mothiba Tebogo1,Bogaert Peter Van2,Wens Johan2

Affiliation:

1. University of Limpopo

2. University of Antwerp

Abstract

Abstract Background Women with advanced uterine cervical cancer suffer from a combination of moderate to severe physical, psychological, social, and spiritual distress due to their disease and are in need of palliative care to improve their quality of life. Approximately 85% of the women live in the low- and middle-income countries. Whether these women and their families access palliative care is not known. Objectives To understand the geographic accessibility, availability, financial accessibility, and acceptability of palliative care by patients with advanced cervical cancer and their families. Methods We conducted a Systematic review following PRISMA guidelines in CINAHL, Cochrane Central Register of Controlled Trials, MEDLINE, PsychINFO, PubMed and Scopus for the core concepts: palliative care, access, advanced uterine cervical cancer. Eligible articles were published in English, contained original data on experiences of patients and/or caregivers including symptoms management, and discussed available resources, communication, satisfaction, and healthcare utilization. Results Overall there was limited access to palliative care with insufficient facilities located in cities away from the rural areas where most women lived. Pervasive poverty was common with poor affordability of healthcare, travelling, accommodation, and subsistence expenses. Misconceptions and poor knowledge of the disease, cultural beliefs and attitudes, and other health system insufficiencies also presented challenges for access. Conclusion Concerted effort should be made to improve availability of palliative care facilities. Health education to address misconceptions and other cognitive barriers that limit access among cervical cancer patients and their families should be urgently undertaken in the LMICs.

Publisher

Research Square Platform LLC

Reference53 articles.

1. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis;Arbyn M;The Lancet Global Health,2020

2. Cervical cancer-associated suffering: Estimating the palliative care needs of a highly vulnerable population;Krakauer EL;JCO Global Oncology,2021

3. Prevalence of depression among cervical cancer patients seeking treatment at the cancer diseases hospital;Paul R;IOSR J Dent Med Sci Ver XI,2016

4. Palliative care and catastrophic costs in Malawi after a diagnosis of advanced cancer: a prospective cohort study;Bates MJ;The Lancet Global Health,2021

5. Essential Package of Palliative Care for Women With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population;Krakauer EL;JCO Glob Oncol,2021

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