{"title":"A scoping review exploring cancer survivorship in Africa: 2011 to 2024.","authors":"Tonia Onyeka, Abdulhafiz Zakieh, Isaiah Gitonga, Goodluck Nchasi, Md Ahasanur Rahman, Nikki Prattipati, Alicia A Livinski, Timiya S Nolan, Mishka Kohli Cira","doi":"10.1007/s11764-025-01805-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Implications for cancer survivors: </strong>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.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cancer Survivorship","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11764-025-01805-5","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
Implications for cancer 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.
目的：非洲癌症存活率的范围在很大程度上仍未被探索。本综述旨在描述非洲目前与生存相关的因素和护理提供特点，并提供见解，为将生存护理更系统地整合到更广泛的癌症护理连续体中提供信息。方法：检索PubMed、Embase、Web of Science: Core、CINAHL Plus 4个数据库，检索2011年至2024年8月发表的英文期刊文章和灰色文献。关注非洲癌症幸存者治疗后护理的文章被纳入。使用covid®进行筛选和数据收集。使用Microsoft Excel进行数据清理和分析。结果：共筛选文献9417篇，纳入181篇。每年的研究数量从2011年的6个增加到2023年的32个。其中包括在19个非洲国家进行的71次会议摘要和110篇期刊文章。使用的研究方法包括97种定量方法、42种定性方法、25种项目描述方法和18种混合方法。儿童存活率是40项研究的重点。104项研究讨论了癌症及其治疗的社会心理影响。结论：整个非洲对癌症治疗后生存和相关护理的兴趣正在增加。虽然有大量研究探索了癌症的生理和心理影响，但仍然迫切需要关注护理协调、有针对性的干预措施和改善幸存者生活质量的策略。对癌症幸存者的影响：非洲癌症幸存者治疗后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。这突出表明需要在非洲卫生系统内进一步研究和发展与具体情况相关的、可行的综合护理模式。
期刊介绍：
Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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