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Essay / Cancer Burden in Kenya The incidence of cancer in the region has increased markedly. (Kimani et al, 2017). In 2012 alone, according to Parkin et al, 2014), the incidence of cancer in Africa was 6% (847,000 new cases) with a mortality of 591,000 cases, of which 75% of the global burden was in sub-Saharan Africa . Prostate cancer in men and breast cancer in women are the most common cancers in the region. Furthermore, it is estimated that over the next decade, more than 20 million people will be diagnosed with cancer each year, and more than 70% of global deaths will occur particularly in sub-Saharan Africa and other countries. low-income where 82% of the world's population lives. lives (Kimani et al., 2017). This increase will therefore require a huge demand for professionals in cancer care and treatment, and more specifically in cancer-induced pain. However, many sub-Saharan countries are not yet prepared to deal with this epidemic. There is therefore a huge unmet need to scale up the uptake of cancer screening, early diagnosis, treatment and palliative care services in the region (Zubairi et al., 2017) (Kimani et al., 2017). Say no to plagiarism. Get a tailor-made essay on “Why violent video games should not be banned”?Get the original essay Data from the 2014 Kenya Demographic and Health Survey also shows that cancer is the second leading cause of death, after cardiovascular diseases, among non-communicable diseases. with a national case fatality rate of around 7%. The 2013 Kenya National Palliative Care Guidelines also estimate that more than 28,000 new cases of cancer are diagnosed each year and 22,100 people die from cancer each year. Even more so, Kenyans under the age of 75 face a 17% risk of contracting cancer and a 12% risk of dying from it (Ali, 2016). At Moi Teaching and Referral Hospital, Kenya's second largest hospital, data from Moi University's Eldoret Cancer Registry estimates that approximately 5,336 patients were diagnosed with cancer between 1996 and 2006 On average, around 671 cases of cancer were diagnosed each year. Solid tumors are the most common in the region and account for 79% of cancer patients, but a slight difference in disease pattern was noted. Unlike elsewhere, Ca. esophagus was the most common cancer in the region, while Ca. Cervical and Ca. prostate were the most common in women and men respectively. Therefore, as elsewhere in the world, cancer still represents a huge public health burden in MTRH and Kenya as a whole. (Tenge, Kuremu, Buziba, Patel, & Were, 2009). On the other hand, however, bone is the third most common site of metastatic disease after the liver and lungs, with the axial skeleton, i.e. the spine, being most commonly affected. A Joaquim 2015 Kassamali 2010 These bone metastases still pose a huge problem in orthopedic oncology despite progress and innovations in current treatment modalities. Kassamali 2010XX) It is estimated that more than 60-84% of all patients with metastatic cancer will eventually develop bone metastases and more than 40% of these will have spinal metastases. A Joaquim 2015 Lee 2011 Each year, approximately 5% of cancer patients develop spinal metastases. kassamali 2010Spinal metastases are usually associated with numerous skeletal-related events, which mainly include axial or radicular pain, pathological fractures, spinal cord compression, and hypercalcemia. These associated skeletal events represent a significant morbidity burden in patients with spinal metastases, potentially affecting patients' quality of life and, therefore, even shortening survival.lee 2011 Thanks to advances in cancer treatments, the duration Survival rates have improved significantly, even in patients with bone metastases, which in turn has led to an increase in the number of patients surviving with spinal metastases and associated cancer-induced bone pain. Curtin 2016 Laredo 2017 and Joaquim 2015 Spinal metastases are more common in elderly patients. The age range of patients with spinal metastases is between 40 and 60 years. Men over the age of 60 are at higher risk of developing spinal metastases than women of the same age group.max 2003 These usually include patients with advanced breast, prostate and prostate cancers. , lungs and/or kidneys, which represent approximately 85% of all cases of metastases. . felice 2017 This stage generally marks the end stage of the disease where palliative care and pain control are the best holistic treatment approaches. (XXXXX) The role of palliative care here does not have a curative purpose but aims to improve the patient's quality of life, the assessment and treatment of pain and physical and spiritual problems. (WHO) As pain is the most common and significant morbidity in cancer patients with spinal metastases xxxxxx, it is therefore important to adequately assess and manage pain in these patients because the survival of patients and improved quality of life have been strongly linked to optimal pain and pain. symptom control in cancer patients. (Milgrom 2017) Laredo 2017With the advancements and innovations in comprehensive cancer care and treatment modalities (i.e. palliative radiotherapy, surgery, chemotherapy) worldwide, there has been a huge improved ability to decrease tumor recurrence rates, quality of care and life, improve pain control, and reduce the need for pain medication. In fact, many patients with cancer and metastatic bone disease of the spine are now able to survive for a long time. The median survival of a patient with a solitary spinal metastasis is greater than 24 months, compared to 3 months for liver metastases. Curtin 2016 Felice 2017 However, cancer-induced pain remains the main symptom and cause of morbidity in these patients Kassamali 2017 who often receive inadequate management of their pain, which can be devastating to their quality of life. Breast 2013 Spinal metastases are the most common cause of this pain and, even worse, it is estimated that up to 85% of patients with spinal metastases experience varying degrees of pain. (Milgrom 2017) In 2017, KN Kimani et al reported that a study in Kenya found that many cancer patients suffered from unrelieved pain that became increasingly intolerable as the disease progressed and the patients were nearing the end of their lives. And despite the fact that there has been increased global awareness of cancer pain, little progress has been made in the treatment of cancer pain. visionMany studies have widely shown 2012)
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