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Barriers in access to care for patients with head and neck cancer in resource-limited settings: A systematic review

JAMA Otolaryngology—Head & Neck Surgery Jan 26, 2020

Beaudoin PL, et al. - Via exploring nine databases from their beginning to December 21, 2017: Africa-Wide Information, the Cochrane Library, Embase, Global Health, LILACS, MEDLINE, BIOSIS Previews, and Web of Science, researchers identified the barriers to care for individuals presenting with head and neck cancer in low-income and lower-middle-income countries. Of the 44 articles chosen for review, 18 met the criteria for selection. According to results, a low level of literacy was statistically correlated with a delayed presentation in eight articles, and lower socioeconomic status was statistically related to four articles. Qualitative articles recognized symptoms misunderstanding, alternative medicine use, and inability to access healthcare as factors linked to a delayed presentation. Findings from this study may help identify the clinical and social validity of a barrier to treatment in low-income and low-middle-income countries and may guide future work in this understudied area.
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