Samuel Inshutiyimana, Olivier Uwishema, Nagham Ramadan, Zeina Al Maaz, Magda Wojtara
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The role of governments, healthcare professionals, and international organizations is also highlighted in this paper.</p><p><strong>Methods: </strong>A literature search was conducted by retrieving articles from PubMed and Google Scholar. Previous articles that discuss skin cancer, Mohs surgery, and cancer in Africa were analysed to understand the implementation aspects of Mohs surgery in Africa.</p><p><strong>Results: </strong>The implementation of Mohs surgery in Africa is very limited due to challenges such as inadequately trained healthcare professionals, costs associated with the surgery, and cultural beliefs and misconceptions. Nevertheless, telemedicine has been used in surgical consultations regarding the postoperative management of patients who undergo Mohs surgery.</p><p><strong>Conclusion: </strong>Despite advances in medicine, African dermatological health care remains underdeveloped. Therefore, increased investment in healthcare training, infrastructure development, and more African-based skin cancer studies are necessary and paramount factors for the expansion and accessibility of Mohs surgery in Africa.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11451233/pdf/","citationCount":"0","resultStr":"{\"title\":\"Challenges and opportunities for Mohs surgery implementation in African healthcare systems.\",\"authors\":\"Samuel Inshutiyimana, Olivier Uwishema, Nagham Ramadan, Zeina Al Maaz, Magda Wojtara\",\"doi\":\"10.1186/s12893-024-02588-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Skin cancer in African countries results primarily from exposure to high ambient ultraviolet radiation. 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Previous articles that discuss skin cancer, Mohs surgery, and cancer in Africa were analysed to understand the implementation aspects of Mohs surgery in Africa.</p><p><strong>Results: </strong>The implementation of Mohs surgery in Africa is very limited due to challenges such as inadequately trained healthcare professionals, costs associated with the surgery, and cultural beliefs and misconceptions. Nevertheless, telemedicine has been used in surgical consultations regarding the postoperative management of patients who undergo Mohs surgery.</p><p><strong>Conclusion: </strong>Despite advances in medicine, African dermatological health care remains underdeveloped. 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引用次数: 0
摘要
背景:在非洲国家,皮肤癌主要是由于暴露于高强度的环境紫外线辐射所致。它是一个新出现的公共卫生问题,但管理服务的改善有限。莫氏手术是治疗皮肤癌的著名外科手术,包括精确切除肿瘤和水平冷冻组织检查。众所周知,莫氏手术能最大限度地缩小缺损面积,改善患者预后。因此,莫氏手术对几乎所有非黑色素瘤皮肤癌都非常有效。尽管莫氏手术的潜力已得到证实,但在非洲的实施却面临着各种限制。本评论旨在深入探讨目前非洲医疗系统实施莫氏手术所面临的威胁和机遇。本文还强调了政府、医疗保健专业人员和国际组织的作用:通过从 PubMed 和 Google Scholar 检索文章进行文献检索。分析了以前讨论非洲皮肤癌、莫氏手术和癌症的文章,以了解莫氏手术在非洲的实施情况:结果:莫氏手术在非洲的实施非常有限,这是因为面临着各种挑战,如缺乏训练有素的医护人员、手术相关费用以及文化信仰和误解。尽管如此,远程医疗已被用于莫氏手术患者术后管理方面的手术咨询:尽管医学在不断进步,但非洲的皮肤病医疗保健仍不发达。因此,增加对医疗保健培训的投资、发展基础设施以及开展更多基于非洲的皮肤癌研究,都是在非洲扩大莫氏手术范围并提高其可及性的必要且重要因素。
Challenges and opportunities for Mohs surgery implementation in African healthcare systems.
Background: Skin cancer in African countries results primarily from exposure to high ambient ultraviolet radiation. It is an emerging public health issue with limited improvement in management services. Mohs surgery, a renowned surgical procedure in the treatment of skin cancer, involves exact tumor excision along with horizontal frozen tissue examination. It is known to minimize the defect size and improve patient outcomes. Therefore, Mohs surgery is highly effective for almost all nonmelanoma skin cancers. Despite its proven potential, the implementation of Mohs surgery in Africa faces various limitations. This commentary seeks to provide insights into the current threats and opportunities surrounding the execution of Mohs surgery in African healthcare systems. The role of governments, healthcare professionals, and international organizations is also highlighted in this paper.
Methods: A literature search was conducted by retrieving articles from PubMed and Google Scholar. Previous articles that discuss skin cancer, Mohs surgery, and cancer in Africa were analysed to understand the implementation aspects of Mohs surgery in Africa.
Results: The implementation of Mohs surgery in Africa is very limited due to challenges such as inadequately trained healthcare professionals, costs associated with the surgery, and cultural beliefs and misconceptions. Nevertheless, telemedicine has been used in surgical consultations regarding the postoperative management of patients who undergo Mohs surgery.
Conclusion: Despite advances in medicine, African dermatological health care remains underdeveloped. Therefore, increased investment in healthcare training, infrastructure development, and more African-based skin cancer studies are necessary and paramount factors for the expansion and accessibility of Mohs surgery in Africa.