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Inmate cancer patient - Highlighting the importance of a holistic approach to oncological care
Journal of B.U.ON. ; 26(6):2678-2693, 2021.
Article in English | EMBASE | ID: covidwho-1813076
ABSTRACT

Purpose:

Inmate oncologic patients' rates increased drastically worldwide. Elderly, limited exercise, unhealthy diet, hepatitis, HIV + status, tobacco and alcohol use, constitute the main cancer risk factors. We present an outline of practical oncological management and ethical thinking, in the specific environment of a detention facility.

Methods:

PubMed, Cochrane Database of Controlled Trials, SCOPUS and grey literature were extensively searched up to October 2021. Incarcerated oncologic patients experience various everyday challengestheir confinement in high security facilities, the lack of access to critical care and related ethical dilemmas inherent to the context of a correctional facility.

Results:

The detention facilities may be inadequate in providing early cancer diagnosis and appropriate care mainly due to a lack of specialized personnel, b) in-house or in external specialized cancer hospitals, care variability (e.g. admissions in small local or regional hospitals), c) delays in providing access and d) gatekeeper systems. There is a paucity of administration of a)systemic therapy (chemotherapy, targeted drug therapy etc),b)radiotherapy, c) palliative care, and d)enrollment in clinical trials.

Conclusions:

Correctional facilities must encourage teamwork between healthcare and correctional professionals in order to improve the provided anticancer care.
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Collection: Databases of international organizations Database: EMBASE Topics: Traditional medicine Language: English Journal: Journal of B.U.ON. Year: 2021 Document Type: Article

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Collection: Databases of international organizations Database: EMBASE Topics: Traditional medicine Language: English Journal: Journal of B.U.ON. Year: 2021 Document Type: Article