Setting up an enhanced recovery after surgery (ERAS) programme in gynaecological oncology in low-to middle-income countries (LMIC): the challenges and opportunities
Keywords:
enhanced recovery after surger (ERAS), gynaecological oncology, low-to middle-income countriesAbstract
The International Agency for Research (IARC) has predicted a global increase of cancer by 54,5% by 2040 (Cancer Tomorrow tool), but this is more significant in low-to middle-income (LMIC) countries with a predicted increase of 88,6% in Africa. In terms of gynaecological malignancies, cervical cancer predominates in Africa and South Africa. There is a global predicted increase of 40% in both uterine and ovarian cancer by 2040, but a predicted increase of 96% and 88% of uterine and ovarian cancer in Africa, respectively.1 LMIC must be strategic in their cancer care planning: this includes revisiting resources such as systems for anticancer care. This includes surgery and surgical care pre- and postoperatively.