The Forgotten Pillar: Cancer Rehabilitation in Developing Countries

Cancer is a devastating diagnosis, impacting not just a patient’s physical health, but also their emotional well-being and ability to function in daily life. While rehabilitation is a crucial part of cancer care in many developed countries, a new review highlights a critical gap – the lack of accessible and high-quality cancer rehabilitation services in low- and middle-income countries (LMICs).

Beyond Treatment: The Impact of Cancer

Cancer and its treatment can leave patients struggling with a variety of physical and emotional challenges. Fatigue, pain, weakness, and difficulty with daily activities like mobility and self-care are all common. Additionally, depression, anxiety, and social isolation can significantly impact quality of life.

Rehabilitation: The Bridge Back to a Fulfilling Life

Cancer rehabilitation is a comprehensive approach that addresses these challenges. Through physical therapy, occupational therapy, psychological counseling, and other interventions, rehabilitation helps patients regain strength, improve mobility, manage pain, and cope emotionally. This ultimately leads to a better quality of life and a return to an active and fulfilling life.

A Disparity in Care: The Gap in LMICs

While cancer rehabilitation is well-established in many high-income countries, the review paints a concerning picture for LMICs. These countries often lack the infrastructure, resources, and trained professionals to deliver comprehensive rehabilitation services to cancer patients.

Challenges and Opportunities: Bridging the Gap

The review identifies several key challenges hindering cancer rehabilitation in LMICs:

  • Limited Resources: Lack of funding, equipment, and trained personnel pose significant barriers.
  • Lack of Awareness: Both healthcare professionals and patients may not fully understand the benefits of rehabilitation.
  • Fragmented Systems: Disjointed healthcare systems can make it difficult for patients to access the various components of rehabilitation.

However, the review also highlights promising opportunities to improve the situation:

  • Collaboration: International partnerships and knowledge sharing can help build capacity and expertise in LMICs.
  • Task-shifting: Training other healthcare professionals to deliver specific rehabilitation services can address personnel shortages.
  • Telehealth: Utilizing technology for remote consultations and support can expand access to rehabilitation services.

A Call to Action: Investing in a Brighter Future

This review emphasizes the urgent need for improved access to cancer rehabilitation services in LMICs. By addressing the challenges and capitalizing on existing opportunities, stakeholders can ensure that all cancer patients, regardless of their location, have the chance to benefit from rehabilitation and live a full and meaningful life after their diagnosis. Investing in cancer rehabilitation is not just about treating the disease, but about empowering patients to thrive beyond cancer.

Sumadi Lukman Anwar, Guritno Adistyawan, Wahyu Wulaningsih, Christoph Gutenbrunner, Boya Nugraha. Rehabilitation for Cancer Survivors: How We Can Reduce the Healthcare Service Inequality in Low- and Middle-Income Countries. American Journal of Physical Medicine & Rehabilitation 97(10):p 764-771, October 2018. DOI: 10.1097/PHM.0000000000000982 

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