abstract: 'Women''s cancer rates are increasing in low- and middle-income countries,

  with presentations that are often far advanced requiring intense symptom

  management, thus advancing the urgent need to address palliative care.

  Most resource settings have some options available to assist women with

  advanced gynecologic cancer, and a combination of leveraging these and

  expanding on emerging models for palliative care could lessen suffering

  and improve care for women with gynecologic cancers globally. Providing

  palliative care for women with cancer is constrained by resources (human

  and physical), lack of equipment, lack of access, and policy absence or

  barriers. There is important work to be done in advocating for

  appropriate infrastructure development and legislation to assure that

  these options are available to women and their families. Access to

  adequate opioid and other pain relief options for cancer-related pain is

  a particular concern given that availability, cost, and legislative

  prohibitions create barriers that cause suffering for patients and grief

  for their families who are unable to address their suffering. All of

  these require ongoing advocacy for continual advances to improve access

  and infrastructure for palliative care.'
affiliation: 'Cain, JM (Corresponding Author), 3483 SW Patton Rd, Portland, OR 97201
  USA.

  Cain, Joanna M., Univ Massachusetts, Dept Obstet \& Gynecol, Worcester, MA 01605
  USA.

  Denny, Lynette, Univ Cape Town, Dept Obstet \& Gynecol, Groote Schuur Hosp, Cape
  Town, South Africa.

  Denny, Lynette, Univ Cape Town, South African Med Res Council, Gynaecol Canc Res
  Ctr, Cape Town, South Africa.'
author: Cain, Joanna M. and Denny, Lynette
author-email: Joanna.cain3@gmail.com
author_list:
- family: Cain
  given: Joanna M.
- family: Denny
  given: Lynette
da: '2023-09-28'
doi: 10.1002/ijgo.12624
eissn: 1879-3479
files: []
issn: 0020-7292
journal: INTERNATIONAL JOURNAL OF GYNECOLOGY \& OBSTETRICS
keywords: 'FIGO Cancer Report; Global palliative care; Gynecologic oncology;

  Women''s cancers'
keywords-plus: 'BOWEL OBSTRUCTION; LATIN-AMERICA; CHEMOTHERAPY; EXPERIENCE; AFRICA;

  PEOPLE; LIFE; LAST; HOME'
language: English
month: OCT
number: 2, SI
number-of-cited-references: '32'
pages: 153-158
papis_id: 2b482fe80103b9c7f4231fa779252b29
ref: Cain2018palliativecare
times-cited: '6'
title: 'Palliative care in women''s cancer care: Global challenges and advances'
type: article
unique-id: WOS:000446989500018
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '143'
web-of-science-categories: Obstetrics \& Gynecology
year: '2018'