TY  - JOUR
PY  - 2021//
TI  - Inmate cancer patient - Highlighting the importance of a holistic approach to oncological care
JO  - Journal of Balkan Union of Oncology
A1  - Tolia, M.
A1  - Symvoulakis, E.K.
A1  - Kamposioras, K.
A1  - Mauri, D.
A1  - Skoutari, A.
A1  - Volkos, P.
A1  - Schizas, D.
A1  - Spanos, A.
A1  - Kokakis, I.
A1  - Tsoukalas, N.
A1  - Charalampakis, N.
A1  - Cuccia, F.
A1  - Alongi, F.
A1  - de Mello, R.A.
A1  - Antoniou, K.M.
A1  - Hyphantis, T.
A1  - Nixon, I.
A1  - Matthaios, D.
A1  - Nikolaou, M.
A1  - de Lorenzo, F.
A1  - Apostolidis, K.
SP  - 2678
EP  - 2693
VL  - 26
IS  - 6
N2  - 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. <br><br>METHODS: PubMed, Cochrane Database of Controlled Trials, SCOPUS and grey literature were extensively searched up to October 2021. Incarcerated oncologic patients experience various everyday challenges:their confinement in high security facilities, the lack of access to critical care and related ethical dilemmas inherent to the context of a correctional facility. <br><br>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. <br><br>CONCLUSIONS: Correctional facilities must encourage teamwork between healthcare and correctional professionals in order to improve the provided anticancer care. © 2021 Zerbinis Publications. All rights reserved.<p /> <p>Language: en</p>
LA  - en
SN  - 1107-0625
UR  - http://dx.doi.org/
ID  - ref1
ER  -