BACKGROUND Globally, lung cancer is the most common cancer and cause of cancer-related deaths, responsible for nearly one in five deaths. Many health systems in low- and middle-income countries, including sub-Saharan Africa have weak organizational structure, which results in delayed lead time for lung cancer patient care continuum from diagnosis to palliative care. AIM To map evidence on the health systems issues impacting on the delays in timely lung cancer care continuum from diagnosis to palliative care in LMICs, including sub-Saharan Africa. METHODS A scoping review was performed following the method of Arksey and O'Malley. Systematic searches were performed using EBSCOhost platform, a keyword search from the following electronic databases were conducted: PubMed/MEDLINE, Google Scholar, Science Direct, World Health Organization (WHO) library, and grey literature. The screening was guided by the inclusion and exclusion criteria. The quality of the included studies was determined by Mixed Method Appraisal Tool (MMAT). RESULTS A total of 2886 articles were screened, and 236 met the eligibility criteria for this scoping review study. Furthermore, 155 articles were also excluded following abstract screening. Eighty-one articles were selected for full-article screening by two researchers with 10 being selected for independent detailed data extraction for synthesis. These studies were also subjected to methodological quality assessment. All included studies were conducted in LMICs mostly Asia, the Middle East, and Latin America and published between January 2008 and June 2018. The ten included studies described at least one interval in lung cancer care. CONCLUSIONS Reducing wait time across this care continuum is needed to improve easy access to healthcare, quality care, survival and patient outcomes, as many patients still face longer wait times for diagnosis and treatment of lung cancer than recommended in several healthcare settings. A multidisciplinary team approach will help to reduce wait time and ensure that all patients receive appropriate care. Interventions are needed to address delays in lung cancer care in LMICs. Health-care providers at all levels of care should be educated and equipped with skills to identify lung cancer symptoms and perform or refer for appropriate diagnostic tests.

中文翻译：

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卫生系统对中低收入国家肺癌的护理途径产生影响：一项范围界定性审查。

背景技术在全球范围内，肺癌是最常见的癌症，并且是与癌症相关的死亡的原因，几乎导致五分之一的死亡。低收入和中等收入国家（包括撒哈拉以南非洲）的许多卫生系统的组织结构较弱，这导致从诊断到姑息治疗的肺癌患者护理连续体的交货时间延迟。目的收集关于影响中低收入国家（包括撒哈拉以南非洲）从诊断到姑息治疗的及时肺癌治疗连续性延误的卫生系统问题的证据。方法按照Arksey和O'Malley的方法进行范围界定审查。使用EBSCOhost平台进行了系统搜索，并从以下电子数据库中进行了关键字搜索：PubMed / MEDLINE，Google Scholar，Science Direct，世界卫生组织（WHO）图书馆和灰色文献。筛选以纳入和排除标准为指导。纳入研究的质量由混合方法评估工具（MMAT）确定。结果总共筛选了2886篇文章，其中236篇符合该范围审查研究的入选标准。此外，摘要筛选后也排除了155条文章。两名研究人员选择了81篇文章进行全篇文章筛选，其中10篇被选择进行独立的详细数据提取以进行合成。这些研究还接受了方法学质量评估。所有纳入的研究均在亚洲，中东和拉丁美洲的中低收入国家进行，并于2008年1月至2018年6月发表。十项纳入研究描述了至少一项肺癌治疗间隔。结论需要缩短整个护理过程的等待时间，以改善获得医疗保健，优质护理，生存率和患者预后的便捷性，因为许多患者仍然面临比几种医疗机构建议的更长的肺癌诊断和治疗等待时间。多学科团队的方法将有助于减少等待时间，并确保所有患者都得到适当的护理。需要采取干预措施来解决LMIC中肺癌护理的延误。应当对各级保健人员进行教育，并使其具备识别肺癌症状，进行或推荐进行适当诊断测试的技能。生存率和患者预后，因为许多患者仍面临比几种医疗机构推荐的更长的肺癌诊断和治疗等待时间。多学科团队的方法将有助于减少等待时间，并确保所有患者都得到适当的护理。需要采取干预措施来解决LMIC中肺癌护理的延误。应当对各级保健人员进行教育，并使其具备识别肺癌症状，进行或推荐进行适当诊断测试的技能。存活率和患者预后，因为许多患者仍然面临比几种医疗机构推荐的更长的肺癌诊断和治疗等待时间。多学科团队的方法将有助于减少等待时间，并确保所有患者都得到适当的护理。需要采取干预措施来解决LMIC中肺癌护理的延误。应当对各级保健人员进行教育，并使其具备识别肺癌症状，进行或推荐进行适当诊断测试的技能。需要采取干预措施来解决LMIC中肺癌护理的延误。应当对各级保健人员进行教育，并使其具备识别肺癌症状，进行或推荐进行适当诊断测试的技能。需要采取干预措施来解决中低收入国家肺癌治疗的延误。应当对各级保健人员进行教育，并使其具备识别肺癌症状，进行或推荐进行适当诊断测试的技能。