• Chandrakanth Are, Shilpa S Murthy, Richard Sullivan, Makayla Schissel, Sanjib Chowdhury, Olesegun Alatise, Daniel Anaya, Madhuri Are, Charles Balch, David Bartlett, Murray Brennan, Lydia Cairncross, Matthew Clark, DeoS V SSVSDepartment of Surgical Oncology, All India Institute of Medical Sciences, New Delhi, India., Vikas Dudeja, Domenico D'Ugo, Ibtihal Fadhil, Armando Giuliano, Satish Gopal, Lily Gutnik, Andre Ilbawi, Pankaj Jani, T Peter Kingham, Laura Lorenzon, Premila Leiphrakpam, Augusto Leon, Hector Martinez-Said, Kelly McMasters, David O Meltzer, Miriam Mutebi, Syed Nabeel Zafar, Vibhavari Naik, Lisa Newman, Alexandre Ferreira Oliveira, ParkDo JoongDJDepartment of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea., C S Pramesh, Saieesh Rao, T Subramanyeshwar Rao, Enrique Bargallo-Rocha, Anya Romanoff, Anne F Rositch, Isabel T Rubio, Heber Salvador de Castro Ribeiro, Eman Sbaity, Maheswari Senthil, Lynette Smith, Masakazi Toi, Kiran Turaga, Ujwal Yanala, Cheng-Har Yip, Ashraf Zaghloul, and Benjamin O Anderson.
• Division of Surgical Oncology, Department of Surgery, Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, USA. Electronic address: care@unmc.edu.
• Lancet Oncol. 2023 Dec 1; 24 (12): e472e518e472-e518.

AbstractThe first Lancet Oncology Commission on Global Cancer Surgery was published in 2015 and serves as a landmark paper in the field of cancer surgery. The Commission highlighted the burden of cancer and the importance of cancer surgery, while documenting the many inadequacies in the ability to deliver safe, timely, and affordable cancer surgical care. This Commission builds on the first Commission by focusing on solutions and actions to improve access to cancer surgery globally, developed by drawing upon the expertise from cancer surgery leaders across the world. We present solution frameworks in nine domains that can improve access to cancer surgery. These nine domains were refined to identify solutions specific to the six WHO regions. On the basis of these solutions, we developed eight actions to propel essential improvements in the global capacity for cancer surgery. Our initiatives are broad in scope, pragmatic, affordable, and contextually applicable, and aimed at cancer surgeons as well as leaders, administrators, elected officials, and health policy advocates. We envision that the solutions and actions contained within the Commission will address inequities and promote safe, timely, and affordable cancer surgery for every patient, regardless of their socioeconomic status or geographic location.Copyright © 2023 Elsevier Ltd. All rights reserved.

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