investigator_user investigator user funding collaborators pending menu bell message arrow_up arrow_down filter layers globe marker add arrow close download edit facebook info linkedin minus plus save share search sort twitter remove user-plus user-minus
  • Project leads
  • Collaborators

African Esophageal Cancer Consortium (AfreCC)

Sanford Dawsey

19 Collaborator(s)

Background: Esophageal cancer is the 6th leading cause of cancer death worldwide. It kills 400,000 people every year, most of whom live in two distinct geographic bands across central Asia and along the eastern Africa corridor extending from Ethiopia to South Africa. In these high-risk areas, nearly all cases are esophageal squamous cell carcinoma (ESCC). Our group and others have performed many etiologic, genetic and early detection and treatment studies of ESCC in central Asia, but this disease remains essentially unstudied in eastern Africa. Over the past few years, several groups have begun quality studies of ESCC in Africa, including case-control studies in Dar es Salaam, Tanzania (UCSF and MUHAS); Eldoret, Kenya (IARC and Moi University); Moshi, Tanzania (IARC and Kilimanjaro Clinical Research Institute); Bomet, Kenya (NCI and Tenwek Hospital); and Lilongwe, Malawi (NCI and the UNC-Malawi Project). In November 2015 these groups met and decided to create an African Esophageal Cancer Consortium. Goals: The goals of the consortium are to raise awareness of the importance of ESCC in Africa, to coordinate etiologic and molecular studies of ESCC in the high risk populations, and to facilitate provision of therapeutic training and equipment aimed to improve survival and quality of life. Methods: The first coordinated activity was to standardize questionnaires, so that data can later be compared and combined. The consortium has embraced mobile health technologies through development of an mHealth app for real-time data capture on a phone/tablet, to collect harmonized data from the outset, increase efficiency, eliminate transcription mistakes, and allow real-time QC and supervision of field activities from any location. Outcomes: The consortium held its second annual meeting in September 2016. At this meeting the five member sites affirmed their commitment to the consortium, and the first study coordinator was named. Next Steps: The case-control studies in Moshi, Bomet and Lilongwe are using the mobile app. A case-control study in Dar es Salaam is complete (results pending). Coordinated GWAS and genomic studies are planned, with collection of biospecimens from multiple sites. The consortium is actively working with partners in China to provide affordable stents in Africa for palliative ESCC treatment, as well as secure training to safely and effectively place stents. Annual meetings will continue to follow-up on progress and to develop new initiatives.

Related projects