JBJS - 2026-09-23 - Journal Article
Orthopaedic Oncology in India and Asia: A Report on Disease Burden, Access, Current Status, and Improving Care Delivery.
Puri A
Topics
Key Takeaway
Asia bears a disproportionate absolute share of the global sarcoma burden while facing systemic resource constraints that have driven indigenous limb-salvage prosthesis development and procedural innovation.
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Summary
This narrative report characterizes the disease burden, access disparities, and current state of orthopaedic oncology care across India and Asia. It identifies socioeconomic barriers to guideline-concordant sarcoma care and documents region-specific adaptations including indigenous limb-salvage implants and cost-constrained surgical strategies. Policy recommendations center on government-led initiatives, expanded specialist training, and intraregional collaboration.
Key Limitation
The absence of quantitative outcome data, incidence figures with confidence intervals, or institutional-level benchmarks prevents any evidence-based ranking of the proposed interventions.
Original Abstract
➢ Asia bears a disproportionate share of the global sarcoma burden in absolute terms, coupled with socioeconomic challenges.➢ Centers in Asia seek to deliver oncologically sound care while consciously optimizing resource utilization.➢ Providing the greatest overall benefit within the inherent constraints of a resource-limited setting has served as a stimulus for indigenous development of limb-salvage prostheses and innovative procedures.➢ Government-led policy initiatives, better opportunities for training for sarcoma specialists, and increased intraregional collaboration can bridge the existing disparities that are currently prevalent in sarcoma care in Asia.➢ Lessons learned from cancer care in Asia could help to define global priorities around sustainable health care.