The current state of oncological emergency services in Kenya: challenges and opportunities.

Cancer remains a leading cause of morbidity and mortality in Kenya, with the healthcare system increasingly challenged by oncologic emergencies (OEs)-acute, life-threatening complications that require immediate intervention. Although Kenya has advanced in decentralising cancer care through regional centres and expanding access to chemotherapy, radiotherapy and palliative care, a critical gap persists in the recognition and management of OEs. Conditions such as spinal cord compression, febrile neutropenia, tumour lysis syndrome and superior vena cava obstruction are common but often underdiagnosed or inadequately managed in acute settings. Poor outcomes are largely driven by workforce shortages, weak triage systems, financial toxicity and limited provider training. This paper calls for a national strategy to integrate OEs management into cancer centres and emergency departments through standardised clinical guidelines, capacity building, improved referral networks and inclusion in health insurance coverage. Strengthening infrastructure, workforce education and longitudinal research on OEs patterns will be essential to improving outcomes. A timely, coordinated response to OEs can substantially enhance survival, reduce complications and promote equitable access to life-saving care across Kenya.