Evidence map›Paper›PMID 24934170›Full record

ArticleBreast disease2014

Characterizing breast cancer treatment pathways in Kumasi, Ghana from onset of symptoms to final outcome: outlook towards cancer control.

Samuel Scherber, Amr S Soliman, Baffour Awuah, Ernest Osei-Bonsu, Ernest Adjei, Frank Abantanga, Sofia D Merajver

Abstract read
In one paragraph

Article in Breast disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
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  5. Late-Stage Diagnosis of Breast Cancer in Ghana: Needs for Patient and Public Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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  11. Developing and Maintaining a Global Research Training Infrastructure for Cancer Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Samuel ScherberDepartment of Epidemiology, University of Michigan School of Public Health, Omaha, NE, USA.
Amr S SolimanCollege of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.
Baffour AwuahCentral Administration, Komfo Anokye Teaching Hospital, Omaha, NE, USA.
Ernest Osei-BonsuDepartment of Medical Oncology and Radiation, Komfo Anokye Teaching Hospital, Omaha, NE, USA.
Ernest AdjeiDepartment of Pathology, Komfo Anokye Teaching Hospital, Omaha, NE, USA.
Frank AbantangaDepartment of Surgery, Komfo Anokye Teaching Hospital, Omaha, NE, USA.
Sofia D MerajverDepartment of Epidemiology, University of Michigan School of Public Health, Omaha, NE, USA Department of Internal Medicine, University of Michigan, Omaha, NE, USA.

Funding

Cancer Epidemiology Education in Special Populations Program-15R25CA112383 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Amr Soliman · 2006 to 2026
$6.1M
NCI NIH HHS R25 CA112383NCI NIH HHS R25CA112383
6 · The paper itself

Abstract

backgroundCancer rates are increasing in Africa, including Ghana. Breast cancer is the second most common cancer in incidence and mortality in Ghana.

objectiveWe outlined both breast cancer patient characteristics and management at the Komfo Anokye Teaching Hospital (KATH), the main cancer management hospital in central Ghana. Moreover, we identified the treatment interventions predictive of patient outcome.

methodsMedical records of 597 breast cancer patients seen in 2008-2011 were abstracted to investigate management and treatment patterns. Abstracted variables included type and extent of surgery, number and cycles of chemotherapy and radiotherapy, as well as the course of treatment completed.

resultsLate stage at diagnosis was common, treatment plans of the study hospital were relatively standardized according to disease severity, and defaulting/interrupting treatment in the records was also common. Patients diagnosed with late stage cancer who received adjuvant therapy and patients with hormone status evaluation were more likely to have complied with treatment guidelines and continued oncotherapy at the study hospital than those who never had hormone status requested or reported.

conclusionsOur study lends support to improving patient outcomes in low- and middle-income countries through raising knowledge and reporting of tumor hormonal status and providing appropriately tailored treatment. Achieving improved outcomes should also consider enhancing public understanding of the importance of early detection and completion of treatment.

Indexed as

AdultAgedBreast NeoplasmsFemaleGhanaHumansLogistic ModelsMiddle AgedPatient Acceptance of Health CareBreast cancerdeveloping countries (LMIC)Ghanahealth systems navigation

Identifiers

PMID24934170
PMCPMC4158614

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.