Evidence map›Paper›PMID 26932137›Full record

ArticleBMJ open2016

Effectiveness of a multicentre nasopharyngeal carcinoma awareness programme in Indonesia.

Renske Fles, Sagung R Indrasari, Camelia Herdini, Santi Martini, Atoillah Isfandiari, Achmad C Romdhoni, Marlinda Adham, Ika D Mayangsari, Erik van Werkhoven, Maarten A Wildeman and 6 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. The Epstein-Barr Virus Nuclear Antigen 1 Variant Associated with Nasopharyngeal Carcinoma Defines the Sequence Criteria for Serologic Risk Prediction.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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

16 authors.

Renske FlesDepartment of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Sagung R IndrasariDepartment of Otorhinolaryngology, Dr. Sardjito General Hospital, Faculty of Medicine Gadjah Mada University, Yogyakarta, Indonesia.
Camelia HerdiniDepartment of Otorhinolaryngology, Dr. Sardjito General Hospital, Faculty of Medicine Gadjah Mada University, Yogyakarta, Indonesia.
Santi MartiniDepartment of Public Health, Airlangga University, Surabaya, Indonesia.
Atoillah IsfandiariDepartment of Public Health, Airlangga University, Surabaya, Indonesia.
Achmad C RomdhoniDepartment of Otorhinolaryngology, Dr. Soetomo Hospital, Faculty of Medicine Airlangga University, Surabaya, Indonesia.
Marlinda AdhamDepartment of Otorhinolaryngology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Ika D MayangsariDepartment of Otorhinolaryngology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Erik van WerkhovenDepartment of Biometrics, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Maarten A WildemanDepartment of Otorhinolaryngology, Academic Medical Centre, Amsterdam, The Netherlands.
Bambang HariwiyantoDepartment of Otorhinolaryngology, Dr. Sardjito General Hospital, Faculty of Medicine Gadjah Mada University, Yogyakarta, Indonesia.
Bambang HermaniDepartment of Otorhinolaryngology, Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Widodo A KentjonoDepartment of Otorhinolaryngology, Dr. Soetomo Hospital, Faculty of Medicine Airlangga University, Surabaya, Indonesia.
Sofia M HaryanaDepartment of Histology, Cell and Tumour Biology, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
Marjanka K SchmidtDivision of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands Division of Molecular Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
I Bing TanDepartment of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands Department of Otorhinolaryngology, Dr. Sardjito General Hospital, Faculty of Medicine Gadjah Mada University, Yogyakarta, Indonesia Department of Oral and Maxillofacial Surgery, Academic medical Centre, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a nasopharyngeal carcinoma (NPC) awareness programme on the short-term and long-term improvement of knowledge and referral of patients with NPC by primary healthcare centres (PHCCs) staff in Indonesia.

designThe NPC awareness programme consisted of 12 symposia including a Train-The-Trainer component, containing lectures about early symptoms and risk factors of NPC, practical examination and the referral system for NPC suspects. Before and after training participants completed a questionnaire. The Indonesian Doctors Association accredited all activities.

participants1 representative general practitioner (GP) from each PHCC attended an NPC awareness symposium. On the basis of the Train-The-Trainer principle, GPs received training material and were obligated to train their colleagues in the PHCC.

results703 GPs attended the symposia and trained 1349 staff members: 314 other GPs, 685 nurses and 350 midwives. After the training, respondents' average score regarding the knowledge of NPC symptoms increased from 47 points (of the 100) to 74 points (p<0.001); this increase was similar between symposium and Train-The-Trainer component (p=0.88). At 1½ years after the training, this knowledge remained significantly increased at 59 points (p<0.001).

conclusionsThe initial results of this NPC awareness programme indicate that the programme effectively increases NPC knowledge in the short and long term and therefore should be continued. Effects of the improved knowledge on the stage at diagnoses of the patients with NPC will still need to be scrutinised. This awareness programme can serve as a blueprint for other cancer types in Indonesia and for other developing countries.

Indexed as

Health Knowledge, Attitudes, PracticeCarcinomaDeveloping CountriesGeneral PractitionersHumansIndonesiaLogistic ModelsNasopharyngeal CarcinomaNasopharyngeal NeoplasmsPrimary Health CareReferral and ConsultationRisk FactorsSurveys and QuestionnairesawarenessMEDICAL EDUCATION & TRAININGnasopharyngeal carcinoma

Identifiers

PMID26932137
PMCPMC4785340

What OpenQuestion holds

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Registered trials

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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.