Evidence map›Paper›PMID 28804768›Full record

ArticleJournal of global oncology2015

Integration of Palliative Care Into Comprehensive Cancer Treatment at Moi Teaching and Referral Hospital in Western Kenya.

Kenneth Cornetta, Susan Kipsang, Gregory Gramelspacher, Eunyoung Choi, Colleen Brown, Adam B Hill, Patrick J Loehrer, Naftali Busakhala, F Chite Asirwa

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of global oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors at 1 institution in 2 countries.

Kenneth Cornetta, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Susan Kipsang, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Gregory Gramelspacher, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Eunyoung Choi, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Colleen Brown, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Adam B Hill, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Patrick J Loehrer, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Naftali Busakhala, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
F Chite Asirwa, and , School of Medicine, Indiana University; , Palliative Care Program, St. Vincent Indianapolis Hospital, Indianapolis, IN; , and , Moi Teaching and Referral Hospital; and and , Moi University, Eldoret, Kenya.
Seva Mandir · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe prognosis for the majority of patients with cancer in Kenya is poor, with most patients presenting with advanced disease. In addition, many patients are unable to afford the optimal therapies required. Therefore, palliative care is an essential part of comprehensive cancer care. This study reviews the implementation of a palliative care service based at the Moi Teaching and Referral Hospital in Eldoret, Kenya, and describes the current scope and challenges of providing palliative care services in an East African tertiary public referral hospital.

methodsThis is a review of the palliative care clinical services at the only tertiary public referral hospital in western Kenya from January 2012 through September 2014. Palliative care team members documented each patient's encounter on standardized palliative care assessment forms; data were then entered into the Academic Model Providing Access to Health Care (AMPATH)-Oncology database. Interviews were also conducted to identify current challenges and opportunities for program improvement.

resultsThis study documents the implementation of a palliative care service line in Eldoret, Kenya. Barriers to providing optimal palliative cancer care include distance to pharmacies that stock opioids, limited selection of opioid preparations, education of health care workers in palliative care, access to palliative chemoradiation, and limited availability of outpatient and inpatient hospice services.

conclusionPalliative care services in Eldoret, Kenya, have become a key component of its comprehensive cancer treatment program.

Identifiers

PMID28804768
PMCPMC5551647
OpenAlexW2231351101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.