Evidence map›Paper›PMID 28951987›Full record

ArticleBreast cancer research and treatment2018

Ethnicity and breast cancer characteristics in Kenya.

Shahin Sayed, Zahir Moloo, Ronald Wasike, Peter Bird, Raymond Oigara, Faith Wambui Njoroge, Asim Jamal Shaikh, Satya Vara Prasad, Sudhir Vinayak, Gretchen L Gierach and 27 more

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Article in Breast cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 45% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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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

37 authors at 11 institutions in 3 countries.

Shahin SayedDepartment of Pathology, Aga Khan University Hospital, Nairobi, Kenya. shaheen.sayed@aku.edu.ORCID 0000-0002-3472-511X
Zahir MolooDepartment of Pathology, Aga Khan University Hospital, Nairobi, Kenya.
Ronald WasikeDepartment of Surgery, Aga Khan University Hospital, Nairobi, Kenya.
Peter BirdDepartment of Surgery, AIC Kijabe Hospital, Kijabe, Kenya.
Raymond OigaraDepartment of Surgery, St. Mary's Mission Hospital, Nairobi, Kenya.
Faith Wambui NjorogeDepartment of Surgery, Nyeri Provincial General Hospital, Nyeri, Kenya.
Asim Jamal ShaikhDepartment of Medical Oncology, Aga Khan University Hospital, Nairobi, Kenya.
Satya Vara PrasadDepartment of Pathology, Aga Khan Hospital, Kisumu, Kenya.
Sudhir VinayakDepartment of Radiology, Aga Khan University Hospital, Nairobi, Kenya.
Gretchen L GierachDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Sanford M DawseyDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Maya PalakalDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Shaoqi FanDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Maeve MulloolyDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Rajendra ChauhanDepartment of Surgery, Aga Khan University Hospital, Nairobi, Kenya.
Patricia OkiroDepartment of Pathology, Aga Khan University Hospital, Nairobi, Kenya.
Samuel GakinyaDepartment of Pathology, Aga Khan University Hospital, Nairobi, Kenya.
Ancent NziokaDepartment of Pathology, AIC Kijabe Hospital, Kijabe, Kenya.
Catherine KyobutungiEpidemiology, African Population And Health Research Centre (APHRC), Nairobi, Kenya.
Shukri MohamedEpidemiology, African Population And Health Research Centre (APHRC), Nairobi, Kenya.
Tilahun HareguEpidemiology, African Population And Health Research Centre (APHRC), Nairobi, Kenya.
Mustafa MussajeeDivision of Surgery, Kenyatta National Hospital, Nairobi, Kenya.
Betty BonassDepartment of Radiology, Kenyatta National Hospital, Nairobi, Kenya.
Costa MariwaDepartment of Surgery, Aga Khan Hospital, Kisumu, Kenya.
Omar Ali ShermanDepartment of Pathology, Aga Khan Hospital, Mombasa, Kenya.
Abdihakim MohammedDepartment of Surgery, Aga Khan Hospital, Mombasa, Kenya.
Andrew GachiiDepartment of Human Pathology, Kenyatta National Hospital, Nairobi, Kenya.
Joseph GithaigaDivision of Surgery, Kenyatta National Hospital, Nairobi, Kenya.
Joseph KaranuDepartment of Surgery, St. Mary's Mission Hospital, Nairobi, Kenya.
Robert NyagahDepartment of Surgery, St. Mary's Mission Hospital, Nairobi, Kenya.
Richard NjorogeDepartment of Pathology, Garissa Provincial General Hospital, Garissa, Kenya.
Irene MurambaDepartment of Pathology, Coast Provincial General Hospital, Mombasa, Kenya.
James Obondi OtienoDepartment of Surgery, New Nyanza Provincial General Hospital, Kisumu, Kenya.
Dan Omondi RaburuDepartment of Surgery, New Nyanza Provincial General Hospital, Kisumu, Kenya.
Elizabeth B MwachiroDepartment of Surgery, Tenwek Hospital, Tenwek, Kenya.
Innocent AbayoDepartment of Pathology, Aga Khan University Hospital, Nairobi, Kenya.
Mansoor SalehDivision of Haematology & Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Aga Khan University Hospital Nairobi · KENational Cancer Institute · USKenyatta National Hospital · KEAfrican Population and Health Research Center · KEAga Khan Hospital, Kisumu · KEAga Khan Hospital, Mombasa · KEKijabe Hospital · KEKisii University · KETenwek Hospital · KEUniversity Hospital of Larissa · GRUniversity of Alabama at Birmingham · US

Funding

Upper Gastrointestinal Cancer StudiesZIACP000185 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ABNET, CHRISTIAN · 2009 to 2025
$25.6M
GlaxoSmithKline 2011-GSK-ERIIntramural NIH HHS ZIA CP000185NULL ZIA CP000185-12
6 · The paper itself

Abstract

purposeThere are no published data from specific regions of sub-Saharan Africa describing the clinical and pathological characteristics and molecular subtypes of invasive breast cancer by ethnic group. The purpose of this study was to investigate these characteristics among the three major ethno-cultural groupings in Kenya.

methodsThe study included women with pathologically confirmed breast cancer diagnosed between March 2012 and May 2015 at 11 hospitals throughout Kenya. Sociodemographic, clinical, and reproductive data were collected by questionnaire, and pathology review and immunohistochemistry were performed centrally.

resultsThe 846 cases included 661 Bantus (78.1%), 143 Nilotes (16.9%), 19 Cushites (2.3%), and 23 patients of mixed ethnicity (2.7%). In analyses comparing the two major ethnic groups, Bantus were more educated, more overweight, had an older age at first birth, and had a younger age at menopause than Nilotes (p < 0.05 for all comparisons). In analyses restricted to definitive surgery specimens, there were no statistically significant differences in tumor characteristics or molecular subtypes by ethnicity, although the Nilote tumors tended to be larger (OR for ≥ 5 cm vs. < 2 cm: 3.86, 95% CI 0.77, 19.30) and were somewhat more likely to be HER2 enriched (OR for HER2 enriched vs. Luminal A/B: 1.41, 95% CI 0.79, 2.49).

conclusionThis case series showed no significant differences in breast cancer tumor characteristics or molecular subtypes, but significant differences in sociodemographic characteristics and reproductive factors, among the three major ethnic groups in Kenya. We suggest further evaluation of ethnic differences in breast cancer throughout the genetically and culturally diverse populations of sub-Saharan Africa.

Indexed as

AdultAfrica South of the SaharaAgedBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesEthnicityFemaleHumansKenyaMiddle AgedSurveys and QuestionnairesErb-b2 Receptor Tyrosine KinasesBreast cancerEthnic differencesEthnicityKenyaSub-Saharan Africa

Identifiers

PMID28951987
PMCPMC5792313
OpenAlexW2758641176

What OpenQuestion holds

Textmetadata
LicenceTDM
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.