Evidence map›Paper›PMID 29094102›Full record

ArticleJournal of global oncology2017

Project ECHO: A Telementoring Program for Cervical Cancer Prevention and Treatment in Low-Resource Settings.

Melissa S Lopez, Ellen S Baker, Andrea M Milbourne, Rose M Gowen, Ana M Rodriguez, Cesaltina Lorenzoni, Catherine Mwaba, Susan Citonje Msadabwe, José Humberto Tavares, Georgia Fontes-Cintra and 14 more

Abstract read
In one paragraph

Article in Journal of global oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

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

  1. Pooled it
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  20. Building bridges between clinic and community: Supporting patients and caregivers living in rural and remote Canada.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2023
    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

24 authors.

Melissa S Lopez, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Ellen S Baker, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Andrea M Milbourne, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Rose M Gowen, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Ana M Rodriguez, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Cesaltina Lorenzoni, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Catherine Mwaba, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Susan Citonje Msadabwe, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
José Humberto Tavares, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Georgia Fontes-Cintra, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Gustavo Zucca-Matthes, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Donato Callegaro-Filho, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Danielle Ramos-Martin, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Icaro Thiago de Carvalho, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Robson Coelho, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Renato Moretti Marques, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Thiago Chulam, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Mila Pontremoli-Salcedo, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Fernanda Nozar, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Veronica Fiol, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Mauricio Maza, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Sanjeev Arora, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Ernest T Hawk, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.
Kathleen M Schmeler, , , , and , The University of Texas MD Anderson Cancer Center, Houston; , Su Clinica Familiar, Brownsville; , The University of Texas Medical Branch, Galveston, TX; , Hospital Central de Maputo, Maputo, Mozambique; , , Cancer Diseases Hospital, Lusaka, Zambia; , , , and , Hospital de Cancer de Barretos, Barretos; , , , and , Hospital Israelita Albert Einstein; , A.C. Camargo Cancer Center, Sao Paulo; , Federal University of Health Sciences/Santa Casa de Misericordia, Porto Alegre, Brazil; and , Universidad de la Republica, Montevideo, Uruguay; , Basic Health International, San Salvador, El Salvador; and , University of New Mexico, Albuquerque, NM.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical cancer incidence and mortality rates are significantly higher in low- and middle-income countries compared with the United States and other developed countries. This disparity is caused by decreased access to screening, often coupled with low numbers of trained providers offering cancer prevention and treatment services. However, similar disparities are also found in underserved areas of the United States, such as the Texas-Mexico border, where cervical cancer mortality rates are 30% higher than in the rest of Texas. To address these issues, we have adopted the Project ECHO (Extension for Community Healthcare Outcomes) program, a low-cost telementoring model previously proven to be successful in increasing local capacity, improving patient management skills, and ultimately improving patient outcomes in rural and underserved areas. We use the Project ECHO model to educate local providers in the management of cervical dysplasia in a low-resource region of Texas and have adapted it to inform strategies for the management of advanced cervical and breast cancer in Latin America and sub-Saharan Africa. This innovative approach, using ECHO, is part of a larger strategy to enhance clinical skills and develop collaborative projects between academic centers and partners in low-resource regions.

Identifiers

PMID29094102
PMCPMC5646881

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