Evidence map›Paper›PMID 29207966›Full record

ArticleBMC cancer2017

Study protocol for a cluster-randomized trial to compare human papillomavirus based cervical cancer screening in community-health campaigns versus health facilities in western Kenya.

Megan J Huchko, James G Kahn, Jennifer S Smith, Robert A Hiatt, Craig R Cohen, Elizabeth Bukusi

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02124252 (Evaluation of a Community-Driven Cervical Cancer Prevention Strategy in Western Kenya), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT02124252 nacompletednot on this map

Evaluation of a Community-Driven Cervical Cancer Prevention Strategy in Western Kenya

TypeinterventionalSponsorDuke UniversityRan2016 to 2019Enrolled7,200ConditionsHuman Papilloma Virus Infection, Carcinoma in Situ of Uterine CervixArmsCommunity-based testing with standard linkage to care, Community-based HPV testing with enhanced linkage to care
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. A Qualitative Exploration of Women's Experiences with a Community Health Volunteer-Led Cervical Cancer Educational Module in Migori County, Kenya.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
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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

6 authors at 4 institutions in 2 countries.

Megan J HuchkoDuke University, Global Health Institute and Department of Obstetrics and Gynecology, 310 Trent Drive, Room 204, Durham, NC, 27708, USA. megan.huchko@duke.edu.
James G KahnDepartment of Epidemiology and Biostatistics, University of California San Francisco, Box 0560, San Francisco, CA, 94143-0560, USA.
Jennifer S SmithDepartment of Epidemiology, University of North Carolina, 2103 McGavran-Greenberg Hall Campus, Box# 7435, Chapel Hill, NC, 27599-7435, USA.
Robert A HiattDepartment of Epidemiology and Biostatistics, University of California San Francisco, Box 0560, San Francisco, CA, 94143-0560, USA.
Craig R CohenDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, Box 1280, 560 Mission Street, 3rd Floor, San Francisco, CA, 94143, USA.
Elizabeth BukusiKenya Medical Research Institute, Center for Microbiology Research, P.O. Box 54840 00200, Mbagathi Road, Nairobi, Kenya.
University of California, San Francisco · USDuke University · USUniversity of Nairobi · KEUniversity of North Carolina at Chapel Hill · US

Funding

Evaluating a community-driven cervical cancer prevention model in western KenyaR01CA188428 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUCHKO, MEGAN J. · 2014 to 2018
$2.5M
National Cancer Institute R01-CA188428NCI NIH HHS R01 CA188428
6 · The paper itself

Abstract

backgroundDespite guidelines for cervical cancer prevention in low-resource countries, a very small proportion of women in these settings undergo screening, and even fewer women are successfully treated. Using pilot data from western Kenya and World Health Organization recommendations, we developed a protocol to implement evidence-based cervical cancer screening and linkage to treatment strategies to the rural communities. We describe the protocol for a cluster-randomized trial to compare two implementation strategies for human-papillomavirus (HPV)-based cervical cancer screening program using metrics described in the RE-AIM (reach, efficacy, adaption, implementation and maintenance) framework.

methodsThe study is a three-year, two-phase cluster-randomized trial in 18 communities in western Kenya. During Phase 1, six control communities were offered screening in health facilities; and six intervention communities were offered screening in community health campaigns. Screening was done with human-papillomavirus testing through self-collected specimens. Phase 1 ended and we are working in partnership with communities to further contextualize the implementation strategy for screening, and develop an enhanced linkage to treatment plan. This plan will be tested in an additional six communities in Phase 2 (enhanced intervention). We will compare the reach, efficacy, cost-effectiveness and adaptability of the implementation strategies. DISCUSSION: Effective low-cost cervical cancer prevention technologies are becoming more widely available in low- and middle-income countries. Despite increasing government support for cervical cancer prevention, there remains a sizeable gap in service availability. We will use implementation science to identify the most effective strategies to fill this gap through development of context-specific evidence-based solutions. This protocol design and results can help guide implementation of cervical cancer screening in similar settings, where women are most underserved and at highest risk for disease.

trial registrationThis trial is registered at ClinicalTrials.gov , NCT02124252 .

Indexed as

Randomized Controlled Trials as TopicCluster AnalysisDNA, ViralEarly Detection of CancerFemaleHumansKenyaMolecular Diagnostic TechniquesPapillomaviridaePapillomavirus InfectionsRisk FactorsUterine Cervical NeoplasmsVaginal SmearsDNA, ViralCervical cancer screeningCommunity health campaignsHPV self-collectionImplementation scienceKenya

Identifiers

PMID29207966
PMCPMC5717798
OpenAlexW2772873441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.