Evidence map›Paper›PMID 29244986›Full record

ArticleJournal of global oncology2017

Breast Cancer in Ghana: Demonstrating the Need for Population-Based Cancer Registries in Low- and Middle-Income Countries.

Abigail S Thomas, Kelley M Kidwell, Joseph K Oppong, Ernest K Adjei, Ernest Osei-Bonsu, Angela Boahene, Evelyn Jiggae, Kofi Gyan, Sofia D Merajver

Open access · goldAbstract 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

26 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Palliative Treatment and Traditional Medicine Among Patients with Cancer in Kumasi, Ghana: Needs for Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  3. Review
  4. Review
  5. Late-Stage Diagnosis of Breast Cancer in Ghana: Needs for Patient and Public Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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 2 institutions in 2 countries.

Abigail S ThomasAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Kelley M KidwellAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Joseph K OppongAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Ernest K AdjeiAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Ernest Osei-BonsuAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Angela BoaheneAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Evelyn JiggaeAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Kofi GyanAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Sofia D MerajverAbigail S. Thomas, Kelley M. Kidwell, and Sofia D. Merajver, University of Michigan School of Public Health, and Evelyn Jiggae, University of Michigan School of Medicine Ann Arbor, MI; Joseph K. Oppong, Ernest K. Adjei, Ernest Osei-Bonsu, and Angela Boahene, Komfo Anokye Teaching Hospital, Kumasi, Ghana; and Kofi Gyan, Henry Ford Hospital, Detroit, MI.
Komfo Anokye Teaching Hospital · GHHenry Ford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose Breast cancer, the most common cancer worldwide, is the leading cause of cancer mortality in Ghanaian women. Previous studies find Ghanaian women are diagnosed at a younger age and at more advanced stages (III and IV), and have tumors with characteristics similar to African American women. We sought to remedy gaps in knowledge about breast cancer survival in Ghana and its relation to demographic and biologic factors of the tumors at diagnosis to assist in cancer control and registration planning. Methods Individuals with a breast cancer diagnosis who sought care at Komfo Anokye Teaching Hospital from 2009 to 2014 were identified via medical records. Follow-up telephone interviews were held to assess survival. Kaplan-Meier plots and Cox proportional hazards models assessed survival associated with clinical and demographic characteristics. Results A total of 223 patients completed follow-up and were analyzed. The median survival was 3.8 years. Approximately 50% of patients were diagnosed with grade 3 tumors, which significantly increased the risk of recurrence or death (hazard ratio [HR] for grade 2 versus 1, 2.98; 95% CI, 1.26 to 7.02; HR grade 3 v 1, 2.56; 95% CI, 1.08 to 6.07; P = .04). No other variables were significantly associated with survival. Conclusion Higher tumor grade was significantly associated with shorter survival, indicating impact of aggressive biology at diagnosis on higher risk of cancer spread and recurrence. Contrary to prevailing notions, telephone numbers were not reliable for follow-up. Collecting additional contact information will likely contribute to improvements in patient care and tracking. A region-wide population-based active registry is important to implement cancer control programs and improve survival in sub-Saharan Africa.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsFemaleGhanaHumansMiddle AgedPovertyRegistriesYoung Adult

Identifiers

PMID29244986
PMCPMC5735963
OpenAlexW2602742765

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.