Evidence map›Paper›PMID 30241200›Full record

ArticleJournal of global oncology2018

Improving Access to Cancer Testing and Treatment in Kenya.

Louise K Makau-Barasa, Sandra B Greene, Nicholas A Othieno-Abinya, Stephanie Wheeler, Asheley Skinner, Antonia V Bennett

Abstract read
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In one paragraph

Article in Journal of global oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

37 citing papers in PubMed, 1 synthesis or guideline 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

6 authors.

Louise K Makau-BarasaLouise K. Makau-Barasa, Sandra B. Greene, Stephanie Wheeler, and Antonia V. Bennett, University of North Carolina at Chapel Hill, Chapel Hill; Asheley Skinner, Duke University, Durham, NC; and Nicholas A. Othieno-Abinya, University of Nairobi, Nairobi, Kenya.
Sandra B GreeneLouise K. Makau-Barasa, Sandra B. Greene, Stephanie Wheeler, and Antonia V. Bennett, University of North Carolina at Chapel Hill, Chapel Hill; Asheley Skinner, Duke University, Durham, NC; and Nicholas A. Othieno-Abinya, University of Nairobi, Nairobi, Kenya.
Nicholas A Othieno-AbinyaLouise K. Makau-Barasa, Sandra B. Greene, Stephanie Wheeler, and Antonia V. Bennett, University of North Carolina at Chapel Hill, Chapel Hill; Asheley Skinner, Duke University, Durham, NC; and Nicholas A. Othieno-Abinya, University of Nairobi, Nairobi, Kenya.
Stephanie WheelerLouise K. Makau-Barasa, Sandra B. Greene, Stephanie Wheeler, and Antonia V. Bennett, University of North Carolina at Chapel Hill, Chapel Hill; Asheley Skinner, Duke University, Durham, NC; and Nicholas A. Othieno-Abinya, University of Nairobi, Nairobi, Kenya.
Asheley SkinnerLouise K. Makau-Barasa, Sandra B. Greene, Stephanie Wheeler, and Antonia V. Bennett, University of North Carolina at Chapel Hill, Chapel Hill; Asheley Skinner, Duke University, Durham, NC; and Nicholas A. Othieno-Abinya, University of Nairobi, Nairobi, Kenya.
Antonia V BennettLouise K. Makau-Barasa, Sandra B. Greene, Stephanie Wheeler, and Antonia V. Bennett, University of North Carolina at Chapel Hill, Chapel Hill; Asheley Skinner, Duke University, Durham, NC; and Nicholas A. Othieno-Abinya, University of Nairobi, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn response to the increasing cancer burden in Kenya, this study identified barriers to patients seeking access to cancer testing and treatment and to clinicians in delivering these services. Policy recommendations based on findings are presented.

methodsThis qualitative study used semistructured key informant interviews. Purposive sampling was used to recruit 14 participants: seven oncology clinicians and seven support and advocacy leaders for patients with cancer. Qualitative analysis was used to identify themes.

resultsSeven barriers to cancer testing and treatment were identified: high cost of testing and treatment, low level of knowledge about cancer among population and clinicians, poor health-seeking behaviors among population, long distances to access diagnostic and treatment services, lack of decentralized diagnostic and treatment facilities, poor communication, and lack of better cancer policy development and implementation.

conclusionKenyans seeking cancer services face significant barriers that result in late presentation, misdiagnosis, interrupted treatment, stigma, and fear. Four policy recommendations to improve access for patients with cancer are (1) improve health insurance for patients with cancer; (2) establish testing and treatment facilities in all counties; (3) acquire diagnosis and treatment equipment and train health personnel to screen, diagnose, and treat cancer; and (4) increase public health awareness and education about cancer to improve diagnoses and treatment. Effective cancer testing and treatment options can be developed to address cancer in a resource-constrained environment like Kenya. An in-depth look at effective interventions and policies being implemented in countries facing similar challenges would provide valuable lessons to Kenya's health sector and policymakers.

Indexed as

Health Services AccessibilityEarly Detection of CancerFemaleHealth BehaviorHealth CommunicationHealth EducationHealth ExpendituresHealth Knowledge, Attitudes, PracticeHealth PolicyHumansKenyaMaleNeoplasmsOncologistsPhysician-Patient Relations

Identifiers

PMID30241200
PMCPMC6180746

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.