Evidence map›Paper›PMID 30433841›Full record

ArticleJournal of global oncology2018

Cost of Treating Pediatric Cancer at the Butaro Cancer Center of Excellence in Rwanda.

Claire Neal, Christian Rusangwa, Ryan Borg, Jean Claude Mugunga, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, Neo Tapela and 3 more

Open access · goldAbstract read
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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cancer centers of excellence for the multidisciplinary management of urologic cancers The intersection between education, research, and healthcare.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Review
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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

13 authors at 1 institution in 1 country.

Claire NealClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Christian RusangwaClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Ryan BorgClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Jean Claude MugungaClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Stephanie Kennell-HeilingClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Cyprien ShyirambereClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Natalie PritchettClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Clemence MuhayimanaClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Elisephan NtakirutimanaClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Neo TapelaClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Paul H ParkClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Lawrence N ShulmanClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Tharcisse MpungaClaire Neal, University of North Carolina, Chapel Hill, NC; Christian Rusangwa, Ryan Borg, Stephanie Kennell-Heiling, Cyprien Shyirambere, Natalie Pritchett, Clemence Muhayimana, Elisephan Ntakirutimana, and Paul H. Park, Partners in Health/Inshuti Mu Buzima, Kigali; Tharcisse Mpunga, Ministry of Health, Butaro, Rwanda; Jean Claude Mugunga, Partners in Health; Neo Tapela and Paul H. Park, Brigham and Women's Hospital, Boston, MA; and Lawrence N. Shulman, University of Pennsylvania, Philadelphia, PA.
Partners In Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImprovements in childhood survival rates have been achieved in low- and middle- income countries that have made a commitment to improve access to cancer care. Accurate data on the costs of delivering cancer treatment in these settings will allow ministries of health and donors to accurately assess and plan for expansions of access to care. This study assessed the financial cost of treating two common pediatric cancers, nephroblastoma and Hodgkin lymphoma, at the Butaro Cancer Center of Excellence in rural Rwanda.

methodsA microcosting approach was used to calculate the per-patient cost for Hodgkin lymphoma and nephroblastoma diagnosis and treatment. Costs were analyzed retrospectively from the provider perspective for the 2014 fiscal year. The cost per patient was determined using an idealized patient receiving a full course of treatment, follow-up, and recommended social support in accordance with the national treatment protocol for each cancer.

resultsThe cost for a full course of treatment, follow-up, and social support was determined to be between $1,490 and $2,093 for a patient with nephroblastoma and between $1,140 and $1,793 for a pediatric patient with Hodgkin lymphoma.

conclusionTask shifting, reduced labor costs, and locally adapted protocols contributed to significantly lower costs than those seen in middle- or high-income countries.

Indexed as

ChildChild, PreschoolFemaleHodgkin DiseaseHumansMaleRwandaSurvival RateWilms Tumor

Identifiers

PMID30433841
PMCPMC7010449
OpenAlexW2900929263

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.