Evidence map›Paper›PMID 30782697›Full record

ArticleBMJ open2019

Social determinants and individual health-seeking behaviour among women in Kenya: protocol for a breast cancer cohort feasibility study.

Robai Gakunga, Zipporah Ali, Anne Korir, Asaph Wang'ombe Kinyanjui, Emily Ochieng', Nancy Gikaara, Florence Maluni, Sujha Subramanian

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Robai GakungaIndependent Research Scientist, Nairobi, Kenya.
Zipporah AliKenya Hospices and Palliative Care Association, Nairobi, Kenya.
Anne KorirKenya Cancer Association, Nairobi, Kenya.
Asaph Wang'ombe KinyanjuiKenya Hospices and Palliative Care Association, Nairobi, Kenya.
Emily Ochieng'Kenya Cancer Association, Nairobi, Kenya.
Nancy GikaaraKenya Hospices and Palliative Care Association, Nairobi, Kenya.
Florence MaluniKenya Cancer Association, Nairobi, Kenya.
Sujha SubramanianRTI International, Research Triangle Park, North Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA catastrophic 35% increase in the burden of breast cancer in Kenya has been predicted by 2025. Mitigating this burden is critical, and local research is necessary to generate the evidence to inform policy, public health and medical practice. Most of the knowledge available has been derived from studies in high-income countries that are not directly applicable due to economic, social, cultural and ethnic differences. At the time of writing this paper, we had no knowledge of any longitudinal cohort studies in sub-Saharan Africa of both breast cancer survivors and a matching cohort of women who have never had a diagnosis of cancer. We aim to assess feasibility of cohort studies in Kenya that consider clinical characteristics social determinants and individual health seeking behaviour. METHODS AND ANALYSIS: This study aims to inform best practices for initiating a longitudinal cohort study in Kenya. It is a two-pronged, prospective mixed methods study of women with and without a diagnosis of breast cancer with baseline data collection and one follow-up data collection approximately 3 months later by telephone. Quantitative and qualitative data will be collected concurrently, analysed separately and together to enrich understanding of concepts by triangulation. We aim to include 800 women aged 30-60 years: 400 in the survivorship cohort and 400 in the non-cancer cohort. Two focus group discussions from each cohort will be carried out to enhance understanding of concepts and to guide recommendations. ETHICS AND DISSEMINATION: Independent ethical approval was obtained from Kenyatta National Hospital-University of Nairobi Ethics and Research Committee and the Research Triangle Institute International. Only consenting participants will be enrolled. Counselling support, debriefing discussions and referrals for formal support services will be available for both participants and research assistants. Findings will be disseminated through publications, websites and presentations.

Indexed as

Health BehaviorSocial Determinants of HealthAdultBreast NeoplasmsCancer SurvivorsFeasibility StudiesFemaleFocus GroupsHumansKenyaLongitudinal StudiesMiddle AgedProspective StudiesResearch DesignSocioeconomic Factorsadult palliative carebreast tumoursepidemiologysocial medicine

Identifiers

PMID30782697
PMCPMC6352789

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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.