ReviewThe Lancet. Oncology2019
Cancer control in the Pacific: big challenges facing small island states.
Review in The Lancet. Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Factors Associated with Low Screening Participation and Late Presentation of Cancer amongst Women in the Pacific Island Countries and Territories: A Systematic Review.Asian Pacific journal of cancer prevention : APJCP · 2021Pooled it
- A Population Based Analysis of Breast Cancer Outcomes Among Disaggregated Asian American and Pacific Islander Women.Annals of surgical oncology · 2026Article
- Precision Medicine in Treating Lung Cancer: A Narrative Review on Treatments Targeting Oncogenic Genetic Mutations.Cureus · 2026Review
- The global epidemiology of hepatocellular carcinoma.Hepatology communications · 2026Review
- An Integrated Academic Oncology Ecosystem for Hawai'i and the U.S.-Affiliated Pacific Islands.Cancers · 2026Article
- Assessing Surgical Capacity in Guam: Current Strengths and Future Goals.International journal of environmental research and public health · 2026Article
- Knee-Deep in Bias: When the Low-Probability Diagnosis of Double-Expressor Lymphoma Wins.Cureus · 2026Article
- What is the role of common sense oncology in the Western Pacific?The Lancet regional health. Western Pacific · 2025Review
- Differences in the incidence and mortality of tracheal, bronchus, and lung cancer between the Global Cancer Observatory 2022 and the Global Burden of Disease 2021.Journal of the National Cancer Center · 2025Article
- Palau: Non-Communicable Disease Off-Island Treatment Referrals 2020-2022.International journal of environmental research and public health · 2025Article
- Epidemiology of Cancer in the Fiji Islands: 2010 to 2018.Asia-Pacific journal of public health · 2025Article
- Building capacity to treat childhood cancer in Papua New Guinea: 'It's a multidisciplinary village'.Journal of global health · 2025Article
- A cross-sectional study of essential surgical, obstetric, and anaesthesia care capacity in the public sector in Fiji.PLOS global public health · 2025Article
- A Quantitative Analysis of Human and Material Resources for Endoscopy Services in Pacific Island Countries.JGH open : an open access journal of gastroenterology and hepatology · 2024Article
- Breast cancer incidence and stage at diagnosis in the six US-Affiliated Pacific Islands.Cancer epidemiology · 2024Article
- Prevalence and trends of cervical cancer screening among women in Fiji from 2014 to 2018.Heliyon · 2024Article
- Cancer screening programs in South-east Asia and Western Pacific.BMC health services research · 2024Review
- Cancer prevention and control in the USAPI: Participatory development and partnership - the voyage.Cancer control (Woodbridge, Suffolk, England) · 2024Article
- Assessment of essential surgical and anaesthesia care capacity: a cross-sectional study in five Pacific Island Countries.The Lancet regional health. Western Pacific · 2023Article
- Global Cancer Drug Development-A Report From the 2022 Accelerating Anticancer Agent Development and Validation Meeting.JCO global oncology · 2023Article
Corrections and comments
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Authors and funding
23 authors at 17 institutions in 10 countries.
Funding
Abstract
This Series paper describes the current state of cancer control in Pacific island countries and territories (PICTs). PICTs are diverse but face common challenges of having small, geographically dispersed, isolated populations, with restricted resources, fragile ecological and economic systems, and overburdened health services. PICTs face a triple burden of infection-related cancers, rapid transition to lifestyle-related diseases, and ageing populations; additionally, PICTs are increasingly having to respond to natural disasters associated with climate change. In the Pacific region, cancer surveillance systems are generally weaker than those in high-income countries, and patients often present at advanced cancer stage. Many PICTs are unable to provide comprehensive cancer services, with some patients receiving cancer care in other countries where resources allow. Many PICTs do not have, or have poorly developed, cancer screening, pathology, oncology, surgical, and palliative care services, although some examples of innovative cancer planning, prevention, and treatment approaches have been developed in the region. To improve cancer outcomes, we recommend prioritising regional collaborative approaches, enhancing cervical cancer prevention, improving cancer surveillance and palliative care services, and developing targeted treatment capacity in the region.
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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.