Evidence map›Paper›PMID 31608156›Full record

ArticleFuture science OA2019

Analysis of management decisions and outcomes of a weekly multidisciplinary pediatric tumor board meeting in Uganda.

Paul E George, Geriga Fahdil, Israel Luutu, Alfred Bulamu, John Sekabira, Nasser Kakembo, Susan Nabadda, Sam Kalungi, Joyce B Kambugu

Abstract read
In one paragraph

Article in Future science OA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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.

Paul E GeorgeBaylor College of Medicine, Texas Children's Hospital, Houston, TX 77034, USA.ORCID https://orcid.org/0000-0002-7209-2827
Geriga FahdilDepartment of Pediatrics, Uganda Cancer Institute, Kampala, Uganda.
Israel LuutuDepartment of Pediatrics, Uganda Cancer Institute, Kampala, Uganda.
Alfred BulamuDepartment of Pediatrics, Uganda Cancer Institute, Kampala, Uganda.
John SekabiraMulago National Referral Hospital, Kampala, Uganda.
Nasser KakemboMulago National Referral Hospital, Kampala, Uganda.
Susan NabaddaMulago National Referral Hospital, Kampala, Uganda.
Sam KalungiMulago National Referral Hospital, Kampala, Uganda.
Joyce B KambuguDepartment of Pediatrics, Uganda Cancer Institute, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy of a pediatric multidisciplinary tumor board (MTB) in Uganda. PATIENTS &

methodsWe documented the discussion of cases presented at a pediatric MTB and subsequently, though retrospective chart review, determined the degree to which decision were implemented.

results95 patients were discussed. In total, 129 of 226 (57%) distinct management decisions reached during the MTBs were implemented. Of these, 15 resulted in changes in diagnosis and 53 were classified as major changes in management. Decisions on chemotherapy were the most likely to be successfully enacted (51/58), followed by radiotherapy (18/30) and surgery (12/21). Labs/consults were less likely to be implemented.

conclusionKey improvements, specifically in the documentation and implementation of management decisions, are needed to improve the MTB's efficacy.

Indexed as

Africamulti-disciplinary tumor boardpediatricUganda

Identifiers

PMID31608156
PMCPMC6787502

What OpenQuestion holds

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Registered trials

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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.