Trial reportJournal of global oncology2019
Cluster Randomized Trial to Facilitate Breast Cancer Early Diagnosis in a Rural District of Rwanda.
Trial report in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.
What it found
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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
25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- A systematic review of public health interventions to address breast cancer inequalities in low- and middle-income countries.Systematic reviews · 2024Pooled it
- Training health workers in clinical breast examination for early detection of breast cancer in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Pooled it
- Health system factors that influence diagnostic and treatment intervals in women with breast cancer in sub-Saharan Africa: a systematic review.BMC public health · 2021Pooled it
- Receptor-Defined Breast Cancer in Five East African Countries and Its Implications for Treatment: Systematic Review and Meta-Analysis.JCO global oncology · 2021Pooled it
- Integrated Community-Clinic Model of Optimized Implementation Strategies to Increase Early Detection of Breast and Cervical Cancers in Kenya: Protocol for a Pragmatic Randomized Controlled Trial.JMIR research protocols · 2026Article
- Article
- Early experience scaling up a breast cancer early detection initiative integrated with cervical cancer screening in Rwanda.BMJ global health · 2025Article
- Barriers to Breast Cancer Care for Women Presenting at District and Regional-Level Hospitals in Ghana: Findings From the African Breast Cancer-Disparities in Outcomes Ghana Study.JCO global oncology · 2025Review
- Challenges and facilitators in pathways to cancer diagnosis in Southern Africa: a qualitative study.BMJ open · 2025Article
- Article
- A multi-phase structured cascade model for mass training of community healthcare workers in performing clinical breast exams in remote regions.Journal of global health · 2024Article
- An economic evaluation of breast cancer interventions in Kenya.EClinicalMedicine · 2024Article
- Barriers to Implementing a Quality Improvement Program in Low- and Middle-Income Countries: Adequacy of Resources.JCO global oncology · 2024Review
- Effectiveness of a Breast Cancer Educational Conference Targeting Healthcare Workers in Honduras.International journal of breast cancer · 2024Article
- Patients' experiences undergoing breast evaluation in Rwanda's Women's Cancer Early Detection Program.Breast cancer research and treatment · 2023Article
- Implementation research: including breast examinations in a cervical cancer screening programme, Rwanda.Bulletin of the World Health Organization · 2023Observational
- Integrating Breast Cancer Early Detection Into a Resource-Constrained Primary Health Care System: Health Care Workers' Experiences in Rwanda.JCO global oncology · 2022Article
- Improving identification of symptomatic cancer at primary care clinics: A predictive modeling analysis in Botswana.International journal of cancer · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFeasible and effective strategies are needed to facilitate earlier diagnosis of breast cancer in low-income countries. The goal of this study was to examine the impact of health worker breast health training on health care utilization, patient diagnoses, and cancer stage in a rural Rwandan district.
methodsWe conducted a cluster randomized trial of a training intervention at 12 of the 19 health centers (HCs) in Burera District, Rwanda, in 2 phases. We evaluated the trainings' impact on the volume of patient visits for breast concerns using difference-in-difference models. We used generalized estimating equations to evaluate incidence of HC and hospital visits for breast concerns, biopsies, benign breast diagnoses, breast cancer, and early-stage disease in catchment areas served by intervention versus control HCs.
resultsFrom April 2015 to April 2017, 1,484 patients visited intervention HCs, and 308 visited control HCs for breast concerns. The intervention led to an increase of 4.7 visits/month for phase 1 HCs (
conclusionIn this cluster randomized trial in rural Rwanda, the training of health workers and establishment of regular breast clinics were associated with increased numbers of patients who presented with breast concerns at health facilities, more breast biopsies, and a higher incidence of benign breast diagnoses and early-stage breast cancers.
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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.