ArticleJCO global oncology2020
Infrastructural Challenges Lead to Delay of Curative Radiotherapy in Nigeria.
Article in JCO global oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Delays in seeking, reaching and access to quality cancer care in sub-Saharan Africa: a systematic review.BMJ open · 2023Pooled it
- Access to Radiation Therapy and Related Clinical Outcomes in Patients With Cervical and Breast Cancer Across Sub-Saharan Africa: A Systematic Review.JCO global oncology · 2023Pooled it
- Psychosocial influences on help-seeking behaviour for cancer in low-income and lower middle-income countries: a mixed-methods systematic review.BMJ global health · 2021Pooled it
- Review
- Detection and management of localized prostate cancer in Nigeria: barriers and facilitators according to patients, caregivers and healthcare providers.BMC health services research · 2024Article
- Factors Contributing to Postoperative Radiotherapy Delays in Head and Neck Cancer: A Comprehensive Review.Cureus · 2024Review
- Article
- Status of Government-Funded Radiotherapy Services in Nigeria.JCO global oncology · 2023Article
- Challenges and opportunities for implementing hypofractionated radiotherapy in Africa: lessons from the HypoAfrica clinical trial.Ecancermedicalscience · 2023Article
- Impact of surgery associated with radiotherapy on the prognosis of breast cancer - Guinea Breast Cancer Cohort Study.Cancer reports (Hoboken, N.J.) · 2022Article
- A Bone Scan Is Valuable for Primary Staging of Newly Diagnosed Prostate Cancer in a Low-Resource Setting (Nigeria).Nuclear medicine and molecular imaging · 2022Article
- Patient's Perspective on the Impact of COVID-19 on Cancer Treatment in Nigeria.JCO global oncology · 2022Article
- Strengthening Capacity for Prostate Cancer Early Diagnosis in West Africa Amidst the COVID-19 Pandemic: A Realist Approach to Rethinking and Operationalizing the World Health Organization 2017 Guide to Cancer Early Diagnosis.Annals of global health · 2022Article
- Radiotherapy resources in Africa: an International Atomic Energy Agency update and analysis of projected needs.The Lancet. Oncology · 2021Article
- Implementing Patient-Directed Cancer Education Materials Across Nigeria.JCO global oncology · 2021Article
- Cancer presentation patterns in Lagos, Nigeria: Experience from a private cancer center.Journal of public health in Africa · 2020Article
- Travails of Delivering Effective Radiotherapy in Nigeria.JCO global oncology · 2020Article
- Pattern of Emergency Presentation of Patients with Breast Cancer at the University of Benin Teaching Hospital.Journal of the West African College of SurgeonsArticle
- Leveraging HIV prevention programs for breast cancer interventions: A survey of women stakeholders in the informal work sector in Nigeria.Women's health (London, England)Article
- Challenges and Recommendations for Improving Cancer Research and Practice in Nigeria:Cancer control : journal of the Moffitt Cancer CenterArticle
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Abstract
purposeIn low- and middle-income countries, there has been an exponential increase in cancer incidence. According to the International Atomic Energy Agency, the biggest gap in radiotherapy availability and need is in Nigeria, where each machine serves an estimated 25.7 million people. This study aimed to characterize the barriers to radiotherapy and to identify areas for intervention.
methodsThis was a cross-sectional study conducted at the University College Hospital in Ibadan, Nigeria, from June 2017 to August 2017. Demographic, sociocultural, and infrastructural factors relating to radiotherapy were collected through a questionnaire (N = 186). Ordinal logistic regression was used to identify the factors leading to delays in referral and delays in treatment initiation.
resultsPatients traveled from 20 of Nigeria's 36 states. The median age was 50 years (range, 19-79 years). The most common cancers treated were breast (37.5%), cervical (16.3%), head and neck (11.9%), and prostate (10.9%). In ordinal logistic regression, sociocultural factors, including the inability to pay (odds ratio [OR], 1.99;
conclusionAlthough delays caused by patient factors are reported extensively, patients overcame these barriers in the hopes of curative treatment. However, staff and equipment malfunctions prevented patients from receiving timely radiotherapy. Policies aimed at addressing machine maintenance, health care worker satisfaction, and the aging power grid in Nigeria must be implemented in the future to strengthen the health care system to care for patients with cancer.
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