Evidence map›Paper›PMID 32637528›Full record

ArticleGynecologic oncology reports2020

A scoping review: Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings.

Amanda J Pierz, Thomas C Randall, Philip E Castle, Adebola Adedimeji, Charles Ingabire, Gallican Kubwimana, Francois Uwinkindi, Marc Hagenimana, Lydia Businge, Francoise Musabyimana and 2 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in Gynecologic oncology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 2% of its field
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

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  17. Quality of life among non-metastatic breast cancer survivors in Botswana.Journal of cancer survivorship : research and practice · 2025
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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

12 authors at 5 institutions in 2 countries.

Amanda J PierzDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Thomas C RandallDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.
Philip E CastleDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Adebola AdedimejiDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
Charles IngabireDivision of Clinical Education and Research, Rwanda Military Hospital, Kigali, Rwanda.
Gallican KubwimanaResearch for Development (RD Rwanda), Kigali, Rwanda.
Francois UwinkindiCancer Diseases Unit, Rwanda Biomedical Center, Kigali, Rwanda.
Marc HagenimanaCancer Diseases Unit, Rwanda Biomedical Center, Kigali, Rwanda.
Lydia BusingeDivision of Clinical Education and Research, Rwanda Military Hospital, Kigali, Rwanda.
Francoise MusabyimanaDivision of Clinical Education and Research, Rwanda Military Hospital, Kigali, Rwanda.
Athanase MunyanezaDivision of Clinical Education and Research, Rwanda Military Hospital, Kigali, Rwanda.
Gad MurenziDivision of Clinical Education and Research, Rwanda Military Hospital, Kigali, Rwanda.
Rwanda Military Hospital · RWAlbert Einstein College of Medicine · USRwanda Biomedical Center · RWMassachusetts General Hospital · USRwanda Development Board · RW

Funding

Einstein/Rwanda/DRC Consortium for Research in HIV/HPV/MalignanciesU54CA254568 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI YOTEBIENG, MARCEL · 2020 to 2024
$5.1M
Shared ResourcesU54CA190163 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ANASTOS, KATHRYN M., CASTLE, PHILIP E · 2014 to 2019
$4.1M
NCI NIH HHS U54 CA190163NCI NIH HHS U54 CA254568
6 · The paper itself

Abstract

To address gaps in access to cervical cancer screening and early diagnosis of breast cancer services in Sub-Saharan African (SSA), this scoping review was conducted to explore facilitators and barriers that exist on the patient-, provider-, and system-level. An extensive literature search was conducted in accordance with scoping review methodology and the Cochrane guidelines. Our search criteria were limited to original research studies conducted in community or clinical settings in SSA within the last 10 years (2010-2020). Themes found from this review included patient knowledge and provider education, access to screening services, trust, health-related behaviors, attitudes, values, and practices, community and social values, health infrastructure, resource allocation, and political will. Identified barriers included lack of knowledge about cervical and breast cancer among patients, gaps in education and training among providers, and lack of resources and health infrastructure at the facility level and within the overall health system. Facilitators included perceived risk of cancer, support and encouragement of the provider, and utilization of novel approaches in low-resource settings by health systems. To better address individual-, provider-, and health system and facility-based facilitators and barriers to care, there is a need for political and financial investment and further research on the health service delivery in specific national health systems, especially in the context of the global campaign to eliminate cervical cancer as a public health problem.

Indexed as

BarriersBreast cancerCancer preventionCervical cancerFacilitatorsSub-Saharan Africa

Identifiers

PMID32637528
PMCPMC7327246
OpenAlexW3036402276

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.