Evidence map›Paper›PMID 33082847›Full record

ReviewEcancermedicalscience2020

Radiotherapy waiting time in Northern Nigeria: experience from a resource-limited setting.

Nuhu Tumba, Sunday Adeyemi Adewuyi, Kelechi Eguzo, Adeniyi Adenipekun, Rasaaq Oyesegun

Abstract readReview
In one paragraph

Review in Ecancermedicalscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Prostate cancer in Nigeria: a scoping review and meta-analysis of current evidence on process indicators and interventions.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2025
    Pooled it
  2. Barriers to Radiotherapy Access in Sub-Saharan Africa for Patients with Cancer: A Systematic Review.International journal of environmental research and public health · 2024
    Pooled it
  3. Pooled it
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  8. Radiotherapy in Nigeria: a silent emergency in cancer care.Annals of medicine and surgery (2012) · 2025
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  15. Prostate Cancer Management in Nigeria: A mini-review of up-to-date treatment options.Nigerian medical journal : journal of the Nigeria Medical Association
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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

5 authors.

Nuhu TumbaDepartment of Radiology, Division of Radiation/Clinical Oncology Bingham University Teaching Hospital, Jos 930214, Nigeria.
Sunday Adeyemi AdewuyiDepartment of Radiotherapy & Oncology Ahmadu Bello University Teaching Hospital, Zaria 810105, Nigeria.
Kelechi EguzoDepartment of Obstetrics & Gynaecology, University of Saskatchewan, S4N 2B7, Canada.
Adeniyi AdenipekunDepartment of Radiation Oncology, University College Hospital, Ibadan 200284, Nigeria.
Rasaaq OyesegunDepartment of Radiotherapy & Oncology, National Hospital Abuja 900211, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess and availability of radiotherapy treatment is limited in most low- and middle-income countries, which leads to long waiting times and poor clinical outcomes. The aim of our study is to determine the magnitude of waiting times for radiotherapy in a resource-limited setting.

methodsThis is a retrospective cohort study of patients with the five most commonly treated cancers managed with radiotherapy between 2010 and 2014. Data includes diagnosis, patients' demographics and treatment provided. The waiting time was categorised into intervals (1) between diagnosis and first radiation consultation (2) First consultation to radiotherapy treatment (3) Decision-to-treat to treatment and (4) Diagnosis to treatment.

resultsA total of 258 cases were involved, including cervical (50%; 129/258), breast (27.5%; 71/258), nasopharynx (12.8%; 33/258), colorectal (5%; 13/258) and prostate cancers (4.7%; 12/258). Mean age was 48 (±12.9) years. Treatment with radical intent comprised 67% (178/258) of cases, while 33% (80/258) had palliative treatment. The median time from diagnosis to first radiation consultation was 40 (IQR 17-157.75) days for all the patients, with prostate cancer having the longest time - 305 days (IQR 41-393.8). The median time between the first radiation oncology consultations and first radiotherapy treatment was 130.5 (IQR 14-211.5) days; cervical cancer patients waited a median of 139 (IQR 13-195.5) days. The median time between diagnosis and first radiotherapy for breast cancer patients was 329 (IQR 207-464) days, compared to 213 (IQR 101.5-353.5) days for all the patients.

conclusionThe study shows that waiting time for radiotherapy in Nigeria was generally longer than what is recommended internationally. This reflects the need to improve access to radiotherapy in order to improve cancer treatment outcomes in resource-limited settings.

Indexed as

radiotherapyresource-limited-settingwaiting time

Identifiers

PMID33082847
PMCPMC7532027

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.