Evidence map›Paper›PMID 33216647›Full record

ArticleJCO global oncology2020

Impact of High-Dose-Rate Brachytherapy Training via Telehealth in Low- and Middle-Income Countries.

Jeremy B Hatcher, Oluwadamilola Oladeru, Betty Chang, Sameeksha Malhotra, Megan Mcleod, Adam Shulman, Claire Dempsey, Layth Mula-Hussain, Michael Tassoto, Peter Sandwall and 4 more

Open access · goldAbstract read
In one paragraph

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
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  4. Enhancing IMRT/VMAT Competencies in LMICs globally within radiation physicists through remote training.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
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  8. Article
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  10. Review
  11. The state of gynecologic radiation therapy in low- and middle-income countries.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022
    Review
  12. Article
  13. Article
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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

14 authors at 11 institutions in 3 countries.

Jeremy B HatcherRayos Contra Cancer, Nashville, TN.ORCID 0000-0001-6762-1010
Oluwadamilola OladeruRayos Contra Cancer, Nashville, TN.ORCID 0000-0002-3476-7790
Betty ChangRayos Contra Cancer, Nashville, TN.ORCID 0000-0002-7784-7694
Sameeksha MalhotraRayos Contra Cancer, Nashville, TN.
Megan McleodRayos Contra Cancer, Nashville, TN.ORCID 0000-0002-6290-5310
Adam ShulmanRayos Contra Cancer, Nashville, TN.
Claire DempseyCalvary Mater Newcastle Hospital, University of Newcastle, Newcastle, Australia.
Layth Mula-HussainRayos Contra Cancer, Nashville, TN.ORCID 0000-0003-0218-7270
Michael TassotoAllegheny Health Network, Pittsburgh, PA.
Peter SandwallOhioHealth, Mansfield, OH.ORCID 0000-0001-9962-7281
Sonja DieterichDepartment of Radiation Oncology, University of California Davis, Davis, CA.
Lina SuliemanDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN.
Dante RoaRayos Contra Cancer, Nashville, TN.ORCID 0000-0001-5700-8175
Benjamin LiRayos Contra Cancer, Nashville, TN.ORCID 0000-0002-1783-7013
Rayos Contra Cancer · USVanderbilt University · USAllegheny Health Network · USMassachusetts General Hospital · USOhioHealth Mansfield Hospital · USUniversity of California, Davis · USUniversity of California, Irvine · USUniversity of California, San Francisco · USUniversity of Ottawa · CAUniversity of Washington · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur objective was to demonstrate the efficacy of a telehealth training course on high-dose-rate (HDR) brachytherapy for gynecologic cancer treatment for clinicians in low- and middle-income countries (LMICs).

methodsA 12-week course consisting of 16 live video sessions was offered to 10 cancer centers in the Middle East, Africa, and Nepal. A total of 46 participants joined the course, and 22 participants, on average, attended each session. Radiation oncologists and medical physicists from 11 US and international institutions prepared and provided lectures for each topic covered in the course. Confidence surveys of 15 practical competencies were administered to participants before and after the course. Competencies focused on HDR commissioning, shielding, treatment planning, radiobiology, and applicators. Pre- and post-program surveys of provider confidence, measured by 5-point Likert scale, were administered and compared.

resultsForty-six participants, including seven chief medical physicists, 16 senior medical physicists, five radiation oncologists, and three dosimetrists, representing nine countries attended education sessions. Reported confidence scores, both aggregate and paired, demonstrated increases in confidence in all 15 competencies. Post-curriculum score improvement was statistically significant (

conclusionA 12-week, low-cost telehealth training program on HDR brachytherapy improved confidence in treatment delivery and teaching for clinicians in 10 participating LMICs.

Indexed as

BrachytherapyTelemedicineAfricaDeveloping CountriesFemaleHumansMiddle EastNepal

Identifiers

PMID33216647
PMCPMC7713515
OpenAlexW3098667913

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.