Evidence map›Paper›PMID 33662756›Full record

ArticleBreast (Edinburgh, Scotland)2021

Comparing the cost of non-metastatic breast cancer care in a low-income vs a high-income country: A plea for an optimal allocation of health resources in Sub-Saharan Africa.

Mariana Brandão, Samantha Morais, Assucena Guisseve, Genoveva Bata, Marina Borges, Satish Tulsidás, Susana Pereira, Carla Carrilho, Nuno Lunet

Abstract read
In one paragraph

Article in Breast (Edinburgh, Scotland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Mariana BrandãoEPIUnit - Instituto de Saúde Pública, Universidade Do Porto, Rua Das Taipas 135, 4050-600, Porto, Portugal; Instituto Português de Oncologia Do Porto, Rua Dr. António Bernardino de Almeida 865, 4200-072, Porto, Portugal; Academic Trials Promoting Team, Institut Jules Bordet, Boulevard de Waterloo 121, 1000, Brussels, Belgium. Electronic address: mariana.brandao@bordet.be.
Samantha MoraisEPIUnit - Instituto de Saúde Pública, Universidade Do Porto, Rua Das Taipas 135, 4050-600, Porto, Portugal; Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade Do Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal. Electronic address: samantha.morais@ispup.up.pt.
Assucena GuisseveDepartment of Pathology, Faculty of Medicine, Eduardo Mondlane University, Avenida Salvador Allende 702, Maputo, Mozambique; Department of Pathology, Maputo Central Hospital, Avenida Eduardo Mondlane, 1653, Maputo, Mozambique. Electronic address: assucenaluis@hotmail.com.
Genoveva BataOncology Department, Maputo Central Hospital, Avenida Eduardo Mondlane, 1653, Maputo, Mozambique. Electronic address: veva.elain@gmail.com.
Marina BorgesInstituto Português de Oncologia Do Porto, Rua Dr. António Bernardino de Almeida 865, 4200-072, Porto, Portugal; Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Av. Padre Cruz, 1600-560, Lisboa, Portugal. Electronic address: marina.borges@ipoporto.min-saude.pt.
Satish TulsidásEPIUnit - Instituto de Saúde Pública, Universidade Do Porto, Rua Das Taipas 135, 4050-600, Porto, Portugal; Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade Do Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal; Oncology Department, Maputo Central Hospital, Avenida Eduardo Mondlane, 1653, Maputo, Mozambique. Electronic address: stulsidas@hotmail.com.
Susana PereiraEPIUnit - Instituto de Saúde Pública, Universidade Do Porto, Rua Das Taipas 135, 4050-600, Porto, Portugal; Instituto Português de Oncologia Do Porto, Rua Dr. António Bernardino de Almeida 865, 4200-072, Porto, Portugal. Electronic address: susana.pereira@ipoporto.min-saude.pt.
Carla CarrilhoDepartment of Pathology, Faculty of Medicine, Eduardo Mondlane University, Avenida Salvador Allende 702, Maputo, Mozambique; Department of Pathology, Maputo Central Hospital, Avenida Eduardo Mondlane, 1653, Maputo, Mozambique. Electronic address: carrilhocarla@hotmail.com.
Nuno LunetEPIUnit - Instituto de Saúde Pública, Universidade Do Porto, Rua Das Taipas 135, 4050-600, Porto, Portugal; Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade Do Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal. Electronic address: nlunet@med.up.pt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer incidence is rising in low-income countries, but there is limited information regarding health resource allocation for its care. We assessed the cost of care during the first three years after diagnosis in a low-income country (Mozambique; n = 162 women) and compared it with a high-income country (Portugal, n = 703 women). Local currency prices were converted to 2019 international dollars (Int$). In Mozambique, the median cost was lower than in Portugal (2888 vs 18,533 Int$, respectively) and did not vary across stage or tumor subtype. These findings may help improving resource allocation for breast cancer care in Sub-Saharan Africa, despite reflecting an underfunding of treatment in this setting.

Indexed as

Health ResourcesPovertyBreast NeoplasmsCosts and Cost AnalysisFemaleHumansIncomeMozambiquePortugalPregnancyProspective StudiesBreast neoplasmsCancer stagingCosts and cost analysisDeveloping countriesGlobal healthSub-Saharan Africa

Identifiers

PMID33662756
PMCPMC7930606

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.