Evidence map›Paper›PMID 33680940›Full record

ArticleFrontiers in oncology2020

Hypofractionated Radiotherapy in African Cancer Centers.

William Swanson, Francesca Kamwa, Richard Samba, Taofeeq Ige, Nwamaka Lasebikan, Abba Mallum, Twalib Ngoma, Erno Sajo, Ahmed Elzawawy, Luca Incrocci and 1 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 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. Pooled it
  3. Article
  4. Article
  5. Democratizing FLASH Radiotherapy.Seminars in radiation oncology · 2024
    Review
  6. Radiation Therapy for Breast Cancer in Africa.Advances in radiation oncology · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  12. Review
  13. Article
  14. Quality of life in women with breast cancer treated at a radiotherapy centre in Caruaru, Pernambuco, Brazil.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  15. Article
  16. 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

11 authors.

William SwansonDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.
Francesca KamwaDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.
Richard SambaDepartment of Regulation and Regulatory Control, Cameroon National Radiation Protection Agency, Yaounde, Cameroon.
Taofeeq IgeDepartment of Medical Physics, National Hospital, Abuja, Nigeria.
Nwamaka LasebikanDepartment of Radiation Medicine, University of Nigeria-Teaching Hospital, Enugu, Nigeria.
Abba MallumDepartment of Oncology, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.
Twalib NgomaDepartment of Radiology/Radiotherapy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Erno SajoDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.
Ahmed ElzawawyDepartment of Clinical Oncology, Suez Canal University, Ismailia, Egypt.
Luca IncrocciDepartment of Radiotherapy, Erasmus MC, Rotterdam, Netherlands.
Wilfred NgwaDepartment of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, MA, United States.

Funding

Biomaterial Drones for Image-Guided Drug Delivery during radiotherapyR01CA239042 · NCI · JOHNS HOPKINS UNIVERSITY · PI NGWA, WILFRED · 2019 to 2023
$3.2M
NCI NIH HHS R01 CA239042
6 · The paper itself

Abstract

In the advent of the coronavirus disease (COVID-19) pandemic, professional societies including the American Society for Radiation Oncology and the National Comprehensive Cancer Network recommended adopting evidence-based hypofractionated radiotherapy (HFRT). HFRT benefits include reduction in the number of clinical visits for each patient, minimizing potential exposure, and reducing stress on the limited workforce, especially in resource-limited settings as in Low-and-Middle-Income Countries (LMICs). Recent studies for LMICs in Africa have also shown that adopting HFRT can lead to significant cost reductions and increased access to radiotherapy. We assessed the readiness of 18 clinics in African LMICs to adopting HFRT. An IRB-approved survey was conducted at 18 RT clinics across 8 African countries. The survey requested information regarding the clinic's existing equipment and human infrastructure and current practices. Amongst the surveyed clinics, all reported to already practicing HFRT, but only 44% of participating clinics reported adopting HFRT as a common practice. Additionally, most participating clinical staff reported to have received formal training appropriate for their role. However, the survey data on treatment planning and other experience with contouring highlighted need for additional training for radiation oncologists. Although the surveyed clinics in African LMICs are familiar with HFRT, there is need for additional investment in infrastructure and training as well as better education of oncology leaders on the benefits of increased adoption of evidence-based HFRT during and beyond the COVID-19 era.

Indexed as

Africacancerhypofractionationradiationradiotherapy

Identifiers

PMID33680940
PMCPMC7933544

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.