Evidence map›Paper›PMID 33689484›Full record

ArticleJCO global oncology2021

Impact of COVID-19 on Cancer Care Delivery in Africa: A Cross-Sectional Survey of Oncology Providers in Africa.

Yehoda M Martei, Tara J Rick, Temidayo Fadelu, Mohammed S Ezzi, Nazik Hammad, Nasreen S Quadri, Belmira Rodrigues, Hannah Simonds, Surbhi Grover, Luca Incrocci and 1 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  12. COVID-19 impacts on healthcare access in sub-Saharan Africa: an overview.The journal of venomous animals and toxins including tropical diseases · 2023
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  17. Gynecologic radiation therapy in low and middle income countries during the COVID-19 pandemic.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022
    Review
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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

11 authors at 9 institutions in 6 countries.

Yehoda M MarteiDepartment of Medicine (Hematology-Oncology), University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-5631-1567
Tara J RickDepartment of Radiation Oncology, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-2806-5327
Temidayo FadeluDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-1323-4119
Mohammed S EzziUniversity of Nairobi, Nairobi, Kenya.ORCID 0000-0002-1502-8300
Nazik HammadQueen's University Cancer Center of Southeastern Ontario, Kingston Health Science Center, Kingston, ON, Canada.ORCID 0000-0003-3963-5815
Nasreen S QuadriAllina Health, St Paul, MN.ORCID 0000-0002-3236-0479
Belmira RodriguesAfrican Organization for Research and Training in Cancer, Cape Town, South Africa.
Hannah SimondsDivision of Radiation Oncology, Medical Imaging and Clinical Oncology, Tygerberg Academic Hospital, Cape Town, South Africa.ORCID 0000-0002-4442-6068
Surbhi GroverDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7443-5937
Luca IncrocciDepartment of Radiation Oncology, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0001-9994-763X
Verna VanderpuyeNational Center for Radiotherapy and Nuclear Medicine, Korle-Bu Teaching Hospital, Accra, Ghana.ORCID 0000-0003-3656-6965
Erasmus MC · NLUniversity of Pennsylvania · USAfrican Organisation for Research and Training in Cancer · ZAAllina Health · USDana-Farber Cancer Institute · USKorle Bu Teaching Hospital · GHQueen's University · CATygerberg Hospital · ZAUniversity of Nairobi · KE

Funding

Prognostic value of quantitative HPV viral load in determining cervical cancer treatment response and recurrenceK08CA230170 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GROVER, SURBHI · 2019 to 2023
$1.4M
Fidelity and adaptation of breast cancer resource-stratified treatment guidelines in BotswanaK01TW011481 · FIC · UNIVERSITY OF PENNSYLVANIA · PI MARTEI, YEHODA MARTEKI · 2020 to 2023
$548k
FIC NIH HHS K01 TW011481NCI NIH HHS K08 CA230170
6 · The paper itself

Abstract

purposeThe COVID-19 pandemic has disrupted cancer care globally. There are limited data of its impact in Africa. This study aims to characterize COVID-19 response strategies and impact of COVID-19 on cancer care and explore misconceptions in Africa.

methodsWe conducted a web-based cross-sectional survey of oncology providers in Africa between June and August 2020. Descriptive statistics and comparative analysis by income groups were performed.

resultsOne hundred twenty-two participants initiated the survey, of which 79 respondents from 18 African countries contributed data. Ninety-four percent (66 of 70) reported country mitigation and suppression strategies, similar across income groups. Unique strategies included courier service and drones for delivery of cancer medications (9 of 70 and 6 of 70, respectively). Most cancer centers remained open, but > 75% providers reported a decrease in patient volume. Not previously reported is the fear of infectivity leading to staff shortages and decrease in patient volumes. Approximately one third reported modifications of all cancer treatment modalities, resulting in treatment delays. A majority of participants reported ≤ 25 confirmed cases (44 of 68, 64%) and ≤ 5 deaths because of COVID-19 (26 of 45, 58%) among patients with cancer. Common misconceptions were that Africans were less susceptible to the virus (53 of 70, 75.7%) and decreased transmission of the virus in the African heat (44 of 70, 62.9%).

conclusionFew COVID-19 cases and deaths were reported among patients with cancer. However, disruptions and delays in cancer care because of the pandemic were noted. The pandemic has inspired tailored innovative solutions in clinical care delivery for patients with cancer, which may serve as a blueprint for expanding care and preparing for future pandemics. Ongoing public education should address COVID-19 misconceptions. The results may not be generalizable to the entire African continent because of the small sample size.

Indexed as

COVID-19NeoplasmsAfricaCross-Sectional StudiesDelivery of Health CareHumansPandemics

Identifiers

PMID33689484
PMCPMC8081536
OpenAlexW3135690901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.