Evidence map›Paper›PMID 34244896›Full record

ArticleCancer causes & control : CCC2021

Prostate cancer survival in sub-Saharan Africa by age, stage at diagnosis, and human development index: a population-based registry study.

Tobias P Seraphin, Walburga Y Joko-Fru, Shyam S Manraj, Eric Chokunonga, Nontuthuzelo I M Somdyala, Anne Korir, Guy N'Da, Anne Finesse, Henry Wabinga, Mathewos Assefa and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06630962 (Evaluating the Impact of Financial Navigation on Financial Catastrophe and Distress for Cancer Care), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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.

NCT06630962 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluating the Impact of Financial Navigation on Financial Catastrophe and Distress for Cancer Care: A Randomized Control Trial- COST-FIN

TypeinterventionalSponsorNorthwestern UniversityRan2024 to 2026Enrolled200ConditionsBreast Neoplasm, Prostate Neoplasm, Colon Neoplasm, Rectal NeoplasmArmsFinancial Navigation Program
3 · Its place in the literature

Who cites it

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

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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

16 authors.

Tobias P SeraphinInstitute of Medical Epidemiology, Biostatistics, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg, Magdeburgerstrasse 8, 06097, Halle (Saale), Germany.
Walburga Y Joko-FruAfrican Cancer Registry Network, INCTR African Registry Programme, Oxford, UK.
Shyam S ManrajMauritius National Cancer Registry, Candos, Mauritius.
Eric ChokunongaZimbabwe National Cancer Registry, Harare, Zimbabwe.
Nontuthuzelo I M SomdyalaEastern Cape Cancer Registry, South African Medical Research Council, Tygerberg, South Africa.
Anne KorirNational Cancer Registry, Kenya Medical Research Institute, Nairobi, Kenya.
Guy N'DaRegistre Des Cancers d'Abidjan, Abidjan, Côte d'Ivoire.
Anne FinesseSeychelles National Cancer Registry, Victoria, Seychelles.
Henry WabingaKampala Cancer Registry, Makerere University School of Medicine, Kampala, Uganda.
Mathewos AssefaAddis Ababa City Cancer Registry, Addis Ababa University, Addis Ababa, Ethiopia.
Freddy GnangnonCotonou Cancer Registry, Ministry of Health, Cotonou, Republic of Benin.
Rolf HansenNamibian National Cancer Registry, Cancer Association of Namibia, Windhoek, Namibia.
Nathan G BuzibaEldoret Cancer Registry, Moi University, Eldoret, Kenya.
Biying LiuAfrican Cancer Registry Network, INCTR African Registry Programme, Oxford, UK.
Eva J KantelhardtInstitute of Medical Epidemiology, Biostatistics, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg, Magdeburgerstrasse 8, 06097, Halle (Saale), Germany. eva.kantelhardt@uk-halle.de.ORCID http://orcid.org/0000-0001-7935-719X
Donald M ParkinNuffield Department of Population Health, University of Oxford, Oxford, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesTo estimate observed and relative survival of prostate cancer patients in sub-Saharan Africa (SSA) and to examine the influence of age, stage at diagnosis and the Human Development Index (HDI). PATIENTS AND

methodsIn this comparative registry study, we selected a random sample of 1752 incident cases of malign prostatic neoplasm from 12 population-based cancer registries from 10 SSA countries, registered between 2005 and 2015. We analyzed the data using Kaplan-Meier and Ederer II methods to obtain outcome estimates and flexible Poisson regression modeling to calculate the excess hazards of death

resultsFor the 1406 patients included in the survival analyses, 763 deaths occurred during 3614 person-years of observation. Of patients with known stage, 45.2% had stage IV disease, 31.2% stage III and only 23.6% stage I and II. The 1 and 5-year relative survival for the entire cohort was 78.0% (75.4-80.7) and 60.0% (55.7-64.6), while varying between the registries. Late presentation was associated with increased excess hazards and a 0.1 increase in the HDI was associated with a 20% lower excess hazard of death, while for age at diagnosis no association was found.

conclusionsWe found poor survival of SSA prostatic tumor patients, as well as high proportions of late stage presentation, which are associated with inferior outcome. This calls for investment in health-care systems and action regarding projects to raise awareness among the population to achieve earlier diagnosis and improve survival.

Indexed as

Prostatic NeoplasmsAfrica South of the SaharaHumansMaleNeoplasm StagingRegistriesAdenocarcinoma of the prostateAfricaCancer surveillancePopulation-based cancer registrationSurvival

Identifiers

PMID34244896
PMCPMC8310516

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Registered trials

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.