Evidence map›Paper›PMID 34373791›Full record

ArticleInternational journal of breast cancer2021

The Importance of Clinical Data for the Diagnosis of Breast Tumours in North Afghanistan.

Gerhard Stauch, Peter Fritz, Rauofi Rokai, Atiq Sediqi, Haroon Firooz, Hans Ullrich Voelker, Michael Weinhara, Joachim Mollin, Bishara Soudah, Peter Dalquen and 2 more

Abstract read
In one paragraph

Article in International journal of breast cancer, 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

12 authors.

Gerhard StauchDepartment of Pathology, Aurich, Westerstede, Germany.
Peter FritziPath Telemedicine Network Gemeinnützige GmbH, D-26603 Aurich, Germany.
Rauofi RokaiAbu Ali Sina Hospital, Department of Pathology, Masar E Sharif, Afghanistan.
Atiq SediqiAbu Ali Sina Hospital, Department of Pathology, Masar E Sharif, Afghanistan.
Haroon FiroozHaroon Firooz Medical Laboratory, Herat, Afghanistan.
Hans Ullrich VoelkeriPath Telemedicine Network Gemeinnützige GmbH, D-26603 Aurich, Germany.ORCID https://orcid.org/0000-0003-0610-2254
Michael WeinharaEpos/Gopa GmbH, Frankfurt /M, Germany.
Joachim MollinmyCare2x Netzwerk, Healthcare Consulting GmbH, Ebersberg, Germany.
Bishara SoudahiPath Telemedicine Network Gemeinnützige GmbH, D-26603 Aurich, Germany.
Peter DalqueniPath Telemedicine Network Gemeinnützige GmbH, D-26603 Aurich, Germany.
Friedhelm BrinckmannOnkologischer Schwerpunkt Stuttgart, Stuttgart, Germany.
Jürgen DipponUniversity of Stuttgart, Institut für Stochastik und Anwendung, Fachbereich Mathematik, Stuttgart, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was performed in knowledge of the increasing gap between breast disease treatment in countries with restricted resources and developed countries with increasingly sophisticated examination methods.

methodsThe authors present the analysis of a breast disease register consisting of diagnostic cases from Mazar e Sharif and Herat in 2018 and 2019. The study comprises a total of 567 cases, which were presented to experts via telemedicine for final diagnosis. 62 cases (10.9%) were excluded due to inacceptable data or insufficient image quality. These data provided by daily diagnostic classification were used for the built-up of a profile for each frequent breast disease and a breast cancer register. All images and cases were seen by at least 3 independent experts. The diagnoses were made in 60% of cases by cytology of fine needle aspiration and in 40% by histological images.

resultsFor each entity of breast diseases (e.g., fibroadenoma), a profile of context variables was constructed allowing to assist medical decisions, as "wait and see," elective surgery or immediate surgical intervention with R0 (complete) resection. These "profiles" could be described for fibroadenoma, mastitis, galactocele, fibrous-cystic disease, and invasive breast cancer.

conclusionsThe presented preliminary data set could serve as a cost-effective basis for a North Afghan breast cancer registry, with option to extent to a national model. These preliminary data are transformed in profiles of breast diseases, which are used by the local physicians in charge of breast disease patients. Each new case can be compared by the local treating physician with the profile of all preceded cases with the same diagnosis.

Identifiers

PMID34373791
PMCPMC8349267

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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.