Evidence map›Paper›PMID 34914534›Full record

ArticleJCO global oncology2021

Clinical Oncology Workload in Sri Lanka: Infrastructure, Supports, and Delivery of Clinical Care.

Sanjeeva Gunasekera, Sanjeewa Seneviratne, Matthew Jalink, Nuradh Joseph, Yasantha Ariyarathna, Christopher M Booth, Don Thiwanka Wijeratne

Abstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Sanjeeva GunasekeraNational Cancer Institute, Maharagama, Sri Lanka.
Sanjeewa SeneviratneDepartment of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
Matthew JalinkDepartment of Oncology, Queen's University, Kingston, Canada.ORCID 0000-0002-2269-8521
Nuradh JosephSri Lanka Cancer Research Group, Colombo, Sri Lanka.ORCID 0000-0002-9519-210X
Yasantha AriyarathnaNational Cancer Institute, Maharagama, Sri Lanka.
Christopher M BoothDepartment of Oncology, Queen's University, Kingston, Canada.ORCID 0000-0002-1353-3653
Don Thiwanka WijeratneDivision of Cancer Care and Epidemiology, Queen's University Cancer Research Institute, Kingston, Canada.ORCID 0000-0002-6568-7187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSri Lanka is a lower middle-income country undergoing a demographic transition with an increasing aging population. This has given rise to a higher burden of noncommunicable diseases including cancer. A well-trained oncology workforce is essential to address this growing public health challenge. Understanding the baseline status of the clinical oncology workforce is an essential step to improving cancer care delivery in Sri Lanka.

methodsIn this cross-sectional study, we distributed a web-based survey to all clinical oncologists in Sri Lanka. The survey captured data regarding clinical workload, demographic details, practice setting, and perceived barriers to quality patient care.

resultsA total of 41 of 54 oncologists responded to the survey, and all participants had training in clinical oncology. Thirty-seven (90%) of 41 oncologists treated both solid and hematologic malignancies, and the median duration of independent practice was 5 years. Almost two thirds of the oncologists (26 of 41, 63%) work at an academic center, and two thirds of the oncologists (27 of 41, 66%) work in both public and private sectors. A majority of the oncologists (26 of 41, 63%) were on-call 7 days per week. More than half of the oncologists saw over 400 new patient consults per year. With regard to barriers to quality patient care, most of the concerns relate to the scarcity of resources.

conclusionThis study sheds significant light about the clinical oncology workload landscape in Sri Lanka. Compared with other low- and middle-income countries, Sri Lankan clinical oncologists are faced with a very high workload, which may affect delivery or care.

Indexed as

NeoplasmsWorkloadAgedCross-Sectional StudiesDelivery of Health CareHumansMedical OncologySri Lanka

Identifiers

PMID34914534
PMCPMC8691498

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.