Evidence map›Paper›PMID 34938081›Full record

ArticleJournal of multidisciplinary healthcare2021

Exploring Perceptions and Acceptance of Minimally Invasive Tissue Sampling among Bereaved Relatives and Health-Care Professionals in Rwanda.

Belson Rugwizangoga, Jean Berchmans Niyibizi, Marie Claire Ndayisaba, Emile Musoni, Felix Manirakiza, Annette Uwineza, Lisine Tuyisenge, Martin Nyundo, Theobald Hategekimana, Gervais Ntakirutimana

Open access · goldAbstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

10 authors at 2 institutions in 1 country.

Belson RugwizangogaDepartment of Clinical Biology, University of Rwanda, Kigali, Rwanda.ORCID 0000-0001-6941-7320
Jean Berchmans NiyibiziDepartment of Public Health, University of Rwanda, Kigali, Rwanda.ORCID 0000-0002-0034-8870
Marie Claire NdayisabaDepartment of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda.
Emile MusoniDepartment of Clinical Biology, University of Rwanda, Kigali, Rwanda.
Felix ManirakizaDepartment of Clinical Biology, University of Rwanda, Kigali, Rwanda.
Annette UwinezaDepartment of Clinical Biology, University of Rwanda, Kigali, Rwanda.
Lisine TuyisengeDepartment of Pediatrics, University Teaching Hospital of Kigali, Kigali, Rwanda.
Martin NyundoDepartment of Surgery, University Teaching Hospital of Kigali, Kigali, Rwanda.
Theobald HategekimanaDepartment of Surgery, University Teaching Hospital of Kigali, Kigali, Rwanda.
Gervais NtakirutimanaDepartment of Pathology, University Teaching Hospital of Kigali, Kigali, Rwanda.
Centre Hospitalier Universitaire de Kigali · RWUniversity of Kigali · RW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn most low- and lower middle-income countries (LMICs), minimally invasive tissue sampling (MITS) is a relatively new procedure for identifying the cause of death (CoD). This study aimed to explore perceptions and acceptance of bereaved families and health-care professionals regarding MITS in the context of MITS initiation in Rwanda as an alternative to clinical autopsy.

methodsThis was a qualitative phenomenological study with thematic analysis. Participants were bereaved relatives (individual interviews) and health-care professionals (focus-group discussions) involved in MITS implementation. It was conducted in the largest referral and teaching hospital in Rwanda.

resultsMotivators of MITS acceptance included eagerness to know the CoD, noninvasiveness of MITS, trust in medics, and the fact that it was free. Barriers to consent to MITS included inadequate explanations from health-care professionals, high socioeconomic status, lack of power to make decisions, and lack of trust in medics. Health-care professionals perceived both conventional autopsy and MITS as gold-standard procedures in CoD determination. They recommended including MITS among hospital services and commended the post-MITS multidisciplinary discussion panel in CoD determination. They pointed out that there might be reticence in approaching bereaved relatives to obtain consent for MITS. Both groups of participants highlighted the issue of delay in releasing MITS results.

conclusionBoth health-care professionals and bereaved relatives appreciate that MITS is an acceptable procedure to include in routine hospital services. Dealing with barriers met by either group is to be considered in the eventual next phases of MITS implementation in Rwanda and similar sociocultural contexts.

Indexed as

acceptancelow- and lower middle–income countriesminimally invasive tissue samplingperceptions

Identifiers

PMID34938081
PMCPMC8685444
OpenAlexW4200559969

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.