Evidence map›Paper›PMID 35045815›Full record

ArticleBMC cancer2022

Treatment outcomes of esophageal cancer in Eastern Africa: protocol of a multi-center, prospective, observational, open cohort study.

Geoffrey C Buckle, Alita Mrema, Michael Mwachiro, Yona Ringo, Msiba Selekwa, Gift Mulima, Fatma F Some, Blandina T Mmbaga, Gita N Mody, Li Zhang and 35 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05177393 (Treatment Outcomes of Esophageal Cancer), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT05177393 recruitingnot on this map

Treatment Outcomes of Esophageal Cancer

TypeobservationalSponsorUniversity of California, San FranciscoRan2019 to 2027Enrolled2,476ConditionsEsophageal CancerArmsAssessment of patient-reported outcomes (PROs)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Article
  6. 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

45 authors at 11 institutions in 4 countries.

Geoffrey C BuckleUCSF Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 505 Parnassus Ave, M1296, San Francsico, CA, 94143, USA. geoffrey.buckle@ucsf.edu.ORCID http://orcid.org/0000-0001-7721-0397
Alita MremaOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Michael MwachiroTenwek Hospital, Bomet, Kenya.
Yona RingoMuhimbili National Hospital, Dar es Salaam, Tanzania.
Msiba SelekwaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Gift MulimaKamuzu Central Hospital, Lilongwe, Malawi.
Fatma F SomeMoi University School of Medicine, Eldoret, Kenya.
Blandina T MmbagaKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Gita N ModyUniversity of North Carolina, Chapel Hill, USA.
Li ZhangUCSF Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 505 Parnassus Ave, M1296, San Francsico, CA, 94143, USA.
Alan PaciorekUCSF Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 505 Parnassus Ave, M1296, San Francsico, CA, 94143, USA.
Larry AkokoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Paul AyuoMoi University School of Medicine, Eldoret, Kenya.
Stephen BurgertTenwek Hospital, Bomet, Kenya.
Elizabeth BukusiKenya Medical Research Institute, Nairobi, Kenya.
Anthony CharlesUniversity of North Carolina, Chapel Hill, USA.
Winnie ChepkemoiTenwek Hospital, Bomet, Kenya.
Gladys ChesumbaiMoi University School of Medicine, Eldoret, Kenya.
Bongani KaimilaUNC-Project Malawi, Lilongwe, Malawi.
Aida KensekoMoi Teaching and Referral Hospital, Eldoret, Kenya.
Kitembo Salum KibwanaMuhimbili National Hospital, Dar es Salaam, Tanzania.
David KoechMoi Teaching and Referral Hospital, Eldoret, Kenya.
Caren MachariaTenwek Hospital, Bomet, Kenya.
Ezekiel N MoiranaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Beatrice Paul MushiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Alex MremiKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Julius MwaiselageOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Ally MwangaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Jerry NdumbaloOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Gissela NvakungaKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Mamsau NgomaOcean Road Cancer Institute, Dar es Salaam, Tanzania.
Margaret OduorMoi University School of Medicine, Eldoret, Kenya.
Mark OlooMoi Teaching and Referral Hospital, Eldoret, Kenya.
Jesse OpakasMoi Teaching and Referral Hospital, Eldoret, Kenya.
Robert ParkerTenwek Hospital, Bomet, Kenya.
Saruni SenoMoi Teaching and Referral Hospital, Eldoret, Kenya.
Ande SalimaUNC-Project Malawi, Lilongwe, Malawi.
Furaha ServentKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Andrew WanderaMoi University School of Medicine, Eldoret, Kenya.
Kate D WestmorelandUniversity of North Carolina, Chapel Hill, USA.
Russell E WhiteTenwek Hospital, Bomet, Kenya.
Brittney WilliamsUniversity of North Carolina, Chapel Hill, USA.
Elia J MmbagaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Katherine Van LoonUCSF Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, 505 Parnassus Ave, M1296, San Francsico, CA, 94143, USA.
of the African Esophageal Cancer Consortium (AfrECC)
Moi University · KEKilimanjaro Christian Medical Centre · TZMuhimbili University of Health and Allied Sciences · TZOcean Road Cancer Institute · TZTenwek Hospital · KEUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USBrown University · USMuhimbili National Hospital · TZKamuzu Central Hospital · MWKenya Medical Research Institute · KE

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kate Taylor Shumate · 1999 to 2026
$209.7M
University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
Facile screening for esophageal cancer in LMICsUH3CA211457 · NCI · JOHNS HOPKINS UNIVERSITY · PI MELTZER, STEPHEN J, WANG, TZA-HUEI JEFF · 2019 to 2021
$2.8M
FIC NIH HHS D43 TW009343FIC NIH HHS D43TW011958NCI NIH HHS 3P30CA082103-21SANCI NIH HHS P30 CA082103NCI NIH HHS UH3 CA211457NIH HHS UH3CA211457University of California Global Health Institute D43TW009343
6 · The paper itself

Abstract

backgroundEsophageal squamous cell carcinoma (ESCC) is a major cause of cancer morbidity and mortality in Eastern Africa. The majority of patients with ESCC in Eastern Africa present with advanced disease at the time of diagnosis. Several palliative interventions for ESCC are currently in use within the region, including chemotherapy, radiation therapy with and without chemotherapy, and esophageal stenting with self-expandable metallic stents; however, the comparative effectiveness of these interventions in a low resource setting has yet to be examined.

methodsThis prospective, observational, multi-center, open cohort study aims to describe the therapeutic landscape of ESCC in Eastern Africa and investigate the outcomes of different treatment strategies within the region. The 4.5-year study will recruit at a total of six sites in Kenya, Malawi and Tanzania (Ocean Road Cancer Institute and Muhimbili National Hospital in Dar es Salaam, Tanzania; Kilimanjaro Christian Medical Center in Moshi, Tanzania; Tenwek Hospital in Bomet, Kenya; Moi Teaching and Referral Hospital in Eldoret, Kenya; and Kamuzu Central Hospital in Lilongwe, Malawi). Treatment outcomes that will be evaluated include overall survival, quality of life (QOL) and safety. All patients (≥18 years old) who present to participating sites with a histopathologically-confirmed or presumptive clinical diagnosis of ESCC based on endoscopy or barium swallow will be recruited to participate. Key clinical and treatment-related data including standardized QOL metrics will be collected at study enrollment, 1 month following treatment, 3 months following treatment, and thereafter at 3-month intervals until death. Vital status and QOL data will be collected through mobile phone outreach. DISCUSSION: This study will be the first study to prospectively compare ESCC treatment strategies in Eastern Africa, and the first to investigate QOL benefits associated with different treatments in sub-Saharan Africa. Findings from this study will help define optimal management strategies for ESCC in Eastern Africa and other resource-limited settings and will serve as a benchmark for future research.

trial registrationThis study was retrospectively registered with the ClinicalTrials.gov database on December 15, 2021,  NCT05177393 .

Indexed as

AdultAfrica, EasternComparative Effectiveness ResearchEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleHealth ResourcesHumansLongitudinal StudiesMaleMulticenter Studies as TopicObservational Studies as TopicPalliative CareProspective StudiesTreatment OutcomeAfricaComparative effectivenessEastern AfricaEsophageal cancerEsophageal squamous cell carcinomaQuality of lifeSurvival

Identifiers

PMID35045815
PMCPMC8772224
OpenAlexW4206508302

What OpenQuestion holds

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LicenceCC BY
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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.