Evidence map›Paper›PMID 35623750›Full record

SynthesisBMJ open2022

Triple-negative breast cancer prevalence in Africa: a systematic review and meta-analysis.

Shawn M Hercules, Meena Alnajar, Chen Chen, Stefan M Mladjenovic, Bolade Ajarat Shipeolu, Olga Perkovic, Greg R Pond, Lawrence Mbuagbaw, Kim Rm Blenman, Juliet M Daniel

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 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.

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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. Late-Stage Diagnosis of Breast Cancer in Ghana: Needs for Patient and Public Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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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

10 authors.

Shawn M HerculesBiology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-1094-094X
Meena AlnajarBiology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-6150-581X
Chen ChenBiology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-6230-3563
Stefan M MladjenovicBiology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-0446-9300
Bolade Ajarat ShipeoluBiology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-7249-6610
Olga PerkovicMcMaster University Library, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0003-2324-0691
Greg R PondDepartment of Oncology, McMaster University, Hamilton, Ontario, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-5855-5461
Kim Rm BlenmanDepartment of Internal Medicine, Section of Medical Oncology, Yale University Yale Cancer Center, New Haven, Connecticut, USA.ORCID 0000-0001-6070-0728
Juliet M DanielBiology, McMaster University, Hamilton, Ontario, Canada danielj@mcmaster.ca.ORCID 0000-0002-3497-0772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aggressive triple-negative breast cancer (TNBC) subtype disproportionately affects women of African ancestry across the diaspora, but its frequency across Africa has not been widely studied. This study seeks to estimate the frequency of TNBC among African populations.

designSystematic review and meta-analysis using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. DATA SOURCES: PubMed, EMBASE, African Journals Online and Web of Science were searched on 25 April 2021. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: We included studies that use breast cancer tissue samples from indigenous African women with sample size of eligible participants ≥40 and full receptor status for all three receptors (oestrogen receptor (ER)/progesterone receptor (PR)/human epidermal growth factor receptor 2 (HER2)) reported. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data and assessed risk of bias using the modified assessment tool by Hoy

results1808 potentially eligible studies were identified of which 67 were included in the systematic review and 60 were included in the meta- analysis. Pooled TNBC frequency across African countries represented was estimated to be 27.0%; 95% CI: 24.0% to 30.2%, I

conclusionTNBC frequency was variable with the highest frequency reported in West Africa. Greater emphasis should be placed on establishing protocols for assessing receptor status due to the variability among studies.

Indexed as

Triple Negative Breast NeoplasmsAfricaFemaleHumansPopulation GroupsPrevalenceReceptors, EstrogenReceptors, EstrogenAfricabreast cancerTNBCtriple negative breast cancerwomen of African ancestry

Identifiers

PMID35623750
PMCPMC9150263

What OpenQuestion holds

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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.