Evidence map›Paper›PMID 35985695›Full record

ArticleBMJ global health2022

Ensuring quality in contextualised cancer management guidelines for resource-constraint settings: using a systematic approach.

Manju Sengar, C S Pramesh, Abha Mehndiratta, Sudeep Shah, Anusheel Munshi, D K Vijaykumar, Ajay Puri, Beela Mathew, Ramandeep Singh Arora, Priya Kumari T and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Highlights fromEcancermedicalscience · 2022
    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

15 authors at 7 institutions in 2 countries.

Manju SengarTata Memorial Centre, Mumbai, India.ORCID 0000-0002-3509-5682
C S PrameshTata Memorial Centre, Mumbai, India prameshcs@tmc.gov.in.
Abha MehndirattaCenter for Global Development, Washington, Columbia, USA.
Sudeep ShahP.D. Hinduja Hospital and Medical Research Centre, Mumbai, India.
Anusheel MunshiManipal Hospital, Delhi, India.
D K VijaykumarAmrita Institute of Medical Sciences, Cochin, Kerala, India.
Ajay PuriTata Memorial Centre, Mumbai, India.
Beela MathewRegional Cancer Centre, Thiruvananthapuram, Kerala, India.
Ramandeep Singh AroraMax Institute of Cancer Care, Max Super Speciality Hospital, New Delhi, New Delhi, India.
Priya Kumari TRegional Cancer Centre, Thiruvananthapuram, Kerala, India.
Kedar DeodharTata Memorial Centre, Mumbai, India.
Santosh MenonTata Memorial Centre, Mumbai, India.
Sridhar EpariTata Memorial Centre, Mumbai, India.
Omshree ShettyTata Memorial Centre, Mumbai, India.ORCID 0000-0003-1996-4347
Francoise CluzeauCenter for Global Development, Washington, Columbia, USA.
Homi Bhabha National Institute · INCenter for Global Development · USRegional Cancer Center, Thiruvananthapuram · INAmrita Institute of Medical Sciences and Research Centre · INManipal Hospital · INMax Super Speciality Hospital · INP. D. Hinduja Hospital and Medical Research Centre · IN

Funding

Bill & Melinda Gates Foundation INV-003239
6 · The paper itself

Abstract

To address the wide variation in access to cancer care in India requires strengthening of infrastructure, trained oncology workforce, and minimisation of out-of-pocket expenditures. However, even with major investments, it is unlikely to achieve the same level of infrastructure and expertise across the country. Therefore, a resource stratified approach driven by evidence-based and contextualised clinical guidelines is the need of the hour. The National Cancer Grid has been at the forefront of delivery of standardised cancer care through several of its initiatives, including the resource-stratified guidelines. Development of new guidelines is resource and time intensive, which may not be feasible and can delay the implementation. Adaptation of the existing standard guidelines using the transparent and well-documented methodology with involvement of all stakeholders can be one of the most reasonable pathways. However, the adaptation should be done keeping in mind the context, resource availability, budget impact, investment needed for implementation and acceptability by clinicians, patients, policymakers, and other stakeholders. The present paper provides the framework for systematically developing guidelines through adaptation and contextualisation. The process can be used for other health conditions in resource-constraint settings.

Indexed as

NeoplasmsHumansIndiaCancerHealth systems

Identifiers

PMID35985695
PMCPMC9396157
OpenAlexW4292379812

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.