Evidence map›Paper›PMID 36579761›Full record

SynthesisPediatric blood & cancer2023

Determinants of delayed childhood cancer care in low- and middle-income countries: A systematic review.

Cesia Cotache-Condor, Vinootna Kantety, Andie Grimm, Jahsarah Williamson, Kelsey R Landrum, Kristin Schroeder, Catherine Staton, Esther Majaliwa, Shenglan Tang, Henry E Rice and 1 more

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Pediatric blood & cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07632014 (Improving Cancer Outcomes for Children, Adolescents, and Young Adults), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 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.

NCT07632014 recruitingnot on this mapstarted 2025, after this paper: background citation

Improving Cancer Outcomes for Children, Adolescents, and Young Adults: A Multicenter Prospective Cohort Study on Treatment Failure and Toxicity in Low- and Middle-Income Countries.

TypeobservationalSponsorResonance, Inc.Ran2025 to 2032Enrolled6,000ConditionsCancer, Pediatric Cancer, Lymphoblastic Lymphoma (LBL), Acute Lymphoblastic Leukemia (ALL)
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Barriers to Radiotherapy Access in Sub-Saharan Africa for Patients with Cancer: A Systematic Review.International journal of environmental research and public health · 2024
    Pooled it
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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

11 authors.

Cesia Cotache-CondorDepartment of Public Health, Baylor University, Waco, Texas, USA.ORCID 0000-0002-3401-9565
Vinootna KantetyDepartment of Public Health, Baylor University, Waco, Texas, USA.
Andie GrimmBirmingham's Institute for Cancer Outcomes and Survivorship, University of Alabama, Birmingham, Alabama, USA.
Jahsarah WilliamsonDepartment of Public Health, Baylor University, Waco, Texas, USA.
Kelsey R LandrumGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Kristin SchroederDivision of Pediatric Oncology, Department of Pediatrics, Duke University, Durham, North Carolina, USA.ORCID 0000-0002-6433-6174
Catherine StatonDuke Global Health Institute, Duke University, Durham, North Carolina, USA.
Esther MajaliwaDivision of Pediatric Oncology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Shenglan TangDuke Global Health Institute, Duke University, Durham, North Carolina, USA.
Henry E RiceDuke Global Health Institute, Duke University, Durham, North Carolina, USA.
Emily R SmithDuke Global Health Institute, Duke University, Durham, North Carolina, USA.ORCID 0000-0002-1745-5728

Funding

Improving access to cancer care for children in Tanzania: Designing a health-systems interventionK01TW012181 · FIC · DUKE UNIVERSITY · PI Emily Smith · 2022 to 2026
$816k
FIC NIH HHS K01 TW012181
6 · The paper itself

Abstract

Early access to care is essential to improve survival rates for childhood cancer. This study evaluates the determinants of delays in childhood cancer care in low- and middle-income countries (LMICs) through a systematic review of the literature. We proposed a novel Three-Delay framework specific to childhood cancer in LMICs by summarizing 43 determinants and 24 risk factors of delayed cancer care from 95 studies. Traditional medicine, household income, lack of transportation, rural population, parental education, and travel distance influenced most domains of our framework. Our novel framework can be used as a policy tool toward improving cancer care and outcomes for children in LMICs.

Indexed as

Developing CountriesNeoplasmsChildEducational StatusHumansRural PopulationTravelcancer careglobal healthhealth services researchpediatric oncology

Identifiers

PMID36579761
PMCPMC10966942

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.