Evidence map›Paper›PMID 37348033›Full record

ArticleJCO global oncology2023

Status of Government-Funded Radiotherapy Services in Nigeria.

Simeon C Aruah, Runcie C W Chidebe, Tochukwu C Orjiakor, Fatima Uba, Uchechukwu N Shagaya, Charles Ugwanyi, Aisha A Umar, Taofeeq Ige, Obinna C Asogwa, Oiza T Ahmadu and 14 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Radiotherapy in Nigeria: a silent emergency in cancer care.Annals of medicine and surgery (2012) · 2025
    Article
  6. Article
  7. Improving Access to Radiotherapy in Gauteng: A Framework for Equitable Cancer Care.International journal of environmental research and public health · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. "Not even my husband knows that I have this [breast cancer]": survivors' experiences in accessing, navigating and coping with treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  13. Observational
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

24 authors at 15 institutions in 4 countries.

Simeon C AruahRadiation Oncology Department, National Hospital Abuja, Abuja, Nigeria.ORCID 0000-0003-0149-1617
Runcie C W ChidebeProject PINK BLUE-Health & Psychological Trust Centre, Abuja, Nigeria.ORCID 0000-0002-6025-776X
Tochukwu C OrjiakorProject PINK BLUE-Health & Psychological Trust Centre, Abuja, Nigeria.ORCID 0000-0001-5379-8915
Fatima UbaRadiation and Clinical Oncology Department, National Hospital Abuja, Abuja, Nigeria.
Uchechukwu N ShagayaRadiation Oncology Department, National Hospital Abuja, Abuja, Nigeria.
Charles UgwanyiNeurosurgery Department, National Hospital Abuja, Abuja, Nigeria.
Aisha A UmarDepartment of Radiology, National Hospital Abuja, Abuja, Nigeria.
Taofeeq IgeMedical Physics Department, National Hospital Abuja, Abuja, Nigeria.ORCID 0000-0002-6583-3770
Obinna C AsogwaMedical Physics Department, National Hospital Abuja, Abuja, Nigeria.
Oiza T AhmaduRadiation Oncology Department, Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria.
Musa Ali-GombeRadiology Department, Gombe State University, Gombe, Nigeria.ORCID 0000-0002-4431-7777
Alabi AdewumiRadiation Oncology Department, Nigeria Sovereign Investment Authority-Lagos University Teaching Hospital (NSIA-LUTH), Lagos, Nigeria.
Vitalis C OkworRadiation Oncology Department, University of Nigeria Teaching Hospital (UNTH), Ituku Ozalla, Enugu, Nigeria.
Jimoh A MutiuUniversity of Ibadan/University College Hospital Ibadan, Ibadan, Nigeria.ORCID 0000-0002-6383-3961
Basheer BelloRadiation Oncology Department, Usman Danfodio University Teaching Hospital (UDUTH), Sokoto, Nigeria.
Lucy O EribaRadiation Oncology Department, University of Benin Teaching Hospital (UBTH), Edo State, Nigeria.
Yusuf A AhmedCentre for Energy Research and Training, Ahmadu Bello University, Zaria, Nigeria.
Awwal BisallaNigeria Atomic Energy Commission (NAEC), Abuja, Nigeria.
Ukamaka ItanyiRadiology Department, University of Abuja Teaching Hospital (UATH), Gwagwalada, Abuja, Nigeria.
Ramatallah A BalogunUniversity of Abuja Teaching Hosiptal (UATH), Gwagwalada, Abuja, Nigeria.
Suleiman AlabiRadiation and Clinical Oncology Department, National Hospital Abuja, Abuja, Nigeria.
David PistenmaaInternational Cancer Expert Corps (ICEC) Inc, Washington, DC.
C Norman ColemanInternational Cancer Expert Corps (ICEC) Inc, Washington, DC.ORCID 0000-0003-3121-1663
Dosanjh ManjitUniversity of Oxford, Oxford, United Kingdom.ORCID 0000-0003-1378-349X
National Hospital Abuja · NGInternational Medical Corps · USAhmadu Bello University · NGAhmadu Bello University Teaching Hospital · NGGombe State University · NGLagos University Teaching Hospital · NGScripps Institution of Oceanography · USUniversity of Abuja · NGUniversity of Abuja Teaching Hospital · NGUniversity of Benin Teaching Hospital · NGUniversity of Ibadan · NGUniversity of Nigeria · NGUniversity of Nigeria Teaching Hospital · NGUniversity of Oxford · GBUsmanu Danfodiyo University Teaching Hospital, Sokoto · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccess to radiotherapy (RT) is now one of the stark examples of global cancer inequities. More than 800,000 new cancer cases require potentially curative or palliative RT services in Africa, arguably <15% of these patients currently have access to this important service. For a population of more than 206 million, Nigeria requires a minimum of 280 RT machines for the increasing number of cancer cases. Painfully, the country has only eight Government-funded RT machines. This study aimed to evaluate the status of the eight Government-funded RT services in Nigeria and their ability to deliver effective RT to their patients.

methodsA survey addressing 10 critical areas was used to assess the eight Government-funded RT services in Nigeria.

resultsUnfortunately, six of the eight centers (75%) surveyed have not treated patients with RT because they do not have functioning teletherapy machines in 2021. Only two RT centers have the capability of treating patients using advanced RT techniques. There is no positron emission tomography-computed tomography scan in any of the Government-funded RT centers. The workforce capacity and infrastructure across the eight centers are limited. All of the centers lack residency training programs for medical physicists and radiation therapy technologists resulting in very few well-trained staff.

conclusionAs the Nigerian Government plans for the new National Cancer Control Plan, there is an urgent need to scale up access to RT by upgrading the RT equipment, workforce, and infrastructure to meet the current needs of Nigerian patients with cancer. Although the shortfall is apparent from a variety of RT-capacity databases, this detailed analysis provides essential information for an implementation plan involving solutions from within Nigeria and with global partners.

Indexed as

NeoplasmsRadiation OncologyHumansNigeriaSurveys and QuestionnairesWorkforce

Identifiers

PMID37348033
PMCPMC10497276
OpenAlexW4381612364

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.