Evidence map›Paper›PMID 37745919›Full record

ArticleThe Pan African medical journal2023

Case studies of multi-disciplinary team management of atypical gastric cancer: challenges and lessons learned (about two cases).

Mbang Kooffreh-Ada, Obinna Ebere Iheanacho, Victor Ikechukwu Nwagbara, Komommo Okoi Okpebri, Chukwuemeka Okechukwu Anisi, Asa Itam-Eyo, Okezie Uba-Mgbemena, Oliver Emmanuel Ali, Ofonime Benjamin Essien, Akintunde Olusijibomi Akintomide and 3 more

Abstract readCase Reports
In one paragraph

Article in The Pan African medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

13 authors.

Mbang Kooffreh-AdaDepartment of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Obinna Ebere IheanachoDepartment of Haematology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Victor Ikechukwu NwagbaraDepartment of Surgery, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Komommo Okoi OkpebriDepartment of Obstetrics and Gynaecology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Chukwuemeka Okechukwu AnisiDepartment of Orthopaedics and Traumatology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Asa Itam-EyoDepartment of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Okezie Uba-MgbemenaDepartment of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Oliver Emmanuel AliDepartment of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Ofonime Benjamin EssienDepartment of Haematology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Akintunde Olusijibomi AkintomideDepartment of Radiology, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Michael Eteng EyongDepartment of Paediatrics, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Emmanuel Edet EffaDepartment of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Ngim Ewezu NgimDepartment of Internal Medicine, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a paradigm shift towards adopting a multidisciplinary team (MDT) model in the care of cancer patients, with increasing evidence to support its effectiveness. Cancers are biologically distinct, patients present in diverse ways and require, different therapeutic approaches in their management. Patient symptoms and treatment side-effects as well as physical and psychological impact vary according to cancer location and treatment plan. The varied clinical scenarios cancer patients present further buttress the need for MDT practice in hospitals to improve the quality of patient care, in contrast to the outdated concept of holistic treatment offered by a single physician. Unlike Europe, United States of America and Australia which have implemented successful MDT cancer care programs, Nigeria is just coming on board. We present two cases of gastric cancer (seen two months apart) with atypical presentation and the role of MDT in their evaluation and management. These case studies highlight the role of MDT in the management of cancer patients in Nigeria lending credence to the urgent need to implement this model of care in our cancer patients in a bid to improve the quality of care and outcome.

Indexed as

Drug-Related Side Effects and Adverse ReactionsStomach NeoplasmsHospitalsHumansNigeriaPhysical ExaminationAtypicalcase reportgastric cancermanagement challengesmultidisciplinary team

Identifiers

PMID37745919
PMCPMC10516756

What OpenQuestion holds

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Registered trials

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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.