Evidence map›Paper›PMID 38414946›Full record

ArticleEcancermedicalscience2023

Factors associated with completeness in documentation of diagnostic work-up and treatment in patients with breast cancer in Sudan.

Noon I Eltoum, Nicole E Caston, Lily Gutnik, Mahmoud A Alfardous Alazm, Feras O Mohamed, Lama M Abdalkarem, Saad A S Ali, Abrar Z Badawi, Nicole L Henderson, Andres Azuero and 1 more

Abstract read
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In one paragraph

Article in Ecancermedicalscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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.

Noon I EltoumFaculty of Medicine, University of Medical Sciences and Technology, PO Box 12810, Khartoum, Sudan.
Nicole E CastonDepartment of Hematology and Oncology, University of Alabama at Birmingham, 1808 7th Avenue South, Birmingham, AL 35233, USA.
Lily GutnikDepartment of Hematology and Oncology, University of Alabama at Birmingham, 1808 7th Avenue South, Birmingham, AL 35233, USA.
Mahmoud A Alfardous AlazmFaculty of Medicine, University of Medical Sciences and Technology, PO Box 12810, Khartoum, Sudan.
Feras O MohamedFaculty of Medicine, University of Medical Sciences and Technology, PO Box 12810, Khartoum, Sudan.
Lama M AbdalkaremFaculty of Medicine, University of Medical Sciences and Technology, PO Box 12810, Khartoum, Sudan.
Saad A S AliFaculty of Medicine, University of Medical Sciences and Technology, PO Box 12810, Khartoum, Sudan.
Abrar Z BadawiFaculty of Medicine, University of Medical Sciences and Technology, PO Box 12810, Khartoum, Sudan.
Nicole L HendersonDepartment of Hematology and Oncology, University of Alabama at Birmingham, 1808 7th Avenue South, Birmingham, AL 35233, USA.
Andres AzueroDepartment of Hematology and Oncology, University of Alabama at Birmingham, 1808 7th Avenue South, Birmingham, AL 35233, USA.
Gabrielle RocqueDepartment of Hematology and Oncology, University of Alabama at Birmingham, 1808 7th Avenue South, Birmingham, AL 35233, USA.

Funding

UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
NCI NIH HHS T32 CA047888
6 · The paper itself

Abstract

Purpose: This study evaluates the relationship between geography and ethnicity on the completeness of documentation of diagnostic work-up and treatment modalities in Sudan for patients with breast cancer. Methods: This retrospective study used data abstracted from patients with breast cancer receiving cancer care at Sudan's largest cancer centre (Radiation and Isotopes Center Khartoum) in 2017. Patient demographic and clinical characteristics were abstracted from paper medical records. Odds ratios and 95% confidence intervals were estimated to evaluate complete diagnostic work-up on ethnic group, origin and residence using binomial logistic regression models. Results: Of 237 patients, the median age was 52 (interquartile range 43-61). Most often patients identified as Arab (68%), originated from Central, Northeastern and Khartoum regions (all 28%) and lived in the Khartoum region (52%). Overall, 49% had incomplete diagnostic work-up, with modest differences by ethnicity and geography. In adjusted analyses, non-statistical differences were found between the ethnic group, geographic origin and residence and having complete diagnostic work-up. For treatment modality, significant differences were observed between receptor status and receiving hormone therapy ( Conclusion: Approximately half of Sudanese patients with breast cancer had incomplete diagnostic work-up, irrespective of ethnicity and geography. Moreover, a high proportion of patients received inappropriate treatment. This underlines a considerable systems-based quality gap in care delivery, demanding efforts to improve diagnostic work-up for all patients with breast cancer in Sudan.

Indexed as

breast cancerincomplete documentationreceptor statussub-Saharan Africa

Identifiers

PMID38414946
PMCPMC10898882

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