Evidence map›Paper›PMID 39135037›Full record

ArticleBMC health services research2024

Detection and management of localized prostate cancer in Nigeria: barriers and facilitators according to patients, caregivers and healthcare providers.

Musliu Adetola Tolani, Christian A Agbo, Alan Paciorek, Shehu S Umar, Rufus W Ojewola, Faruk Mohammed, Ernie Kaninjing, Muhammed Ahmed, Rebecca DeBoer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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.

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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Prostate cancer in Nigeria: a scoping review and meta-analysis of current evidence on process indicators and interventions.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2025
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Prostate Cancer Management in Nigeria: A mini-review of up-to-date treatment options.Nigerian medical journal : journal of the Nigeria Medical Association
    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

9 authors.

Musliu Adetola TolaniAhmadu Bello University / Ahmadu Bello University Teaching Hospital, P.M.B. 06, Shika- Zaria, Kaduna State, Nigeria. adetolatolani@yahoo.com.
Christian A AgboDalhatu Araf Specialist Hospital, Shendam Road, Lafia, Nasarawa State, Nigeria.
Alan PaciorekUniversity of California, San Francisco, Box 0874, San Francisco, CA, 94110, USA.
Shehu S UmarAhmadu Bello University / Ahmadu Bello University Teaching Hospital, P.M.B. 06, Shika- Zaria, Kaduna State, Nigeria.
Rufus W OjewolaUniversity of Lagos, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria.
Faruk MohammedAhmadu Bello University / Ahmadu Bello University Teaching Hospital, P.M.B. 06, Shika- Zaria, Kaduna State, Nigeria.
Ernie KaninjingGeorgia College and State University, Campus Box 112, Milledgeville, GA, 31061, USA.
Muhammed AhmedAhmadu Bello University / Ahmadu Bello University Teaching Hospital, P.M.B. 06, Shika- Zaria, Kaduna State, Nigeria.
Rebecca DeBoerUniversity of California, San Francisco, Box 0874, San Francisco, CA, 94110, USA.

Funding

Expanding cancer research capacity in Nigeria with team scienceD43CA260646 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI T PETER KINGHAM · 2022 to 2026
$1.4M
NCI NIH HHS D43 CA260646Prostate Cancer Foundation - Pfizer Health Equity Challenge Award 67176445
6 · The paper itself

Abstract

backgroundProstate cancer mortality rates are high in Nigeria. While prostate cancer is highly curable with early detection and effective multidisciplinary management, the quality of care is suboptimal in this setting. Sustainable delivery of high-quality care for patients with localized prostate cancer is needed to save more lives. To inform future interventions to improve care, this study aimed to identify barriers and facilitators that influence prostate cancer detection and management in Nigeria.

methodsSix focus group discussions (FGDs), stratified by stakeholders were conducted with a purposive sample of prostate cancer patients (n = 19), caregivers (n = 15), and healthcare providers (n = 18), in two academic tertiary hospitals in northern and southern Nigeria. A discussion guide organized based on the socio-ecological model was used. FGDs were recorded, transcribed, and analysed using the framework technique.

resultsBarriers and facilitators were identified at the individual, interpersonal, and organizational levels. Barriers to detection included limited knowledge and misperceptions among patients, caregivers, and community-based non-specialist healthcare providers, and limitations of centralized opportunistic screening; while facilitators included the potential for religious institutions to encourage positive health-seeking behaviour. Barriers to management included non-uniformity in clinical guideline usage, treatment abandonment amidst concerns about treatment and survival, absence of patient interaction platforms and follow-up support systems, difficulty in navigating service areas, low health insurance coverage and limited financial resource of patients. Facilitators of management included the availability of resource stratified guidelines for prostate cancer management and the availability of patient peers, caregivers, nurses, and medical social workers to provide correct medical information and support patient-centred services. Participants also provided suggestions that could help improve prostate cancer detection and management in Nigeria.

conclusionThis study identified multiple determinants affecting the detection and management of localized prostate cancer. These findings will inform the refinement of implementation strategies to improve the quality of prostate cancer care in Nigeria.

Indexed as

CaregiversFocus GroupsHealth PersonnelProstatic NeoplasmsAdultAgedEarly Detection of CancerHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansMaleMiddle AgedNigeriaQualitative ResearchDelivery of health careHealth services accessibilityNeeds assessmentNigeriaProstatic neoplasmsQualitative research

Identifiers

PMID39135037
PMCPMC11318139

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.