Evidence map›Paper›PMID 39359000›Full record

ArticleCancer medicine2024

Perspectives of non-physician partners on barriers and facilitators to AYA cancer care in Latin America.

Samantha L Wong, Elysia Alvarez, Emily E Johnston, Crystal Romero, Nuria Rossell, Ligia Rios, Wendy Gómez García, Federico Antillon-Klussmann, Ligia Fu, Soad Fuentes-Alabi and 7 more

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

17 authors.

Samantha L WongDivision of Pediatric Hematology and Oncology, Davis School of Medicine, University of California, Sacramento, California, USA.
Elysia AlvarezDivision of Pediatric Hematology and Oncology, Davis School of Medicine, University of California, Sacramento, California, USA.ORCID https://orcid.org/0000-0002-1615-2848
Emily E JohnstonHeersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Crystal RomeroDivision of Pediatric Hematology and Oncology, Davis School of Medicine, University of California, Sacramento, California, USA.
Nuria RossellIndependent Medical Anthropology Researcher, San Salvador, El Salvador.
Ligia RiosUnidad de Oncología Pediátrica y del Adolescente, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru.
Wendy Gómez GarcíaDr. Robert Reid Cabral Children's Hospital, Santo Domingo, Dominican Republic.
Federico Antillon-KlussmannUnidad Nacional de Oncología Pediátrica, Guatemala City, Guatemala.
Ligia FuHospital Escuela, Tegucigalpa, Honduras.
Soad Fuentes-AlabiNational Program for Childhood Cancer, Ayudame a Vivir Foundation/National Children's Hospital Benjamin Bloom, San Salvador, El Salvador.ORCID https://orcid.org/0000-0003-4245-3537
Karina Quintero DelgadoHospital del Niño Dr. José Renán Esquivel, Oncología, Panama City, Panama.
Daniel Ortiz MoralesHospital General de México, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-0399-6670
Carolina Rodriguez-LozaNational Program for Childhood Cancer, Ayudame a Vivir Foundation/National Children's Hospital Benjamin Bloom, San Salvador, El Salvador.
Salvador A LopezDivision of Pediatric Hematology and Oncology, Davis School of Medicine, University of California, Sacramento, California, USA.
Melissa GosdinCenter for Healthcare Policy and Research, University of California, Davis, Sacramento, California, USA.
Marcio MalogolowkinDivision of Pediatric Hematology and Oncology, Davis School of Medicine, University of California, Sacramento, California, USA.
Paola FriedrichSt. Jude Children's Research Hospital, Global Pediatric Medicine, Memphis, Tennessee, USA.

Funding

Elysia Alvarez MD, MPH is supported by the Conquer Cancer Foundation Career Development AwardSamantha L Wong is supported by the Daniel T. O'Connor, M.D. Memorial Research Grant at the University of California School of Medicine
6 · The paper itself

Abstract

backgroundCancer is the fourth leading cause of death in adolescents and young adults (AYA) worldwide. Although successful treatment of cancer in AYA has increased in recent years in most of the world, this is not true for many low- and middle-income countries (LMIC) where over 80% of all AYA live. This study investigated the needs of AYA with cancer in parts of Latin America (LATAM) through the perspectives of non-physician health care providers and partners.

methodsSemi-structured interviews (in Spanish) were conducted with non-physician partners from Mexico, Peru, Central America, and the Caribbean over Zoom. Participants were recruited through previously identified local physicians and international non-physician professionals working in these countries. Transcripts were coded and key themes identified until thematic saturation was reached (Atlas.ti).

findingsThirty participants representing eight countries were interviewed, providing 1202 min of transcript data. Data were organized into barriers, facilitators, and strategies to improve the delivery of health care for AYA with cancer in LATAM at the patient- (e.g., financial barriers, continued schooling), parent- (e.g., limited medical literacy, advocacy), and hospital-level (e.g., structural barriers, increasing funding).

interpretationThere are many similarities in the barriers and facilitators to AYA care between LATAM and high-income countries (HIC); however, some characteristics are more unique to LATAM, for example, strict age restrictions for pediatric care and abandonment of therapy. As LATAM countries continue to build cancer control programs, there is an opportunity to consider our identified barriers, facilitators, and strategies to address the unique needs of AYA with cancer.

Indexed as

NeoplasmsAdolescentAdultDelivery of Health CareFemaleHealth PersonnelHealth Services AccessibilityHumansLatin AmericaMaleYoung Adultadolescent and young adultbarriersCaribbeanCentral AmericaLatin Americaoncology

Identifiers

PMID39359000
PMCPMC11447197

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.