Evidence map›Paper›PMID 39367373›Full record

ReviewBMC surgery2024

Challenges and opportunities for Mohs surgery implementation in African healthcare systems.

Samuel Inshutiyimana, Olivier Uwishema, Nagham Ramadan, Zeina Al Maaz, Magda Wojtara

Abstract readReview
In one paragraph

Review in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Samuel InshutiyimanaDepartment of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.ORCID https://orcid.org/0000-0001-9086-1135
Olivier UwishemaDepartment of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda. uwolivier1@gmail.com.ORCID https://orcid.org/0000-0002-0692-9027
Nagham RamadanDepartment of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.ORCID https://orcid.org/0000-0002-6382-0538
Zeina Al MaazDepartment of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.ORCID https://orcid.org/0000-0001-7095-7842
Magda WojtaraDepartment of Research and Education, Oli Health Magazine Organization, Kigali, Rwanda.ORCID https://orcid.org/0000-0001-6903-0206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin cancer in African countries results primarily from exposure to high ambient ultraviolet radiation. It is an emerging public health issue with limited improvement in management services. Mohs surgery, a renowned surgical procedure in the treatment of skin cancer, involves exact tumor excision along with horizontal frozen tissue examination. It is known to minimize the defect size and improve patient outcomes. Therefore, Mohs surgery is highly effective for almost all nonmelanoma skin cancers. Despite its proven potential, the implementation of Mohs surgery in Africa faces various limitations. This commentary seeks to provide insights into the current threats and opportunities surrounding the execution of Mohs surgery in African healthcare systems. The role of governments, healthcare professionals, and international organizations is also highlighted in this paper.

methodsA literature search was conducted by retrieving articles from PubMed and Google Scholar. Previous articles that discuss skin cancer, Mohs surgery, and cancer in Africa were analysed to understand the implementation aspects of Mohs surgery in Africa.

resultsThe implementation of Mohs surgery in Africa is very limited due to challenges such as inadequately trained healthcare professionals, costs associated with the surgery, and cultural beliefs and misconceptions. Nevertheless, telemedicine has been used in surgical consultations regarding the postoperative management of patients who undergo Mohs surgery.

conclusionDespite advances in medicine, African dermatological health care remains underdeveloped. Therefore, increased investment in healthcare training, infrastructure development, and more African-based skin cancer studies are necessary and paramount factors for the expansion and accessibility of Mohs surgery in Africa.

Indexed as

Mohs SurgerySkin NeoplasmsAfricaDelivery of Health CareHumansTelemedicineAfricaCarcinomaDermatologyHealthcare systemMohs surgerySkin cancer

Identifiers

PMID39367373
PMCPMC11451233

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.