Evidence map›Paper›PMID 39553385›Full record

ReviewClinical and translational radiation oncology2025

Access to brachytherapy treatment for cervical cancer management in Africa.

Emmanuel Fiagbedzi, Vivian Della Atuwo-Ampoh, Ishmael Nii Ofori, Savanna Nyarko, Asare Adomako, Francis Hasford, Jeffrey Gameli Amlalo, Philip Narteh Gorleku

Abstract readReview
In one paragraph

Review in Clinical and translational radiation oncology, 2025. 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
  2. Breakthroughs in modern brachytherapy are transforming cancer care.Physics and imaging in radiation oncology · 2025
    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

8 authors.

Emmanuel FiagbedziDepartment of Medical Physics, University of Ghana, Accra, Ghana.
Vivian Della Atuwo-AmpohDepartment of Medical Imaging, University of Health and Allied Sciences, Ho, Ghana.
Ishmael Nii OforiDepartment of Imaging Technology and Sonography, University of Capecoast, Ghana.
Savanna NyarkoDepartment of Imaging Technology and Sonography, University of Capecoast, Ghana.
Asare AdomakoDepartment of Radiology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Francis HasfordDepartment of Medical Physics, University of Ghana, Accra, Ghana.
Jeffrey Gameli AmlaloDepartment of Imaging Technology and Sonography, University of Capecoast, Ghana.
Philip Narteh GorlekuDepartment of Imaging Technology and Sonography, University of Capecoast, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Cervical cancer is an important public health issue with a high incidence and death rate in Africa. It is mostly treated with Brachytherapy as the gold standard but its access is limited. This study set out to investigate the distribution and accessibility of brachytherapy units in Africa for the treatment of cervical cancer, and to provide some recommendations for increasing the quantity and accessibility of such equipment throughout the continent. Materials and methods: The International Atomic Energy Agency's Division of Human Health's Directory for radiotherapy Centers (DIRAC) was the principal source of data for this study. The number of brachytherapy equipment in the 54 African countries was obtained from the DIRAC database. The number of cervical cancer cases was obtained from the GLOBOCAN 2022 database, and country's income was calculated using the Gross Domestic Product (GDP) per capita from the global economics database. All of these searches were conducted in February 2024. Results: Africa exhibited a greater number of cervical cancer cases. A total of one hundred (100) brachytherapy units were present across 84 radiotherapy centres spanning 20 African countries. Egypt and South Africa each possess 23 units, which accounts for 46% of the overall quantity. With just two brachytherapy facilities, Nigeria had the most cervical cancer cases. A significant quantity of brachytherapy unit was situated in countries of northern Africa. The quantity of these units varied among countries, from those without any to those with many, and was not only influenced by GDP per capita. Conclusion: Due to the rising incidence of cervical cancer in Africa, the number of brachytherapy equipment was woefully inadequate. Consequently, Africa requires partnerships and financial support to facilitate the quantity and accessibility of brachytherapy services. This will enable the provision of thorough and holistic care to patients and enhance their quality of life.

Indexed as

AfricaBrachytherapy unitsCervical cancerIncidence

Identifiers

PMID39553385
PMCPMC11564044

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.