Evidence map›Paper›PMID 39886135›Full record

ArticleBMJ oncology2024

Defining national research priorities for prostate cancer in Zambia: using the Delphi process for comprehensive cancer policy setting in sub-Saharan Africa.

Dorothy Chilambe Lombe, Monde Mwamba, Musonda Simwinga, Virginia Bond, Andrew Sentoogo Ssemata, Richard Muhumuza, Janet Seeley, Kennedy Lishimpi, Victor Mapulanga, John Kachimba and 2 more

Abstract read
In one paragraph

Article in BMJ oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Dorothy Chilambe LombeDepartment of Radiation Oncology, MidCentral District Health Board, Palmerston North, New Zealand.ORCID 0000-0002-5083-1801
Monde MwambaZambart, School of Public Health, Ridgeway Campus, University of Zambia, Lusaka, Zambia.ORCID 0000-0003-3158-7724
Musonda SimwingaZambart, School of Public Health, Ridgeway Campus, University of Zambia, Lusaka, Zambia.
Virginia BondZambart, School of Public Health, Ridgeway Campus, University of Zambia, Lusaka, Zambia.
Andrew Sentoogo SsemataThe Medical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, Entebe, Uganda.
Richard MuhumuzaThe Medical Research Council/Uganda Virus Research Institute and London School of Hygiene & Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, Entebe, Uganda.ORCID 0000-0002-9931-7600
Janet SeeleyDepartment of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.
Kennedy LishimpiDepartment of Clinical Oncology, Cancer Diseases Hospital, Lusaka, Zambia.
Victor MapulangaDepartment of Surgery, Adult Hospital University Teaching Hospitals, Lusaka, Zambia.
John KachimbaDepartment of Surgery, Livingstone General Hospital, Lusaka, Zambia.
Ajay AggarwalDepartment of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-9645-6659
Susan MsadabweDepartment of Clinical Oncology, Cancer Diseases Hospital, Lusaka, Zambia.ORCID 0000-0003-3887-3790

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Locally led research on cancer is needed in sub-Saharan Africa to set feasible research priorities that inform national policy. The aim of this project was to develop a research agenda for national cancer control planning, using a nationally driven approach, focused on barriers to diagnosis and high-quality treatment for prostate cancer in Zambia. Methods and analysis: This was a Delphi process. 29 stakeholders were scored barriers on feasibility, the proportion of patients affected, the impact on patient outcomes and if there was a potential to address health systems barriers meaningfully. There were three rounds (R) to the process: (R1 and R2) by electronic survey and (R3) in-person meeting. In R1 statements scoring above 15 from over 70% of participants were prioritised immediately for R3 discussion. Those scoring below 30% were dropped and those in between were re-surveyed in R2. Results: 22 and 17 of the 29 stakeholders responded to R1 and R2. 14 stakeholders attended R3. National priority research areas for prostate cancer in Zambia were identified as prostate cancer awareness; building affordable high-quality diagnostic capacity; affordability of specialist cancer treatments; supporting better access to medicines; delivery and coordination of services across the pathway and staff training. Conclusion: The suggested seven priority areas allow for the development of the prostate cancer control programme to be conducted in a holistic manner. The expectation is with this guidance international partners can contribute within the frameworks of the local agenda for sustainable development to be realised.

Indexed as

cancer screeninghealth economicsprostate cancer

Identifiers

PMID39886135
PMCPMC11235016

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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.