Evidence map›Paper›PMID 40665178›Full record

SynthesisJournal of gastrointestinal cancer2025

Uptake of Colorectal Cancer Screening in Low- and Middle-Income Countries: a Systematic Review and Meta-analysis.

Fereshteh Moradoghli, Mir Hossein Aghaei, Mohammad Hossein Hakimi, Saeid Ghadimi, Reza Ebrahimoghli

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal cancer, 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. Review
  2. 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

5 authors.

Fereshteh MoradoghliDepartment of Nursing, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran.
Mir Hossein Aghaei *Department of Nursing, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran. mirhosseinaghaei69@yahoo.com.
Mohammad Hossein HakimiDepartment of Nursing, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran.
Saeid GhadimiTabriz University of Medical Sciences, Tabriz, Iran.
Reza Ebrahimoghli *Department of Nursing, Institute of Health Education, Ardabil University of Medical Sciences, Ardabil, Iran. r.ebrahimoghlu@gmail.com.

Funding

Ardabil University of Medical Sciences 403000067
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) remains a major global health burden with higher mortality rate in low- and middle-income countries (LMICs). It is well established that CRC screening reduces CRC incidence and mortality. However, data regarding uptake of CRC screening remains scarce in LMICs. Therefore, we aimed to quantify uptake of CRC screening in LMICs.

methodsWe searched for scientific literature published in any language using four online databases (Scopus, Embase, PubMed, and Web of Knowledge) from their inception to 1 August 2024. We included observational studies reporting the prevalence of uptake of CRC screening modalities in LMICs. A random-effects model was used to estimate pooled prevalence with 95% confidence intervals (CIs). Subgroup analyses and meta-regression were used to investigate potential sources of heterogeneity.

resultsSixty-nine studies encompassing data from 19 LMICs were eligible for final inclusion in this systematic review. The pooled prevalence of self-reported uptake of screening colonoscopy was 5.2% (95% CI, 3.1-7.8). The pooled proportion of individuals who self-reported undertaking screening gFOBT was 11.5% (95% CI, 8.2-15.3). Pooled prevalence of self-reported uptake of any CRC screening modalities was 9.1% (95% CI, 6.2-12.5). Subgroup analyses showed that uptake of CRC screening did not vary significantly across available study-level variables.

conclusionThis meta-analysis revealed low colorectal cancer screening rates, impeding early detection at the population level. LMICs should prioritize context-specific strategies to improve screening uptake.

Indexed as

Colorectal NeoplasmsDeveloping CountriesEarly Detection of CancerMass ScreeningColonoscopyHumansColorectal cancerEarly detectionLow- and middle-income countriesMeta-analysisScreening

Identifiers

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.