Evidence map›Paper›PMID 41064197›Full record

ArticleHealth science reports2025

The Current Landscape of Pancreatic Cancer Management in Sub-Saharan Africa - A Perspective Review.

Hareesha Rishab Bharadwaj, Matan Bone, Dushyant Singh Dahiya, Aditya Gaur, Khabab Abbasher Hussien Mohamed Ahmed, Umar Akram

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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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

6 authors.

Hareesha Rishab BharadwajFaculty of Biology Medicine and Health The University of Manchester Manchester UK.
Matan BoneMatan Bone, Salford Royal Hospital Northern Care Alliance NHS Foundation Trust Salford UK.
Dushyant Singh DahiyaDivision of Gastroenterology, Hepatology and Motility The University of Kansas School of Medicine Kansas USA.
Aditya GaurYeovil District Hospital, Somerset NHS Foundation Trust Higher Kingston Yeovil UK.ORCID https://orcid.org/0000-0002-0347-4733
Khabab Abbasher Hussien Mohamed AhmedFaculty of Medicine University of Khartoum Khartoum Sudan.ORCID https://orcid.org/0000-0003-4608-5321
Umar AkramDepartment of Medicine Allama Iqbal Medical College Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Pancreatic cancer remains a significant public health challenge in Sub-Saharan Africa (SSA), with a high mortality-to-incidence ratio driven by late-stage diagnoses, limited therapeutic access, and systemic healthcare disparities. This perspective aims to synthesize current evidence on the epidemiology, diagnostic capacity, treatment options, and structural barriers contributing to poor outcomes, while highlighting opportunities for targeted interventions and policy reforms. Methods: We conducted a narrative review of peer-reviewed literature, regional reports, and epidemiological studies describing the burden and management of pancreatic cancer across SSA. Data were synthesized to characterize diagnostic pathways, surgical and palliative care practices, workforce capacity, and environmental risk factors. Strategies to address identified gaps were developed based on published evidence from similar resource-constrained settings. Results: Available data indicate that over 80% of patients in SSA present with advanced or metastatic disease. Diagnostic imaging, including CT and MRI, remains inaccessible in many regions, and biopsies are frequently obtained intraoperatively due to limited endoscopic capacity. Curative surgical resections are rare (< 10%), with palliative bypass procedures predominating. Chemotherapy and radiotherapy services are inconsistently available, and access to opioid analgesics remains below 50% in many centres. Contributing factors include underdeveloped infrastructure, insufficient specialized training, high out-of-pocket costs, and heavy metal environmental exposures. Conclusion: Improving pancreatic cancer outcomes in SSA requires a comprehensive, multi-sectoral response that prioritizes infrastructure investment, workforce training, and equitable access to diagnostics and therapies. Establishing regional cancer centres, expanding perioperative and palliative nursing roles, strengthening cancer registries, and enforcing environmental regulations are critical steps. Collaboration with international organizations and community stakeholders will be essential to develop context-specific guidelines and sustainable solutions that can reduce disease burden and improve survival rates in the region.

Indexed as

cancer epidemiologyhealthcare disparitieslate‐stage diagnosismortality‐to‐incidence ratioPancreatic cancerSub‐Saharan Africatreatment access

Identifiers

PMID41064197
PMCPMC12500524

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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.