Evidence map›Paper›PMID 41689602›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Cancer navigation in Africa: challenges, impacts, and future directions.

Abiodun Adegbesan, Adewunmi Akingbola, Samuel Tundealao, Boluwatife Olu Afolabi, Stephen Oluwatimilehin Adekoya, Miracle Ifeoluwa Abraham, Onyinye Udeobi, Olajuwon Omotolani Oduntan, Akosile Abiodun Oyeyemi, Uchechukwu Shagaya and 1 more

Abstract readReview
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In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. 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. 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

11 authors.

Abiodun AdegbesanAfrican Cancer Institute, Department of Global Health, Stellenbosch University, Cape Town, South Africa.
Adewunmi AkingbolaUniversity of Cambridge Old Schools, Trinity Lane, Cambridgeshire, England, CB2 1TN, UK.
Samuel TundealaoCancer Health Equity Center of Excellence, New Brunswick, NJ, USA.
Boluwatife Olu AfolabiDepartment of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis, MN, USA.
Stephen Oluwatimilehin AdekoyaFederal Medical Centre, Ebute Metta, Lagos, Nigeria.
Miracle Ifeoluwa AbrahamCollege of Medicine, University of Ibadan, Ibadan, Nigeria.
Onyinye UdeobiCollege of health sciences, University of Ilorin, Ilorin, Nigeria.
Olajuwon Omotolani OduntanCollege of health sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Akosile Abiodun OyeyemiSchool of Life Sciences, Federal University of Technology, Akure, Nigeria.
Uchechukwu ShagayaDepartment of Radiation and Clinical Oncology, National Hospital, Abuja, Nigeria.
Joel ChukuDepartment of Medicine, V.N Karazin Kharkiv National University, Svobody Square, Kharkiv, 61022, Ukraine. chuku2016.6391200@student.karazin.ua.ORCID http://orcid.org/0009-0006-8685-0074

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer navigation guides patients through cancer care, addressing barriers like late diagnosis, financial constraints, and emotional distress. In Africa, it supports early detection, treatment, and survivorship amid poor infrastructure and limited access. Expanding these programs can reduce mortality and improve outcomes. Cancer cases are rising rapidly in Africa and are expected to double by 2050. Access to care is hindered by limited facilities, few trained oncologists, geographic barriers, cultural stigma, high treatment costs, and lack of screening programs. Most services are urban-centered, leaving rural areas underserved. Financial hardship, poor governance, inadequate research funding, and scarce cancer registries worsen the problem. Coordinated, sustainable efforts are needed to improve cancer prevention, treatment, and care. Patient navigation significantly enhances cancer care in sub-Saharan Africa by addressing barriers to early detection, diagnosis, treatment, and support. Navigators facilitate screening, improve awareness, and coordinate care across healthcare levels. They reduce treatment delays, offer psychosocial support to patients and caregivers, and help with financial, transport, and lodging challenges. Successful programs in South Africa, Uganda, and Nigeria demonstrate improved outcomes, including increased screenings, faster diagnoses, and better treatment adherence, showcasing the transformative impact of navigation on cancer control in resource-limited settings. Strengthening cancer navigation systems is essential, focusing on healthcare infrastructure, workforce training, policy reform, and community engagement. Key strategies include expanding cancer centers, integrating trained patient navigators (both clinical and non-clinical navigators), leveraging telemedicine and AI, and increasing collaborations. Formal navigator certification, education campaigns, and improved health financing are crucial. These efforts aim to improve cancer detection, treatment, and outcomes across Africa's diverse healthcare settings.

Indexed as

Health Services AccessibilityNeoplasmsPatient NavigationAfricaEarly Detection of CancerHumansCancer navigationDiagnosisEmotional distressFinancial constraints

Identifiers

What OpenQuestion holds

Textmetadata
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.