Evidence map›Paper›PMID 42131754›Full record

ArticleNeuro-oncology practice2026

Evaluating the current neuro-oncology capacity in Sub-Saharan Africa: A questionnaire-based survey.

Francis Zerd, Lateef A Odukoya, Beverly Cheserem, Kwadwo Darko, Nathalie C Ghomsi, Gloria S Kabare, David O Kamson, Jeanette E Eckel-Passow, Robert B Jenkins, Paul Decker and 37 more

Abstract read
In one paragraph

Article in Neuro-oncology practice, 2026. 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. 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

47 authors.

Francis ZerdMortuary and Forensic Department, Benjamin Mkapa Hospital, Dodoma, Tanzania.ORCID https://orcid.org/0000-0003-2540-5760
Lateef A OdukoyaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester.ORCID https://orcid.org/0000-0001-9213-2235
Beverly CheseremNeurosurgery Department, Aga Khan University Hospital, Nairobi, Kenya.ORCID https://orcid.org/0000-0001-8567-7237
Kwadwo DarkoDepartment of Neurosurgery, Korle-Bu Teaching Hospital, Accra, Ghana.ORCID https://orcid.org/0000-0002-7734-195X
Nathalie C GhomsiDepartment of Neurosurgery, Université Félix Houphouet Boigny, Abidjan, Côte d'Ivoire.ORCID https://orcid.org/0000-0002-2699-4459
Gloria S KabareNeurosurgery Department, Aga Khan University Hospital, Nairobi, Kenya.
David O KamsonDepartment of Oncology and Neurology, Johns Hopkins School of Medicine, Baltimore.ORCID https://orcid.org/0000-0002-0473-658X
Jeanette E Eckel-PassowDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester.ORCID https://orcid.org/0000-0002-6113-1114
Robert B JenkinsDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester.ORCID https://orcid.org/0000-0002-4049-694X
Paul DeckerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester.
Henry LlewellynDepartment of Global Health & Social Medicine, King's College London, London, England.
Gaspar J KitangeDivision of Neuro-Oncology Research, The Hormel Institute, University of Minnesota, Austin.ORCID https://orcid.org/0000-0002-0548-1312
Andrea O AkinjoDepartment of Anatomic and Molecular Pathology, Lagos University Teaching Hospital, Lagos, Nigeria.ORCID https://orcid.org/0000-0002-2956-5027
Kabir B BadmosDepartment of Anatomic and Molecular Pathology, Lagos University Teaching Hospital, Lagos, Nigeria.ORCID https://orcid.org/0000-0002-4263-682X
W Elorm YevudzaDepartment of Neurosurgery, Columbia University Vagelos College of Physicians and Surgeons, New York.ORCID https://orcid.org/0000-0002-8199-7839
Olufemi BankoleNeurosurgery Unit, Department of Surgery, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID https://orcid.org/0000-0002-5316-1831
Olufemi E IdowuNeurosurgery Unit, Department of Surgery, Lagos State University Teaching Hospital and Lagos State University College of Medicine Ikeja, Lagos, Nigeria.ORCID https://orcid.org/0000-0001-9064-1562
Abiola Abdulrahman AyanlajaDepartment of Oncology and Neurology, Johns Hopkins School of Medicine, Baltimore.ORCID https://orcid.org/0000-0001-7173-0607
Claire KarekeziNeurosurgery Unit, Department of Surgery, Rwanda Military Referral and Teaching Hospital, University of Rwanda, Kigali, Rwanda.ORCID https://orcid.org/0000-0002-7183-899X
Elias EdrickDepartment of Pathology, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.ORCID https://orcid.org/0000-0002-7281-499X
Chukwuyem EkhatorNational Institute of Neurological Disorders and Stroke, National Institutes of Health, (NINDS/NIH), Bethesda.ORCID https://orcid.org/0000-0002-9860-4800
Victoria M KatasiDepartment of Pediatric Oncology and Hematology, Mulago National Referral Hospital, Mulago, Uganda.
Daniel H LachanceDepartment of Neurology, Mayo Clinic, Rochester.
Jason HuseDepartment of Pathology, University of Texas MD Anderson Cancer Center, Texas.ORCID https://orcid.org/0000-0003-4514-0640
Margreth MagamboDepartment of Radiology, Bugando Medical Centre, Mwanza, Tanzania.
Eyerusalem BantiDepartment of Neurosurgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Michael MagohaDepartment of Surgery, University of Nairobi, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-3136-9893
Advera NgaizaDepartment of Anatomical Pathology, Muhimbili National Hospital, Muhimbili, Tanzania.
Arsene D NyalundjaCenter for Tropical Diseases and Global Health, Faculty of Medicine, Université Catholique de Bukavu, Bugabo, Democratic Republic of Congo.
Dominique HigginsDepartment of Neurosurgery, University of North Carolina at Chapel Hill, Chapel Hill.
Minda OkemwaDepartment of Human Pathology, University of Nairobi, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-2495-0196
Lawrence Osei-TutuPaediatric Oncology Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Bernard PetershieDepartment of Pathology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Frank J MinjaDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta.ORCID https://orcid.org/0000-0002-1188-3895
Charles C AnunobiDepartment of Anatomic and Molecular Pathology, Lagos University Teaching Hospital, Lagos, Nigeria.
Arnold B EtameNeurosurgical Oncology, Moffitt Cancer Center, Tampa.ORCID https://orcid.org/0000-0002-9656-4702
Liadi TiamiyuDepartment of Neurological Surgery, Federal Medical Centre, Abeokuta, Ogun State, Nigeria.
Gbetoho Fortuné GankpeDepartment of Neurosurgery, Centre National Hospitalier Universitaire Hubert Koutoukou, Cotonou, Benin.
Ugumba Mussa KwikimaDepartment of Radiology and Imaging, Muhimbili Orthopaedic and Neurosurgery institute, Dar es Salam, Tanzania.ORCID https://orcid.org/0009-0001-5229-531X
Kashaigili HeronimaDepartment of Oncology, Bugando Medical Centre, Mwanza, Tanzania.
Kristin SchroederPediatric Oncology and Global Health, Duke University, Durham.ORCID https://orcid.org/0000-0002-6433-6174
Thierry MuanzaGerald Bronfman Department of Oncology, Jewish General Hospital, McGill University, Montreal, Canada.ORCID https://orcid.org/0000-0001-9281-1668
Desmond A BrownNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda.
Alan DavidsonHaematology Oncology Service, Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Ekokobe FonkemDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WN, USA.
Teddy TotimehDepartment of Neurological Surgery, Accra College of Medicine, Accra, Ghana.ORCID https://orcid.org/0009-0006-8260-2639
James BalogunDivision of Neurosurgery, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID https://orcid.org/0000-0002-0737-5265

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Central nervous system (CNS) tumors are a significant cause of morbidity and mortality in Sub-Saharan Africa (SSA). This project aimed to assess and map out the current neuro-oncology capacity in SSA, brain tumor registries, and biobanks. Methods: This cross-sectional study utilized an online survey to gather data from healthcare professionals involved in CNS tumor care across SSA through the Society for Neuro-Oncology SSA (SNOSSA). The survey captured information on the availability of neuro-oncology practitioners, neuropathology, molecular diagnostics, cancer registries, and biobanking. Results: A total of 145 respondents representing 70 healthcare institutions across 22 countries participated. Of the 70 institutions, specialties included neurosurgery (89%, 62/70), anatomic pathology (74%, 52/70), and medical oncology (71%, 50/70). For radiologic evaluation, 64% (45/70) of responding institutions reported having both CT and MRI. Access to molecular testing through immunohistochemistry or next-generation sequencing was available in 46% (32/70) of responding institutions. Multidisciplinary tumor boards were available for CNS cases in 86% (60/70) of responding institutions. Brain tumor-specific registries were available in 29% (20/70) of responding institutions, and 10% (7/70) maintained brain tumor biorepositories. Conclusion: This study demonstrates that SSA has substantial potential in neuro-oncology care practice capacity and facilities. The most significant gaps were in neuropathology and molecular testing, which makes widespread implementation of the WHO 2021 diagnosis challenging. Understanding the prevalence of CNS tumor subtypes in SSA is difficult due to the low number of brain tumor registries and biobanks.

Indexed as

brain tumorscentral nervous systemneuro-oncologySub-Saharan Africa

Identifiers

PMID42131754
PMCPMC13161895

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