Evidence map›Paper›PMID 42231133›Full record

ArticleThe oncologist2026

How can integration of oncology and palliative care services be achieved for optimal patient benefit? Stakeholders' perspectives in Zimbabwe.

Kennedy Bashan Nkhoma, Dickson Chifamba, Zvavahera Mike Chirenje, Adlight Dandadzi, Catherine J Evans, Natsayi Mujuru, Mudiwa Mundawarara, Lovemore Mupaza, Patience Musaringo, Nkosiphile Moyo and 6 more

Abstract read
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Article in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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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

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Kennedy Bashan NkhomaFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London , London SE5 9PJ, United Kingdom.ORCID 0000-0002-2991-8160
Dickson ChifambaIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Zvavahera Mike ChirenjeClinical Trials Research Centre, University of Zimbabwe, Milton Park, Harare, Zimbabwe.
Adlight DandadziClinical Trials Research Centre, University of Zimbabwe, Milton Park, Harare, Zimbabwe.
Catherine J EvansFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London , London SE5 9PJ, United Kingdom.
Natsayi MujuruIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Mudiwa MundawararaIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Lovemore MupazaIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Patience MusaringoIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Nkosiphile MoyoIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Sunga MzecheClinical Trials Research Centre, University of Zimbabwe, Milton Park, Harare, Zimbabwe.
Anna Mary NyakabauClinical Trials Research Centre, University of Zimbabwe, Milton Park, Harare, Zimbabwe.
Agnes Chipo TereraiClinical Trials Research Centre, University of Zimbabwe, Milton Park, Harare, Zimbabwe.
Tanaka TsikoIsland Hospice and Healthcare, Belgravia, Harare, Zimbabwe.
Richard HardingFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King's College London , London SE5 9PJ, United Kingdom.
GHAP

Funding

NIHR GHRUG NIHR134440UK aid from the UK Government
6 · The paper itself

Abstract

backgroundCancer is a main driver of death and serious health-related suffering. The growing body of evidence for early integration of palliative care alongside oncological treatment to optimizes patient-reported outcomes is almost exclusively from high-income countries, while the greatest need is in low- and middle-income countries (LMICs). We aimed to explore the perspectives of patients, families and clinical staff on what constitutes a feasible, acceptable and appropriate model of integrated palliative and oncology care in Zimbabwe. MATERIALS AND

methodsWe conducted an exploratory qualitative study underpinned by indicators for integrated oncology and palliative care. Participants comprised healthcare professionals, patients, and families. Semistructured guides were developed and iteratively refined. Deductive framework analysis was conducted to Hui's evidence-based framework of integrated oncology and palliative care indicators. The data were then further inductively coded into the framework.

resultsAnalysis of data from 45 stakeholders (n = 15 per group) identified 19 of 38 indicators (50%) aligned with Hui's model, indicating partial and uneven integration. Alignment was strongest in clinical processes (n = 9) and education (n = 5), with more limited support for administration (n = 3) and structure (n = 2). No findings aligned with the research domain. Inductive coding identified 3 indicators that aligned with clinical processes (routine discussion of prognosis, advance care planning and goals), clinical structure (physical environment) and education (training needs). DISCUSSION: While the Hui model is broadly applicable, substantial contextual adaptation is required. Integration cannot be achieved through coordination alone and requires system-level investment in workforce, training, infrastructure, and policy. We propose a phased "minimum package" for integration tailored to Zimbabwe and similar LMIC settings.

Indexed as

Delivery of Health Care, IntegratedMedical OncologyNeoplasmsPalliative CareFemaleHumansMaleQualitative ResearchZimbabwecervical cancerintegrationlow- and middle-income countriespalliative careprostate cancerserious illness

Identifiers

PMID42231133
PMCPMC13322389

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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.