Evidence map›Paper›PMID 42385095›Full record

Observational studyJCO global oncology2026

Adherence to Survivorship Care Visits in Patients With Cervical Cancer in Botswana.

Jessica George, Sheldon Amoo-Mitchual, Caroline Kernell, Shawna Tuli, Palak Patel, Barati Monare, Megan Kassick, Rebecca Ketlametswe, Alex Seiphetlheng, Marata Tafadzwa and 8 more

Abstract readObservational Study
In one paragraph

Observational study in JCO global oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Jessica GeorgeDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA.ORCID 0000-0002-0319-4272
Sheldon Amoo-MitchualPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0009-0002-6984-9419
Caroline KernellUniversity of Texas Southwestern Medical School, Dallas, TX.ORCID 0000-0002-3624-9882
Shawna TuliDonald Bren School of Information and Computer Sciences, University of California, Irvine, Irvine, CA.
Palak PatelDepartment of Radiation Oncology, Mass General Brigham, Dana-Farber Cancer Institute, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Barati MonareBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Megan KassickBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Rebecca KetlametsweBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Alex SeiphetlhengBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Marata TafadzwaBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Hakim SughraBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Wuraola T E OyegokeBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Gaobakwe RamontshonyanaBotswana-University of Pennsylvania Partnership, Gaborone, Botswana.
Juan Ariel Oliva DíazPrincess Marina Hospital, Gaborone, Botswana.
Lisa Bazzett-MatabeleDepartment of Obstetrics and Gynecology, University of Botswana, Gaborone, Botswana.ORCID 0000-0002-6170-1084
Peter VuylstekeBrugmann Hospital, Vrije Universiteit Brussel, Ixelles, Belgium.ORCID 0000-0001-6401-3722
Katharine A RendlePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-7761-8728
Surbhi GroverPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-7443-5937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe number of cancer survivors from low- and middle-income countries is rising, but most research has been conducted in high-income countries. Although studies have characterized the detection and treatment of cervical cancer in Botswana, survivorship care is a severely understudied area. We assessed short- and long-term survivorship visit adherence and factors associated with adherence in patients treated for cervical cancer in Botswana.

methodsBetween 2015 and 2022, females with cervical cancer were prospectively enrolled in an observational cohort study. Based on recommendations in the Botswana National Cervical Cancer Guidelines, adherence was defined as completion of a clinical visit biannually (every 6 months) during short-term survivorship care (0-2 years after treatment) and annually for long-term survivorship care (3-5 years after treatment). Generalized estimating equations (adjusted odds ratio [aOR]) were used to evaluate factors associated with short- and long-term adherence.

resultsThis cohort included 857 females treated with definitive- or curative-intent surgery- or radiation-based treatment, with a median age of 47.7 years (IQR, 41.6-58.2 years) and 68.6% living with HIV. On multivariable analysis of short-term care (n = 772), patients who traveled ≥100 km to the treatment facility (aOR, 0.35;

conclusionAdherence to recommended survivorship visits in Botswana is suboptimal. Strategies to help survivors, particularly those living farther away from treatment facilities and with advanced disease, are needed to improve adherence and reduce cervical cancer mortality.

Indexed as

Cancer SurvivorsPatient ComplianceUterine Cervical NeoplasmsAdultBotswanaFemaleHumansMiddle AgedProspective StudiesSurvivorship

Identifiers

PMID42385095
PMCPMC13340735

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.