Evidence map›Paper›PMID 42465613›Full record

ReviewCurrent hepatology reports2026

Hepatocellular Carcinoma in Africa: Epidemiology, Prevention and Outcomes.

Joseph A Akambase, Ponsiano Ocama, Jose D Debes

Abstract readReview
In one paragraph

Review in Current hepatology reports, 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

3 authors.

Joseph A AkambaseDepartment of Medicine, Hennepin Healthcare, Minneapolis, MN USA.
Ponsiano OcamaDepartment of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
Jose D DebesDepartment of Medicine, Hennepin Healthcare, Minneapolis, MN USA.

Funding

Biomarkers for Early Detection of Hepatitis B-Related Hepatocellular Carcinoma in HispanicsR37CA297814 · NCI · UNIVERSITY OF MINNESOTA · PI Jose Daniel Debes · 2025 to 2026
$1.1M
Impact of Hepatitis C and HIV coinfection on biological aging and hepatocellular carcinoma riskR21TW012390 · FIC · UNIVERSITY OF MINNESOTA · PI DEBES, JOSE DANIEL · 2022 to 2023
$500k
FIC NIH HHS R21 TW012390NCI NIH HHS R37 CA297814
6 · The paper itself

Abstract

Purpose of review: This review synthesizes the current knowledge of hepatocellular carcinoma (HCC) epidemiology across Northern and sub-Saharan Africa. We examine how causes of HCC differ by region, highlight prevention and early detection strategies, and identify gaps in treatment and palliative care to improve outcomes. Recent findings: The causes of HCC vary markedly across the continent. HCV predominates in Northern Africa, whereas HBV infection and dietary aflatoxin exposure prevail in sub-Saharan Africa. Rising obesity, diabetes, harmful alcohol use, and hepatitis D co-infection are important but under-researched contributors. Most patients still present with advanced disease, fewer than 6% receive curative therapy, median survival is measured in months, and access to palliative care remains dismal. Summary: HCC poses a major challenge in Africa, marked by high incidence, early age at diagnosis, and among the worst survival outcomes worldwide. Primary prevention through HBV birth-dose vaccination, aflatoxin mitigation, and population-level HCV treatment offers the most effective way to reduce mortality, yet implementation barriers persist.

Indexed as

AflatoxinAfricaCancer preventionCancer surveillanceGlobal healthHepatitis B virusHepatitis C virusHepatocellular carcinomaLiver cancerMetabolic dysfunction–associated steatotic liver diseaseNorth AfricaSub-Saharan Africa

Identifiers

PMID42465613
PMCPMC13372829

What OpenQuestion holds

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LicenceCC BY
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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.