Results of a pre-implementation analysis of Ethiopia's National Pediatric Cancer Registry.

In Ethiopia, cancer accounts for about 5.8% of total national mortality, with an estimated annual incidence of cancer of approximately 60,960 cases and an annual mortality of over 44,000 persons. This is likely an underestimation. Survival rates for pediatric malignancies are likewise suboptimal alt...

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Publicado en:Journal of Oncology Pharmacy Practice Vol. 27; no. 8; pp. 1940 - 1948
Autores principales: Buhlinger, Kaitlyn M, Borlagdan, Jared, Agegnehu, Bemnat, Fentie, Atalay M, Bernstein, Adam T, Urick, Benjamin Y, Roberts, Megan, Weitzman, Sheila, Bekele, Wondwessen, Korones, David, Alexander, Thomas B, Broas, Julie, Shad, Aziza, Dinkiye, Ali Mamude, Clark, Stephen M, Adam, Hayleyesus, Hailu, Daniel, Muluneh, Benyam
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Dec2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2021
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      pub: Sage Publications Inc.
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        atl: Results of a pre-implementation analysis of Ethiopia's National Pediatric Cancer Registry.
      aug:
        au:
          Buhlinger, Kaitlyn M
          Borlagdan, Jared
          Agegnehu, Bemnat
          Fentie, Atalay M
          Bernstein, Adam T
          Urick, Benjamin Y
          Roberts, Megan
          Weitzman, Sheila
          Bekele, Wondwessen
          Korones, David
          Alexander, Thomas B
          Broas, Julie
          Shad, Aziza
          Dinkiye, Ali Mamude
          Clark, Stephen M
          Adam, Hayleyesus
          Hailu, Daniel
          Muluneh, Benyam
        affil: Department of Pharmacy, University of North Carolina Medical Center, Chapel Hill, NC, USA
      sug:
        subj:
          Implementation Science
          Childhood Neoplasms Epidemiology
          Registries, Disease Analysis
          Pharmacists
          Human
          Ethiopia
          World Health
          Program Evaluation
          World Health Organization
          Personnel, Health Facility
          Workflow Evaluation
          Documentation
          Leadership
      ab: In Ethiopia, cancer accounts for about 5.8% of total national mortality, with an estimated annual incidence of cancer of approximately 60,960 cases and an annual mortality of over 44,000 persons. This is likely an underestimation. Survival rates for pediatric malignancies are likewise suboptimal although exact figures are unknown since a national cancer registry is unavailable. The World Health Organization (WHO) provides recommendations for the creation of cancer registries to track such data. Here we describe our pharmacist-led, pre-implementation assessment of introducing an enhanced national pediatric cancer registry in Ethiopia. Our assessment project had three specific aims around which the methods were designed: 1) characterization of the current spreadsheet-based tool across participating sites, including which variables were being collected, how these variables compared to standards set by the WHO, and a description of how the data were entered and its completeness; 2) assessment of the perceptions of an enhanced registry from hospital staff; and 3) evaluation of workflow gaps regarding documentation. The hospital staff and leadership have generally positive perceptions of an enhanced pediatric cancer registry, which were further improved by our interactions. The workflow assessment revealed several gaps, which were addressed systematically using a three-phase implementation science approach. The assessment also demonstrated that the existing spreadsheet-based tool was missing WHO-recommended variables and had inconsistent completion due to the workflow gaps. A pediatric oncology summary sheet will be implemented in upcoming trips in patient charts to better summarize the patients' journey starting from diagnosis. This document will be used by the data clerks in an enhanced-spreadsheet to have a more complete data set.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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