A Needs Assessment of Breast Pathology Services in Sub-Saharan Africa.

Context.--High-quality breast pathology services are a cornerstone to rendering accurate and timely diagnostic reports essential for breast cancer management. Objective.--To perform a qualitative needs assessment of breast pathology services across several large referral hospitals in sub-Saharan Afr...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 150; no. 7; pp. 527 - 533
Autores principales: Omoyiola, Oluwatosin, Gilliland, Jaime L., Betiku, Omolade, Nkya, Gilbert, Couto Fernandes, Fabiola, Tacula, Neybi Stella, Carrilho, Carla, Pallangyo, Angela Elisha, Adegoke, Omolade, Edelweiss, Marcia, Ng, Dianna L.
Formato: research tables/charts Journal Article
Publicado: College of American Pathologists Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
      vid: 150
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      pub: College of American Pathologists
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        atl: A Needs Assessment of Breast Pathology Services in Sub-Saharan Africa.
      aug:
        au:
          Omoyiola, Oluwatosin
          Gilliland, Jaime L.
          Betiku, Omolade
          Nkya, Gilbert
          Couto Fernandes, Fabiola
          Tacula, Neybi Stella
          Carrilho, Carla
          Pallangyo, Angela Elisha
          Adegoke, Omolade
          Edelweiss, Marcia
          Ng, Dianna L.
        affil: Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospital Complex, Ife, Nigeria
      sug:
        subj:
          Needs Assessment
          Breast Neoplasms Pathology
          Oncologic Care
          Breast Neoplasms Diagnosis
          Pathology, Clinical
          Diagnostic Services Africa South of the Sahara
          Human
          Qualitative Studies
          Hospitals Africa South of the Sahara
          Semi-Structured Interview
          Pathologists
          Radiologists
          Oncologists
          Surgeons
          Nigeria
          Tanzania
          Mozambique
          Thematic Analysis
          Content Analysis
          Communication
          Specimen Handling
          Africa South of the Sahara
          Funding Source
          Purposive Sample
          Audiorecording
          Descriptive Statistics
          Data Analysis Software
          Immunohistochemistry
      ab: Context.--High-quality breast pathology services are a cornerstone to rendering accurate and timely diagnostic reports essential for breast cancer management. Objective.--To perform a qualitative needs assessment of breast pathology services across several large referral hospitals in sub-Saharan Africa to better understand the challenges in providing optimal pathology services. Design.--We conducted semi-structured interviews with key stakeholders involved in breast cancer care, including pathologists, radiologists, oncologists, and surgeons from Nigeria, Tanzania, and Mozambique. All interviews were conducted by a breast pathologist with subspecialty training based in the United States. Interviews explored the current gaps in pathology services. Responses were recorded, key points transcribed and coded by using thematic content analysis, and major themes were identified. Results.--Individual interviews were conducted with a total of 6 pathologists, 3 radiologists, 2 oncologists, and 6 surgeons. Major themes identified included pathology reporting practices, laboratory workflow, pathology infrastructure, and challenges in communication between clinical specialties. Participants expressed a desire for more consistent and structured reports, including standardization of essential information and the use of synoptic templates. Conclusions.--Addressing gaps in breast cancer pathology services in sub-Saharan Africa will require a multifaceted approach. Critical areas to focus on include interventions to strengthen laboratory infrastructure, increasing availability of context-tailored subspecialty training, standardizing laboratory protocols and specimen reporting, and establishing communication channels between clinical specialties. Building pathology capacity in sub-Saharan Africa will improve not only diagnosis but also treatment planning and patient outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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