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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container_title | Journal of oncology pharmacy practice |
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creator | 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 |
description | 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. |
doi_str_mv | 10.1177/1078155220980051 |
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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.</description><identifier>ISSN: 1078-1552</identifier><identifier>EISSN: 1477-092X</identifier><identifier>DOI: 10.1177/1078155220980051</identifier><identifier>PMID: 33342356</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Cancer ; Child ; Documentation ; Ethiopia - epidemiology ; Humans ; Life Sciences & Biomedicine ; Medical Oncology ; Mortality ; Neoplasms - epidemiology ; Oncology ; Patients ; Pediatrics ; Pharmacology & Pharmacy ; Registries ; Science & Technology</subject><ispartof>Journal of oncology pharmacy practice, 2021-12, Vol.27 (8), p.1940-1947, Article 1078155220980051</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>4</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000626679000001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c365t-a900b967698ec9e0a3a5c6c7a0d7f11e75203ec4acd9a0dcf38a761b15e4510d3</citedby><cites>FETCH-LOGICAL-c365t-a900b967698ec9e0a3a5c6c7a0d7f11e75203ec4acd9a0dcf38a761b15e4510d3</cites><orcidid>0000-0003-1859-9763 ; 0000-0002-0484-1574</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1078155220980051$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1078155220980051$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21824,27929,27930,39263,43626,43627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33342356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buhlinger, Kaitlyn M</creatorcontrib><creatorcontrib>Borlagdan, Jared</creatorcontrib><creatorcontrib>Agegnehu, Bemnat</creatorcontrib><creatorcontrib>Fentie, Atalay M</creatorcontrib><creatorcontrib>Bernstein, Adam T</creatorcontrib><creatorcontrib>Urick, Benjamin Y</creatorcontrib><creatorcontrib>Roberts, Megan</creatorcontrib><creatorcontrib>Weitzman, Sheila</creatorcontrib><creatorcontrib>Bekele, Wondwessen</creatorcontrib><creatorcontrib>Korones, David</creatorcontrib><creatorcontrib>Alexander, Thomas B</creatorcontrib><creatorcontrib>Broas, Julie</creatorcontrib><creatorcontrib>Shad, Aziza</creatorcontrib><creatorcontrib>Dinkiye, Ali Mamude</creatorcontrib><creatorcontrib>Clark, Stephen M</creatorcontrib><creatorcontrib>Adam, Hayleyesus</creatorcontrib><creatorcontrib>Hailu, Daniel</creatorcontrib><creatorcontrib>Muluneh, Benyam</creatorcontrib><title>Results of a pre-implementation analysis of Ethiopia’s National Pediatric Cancer Registry</title><title>Journal of oncology pharmacy practice</title><addtitle>J ONCOL PHARM PRACT</addtitle><addtitle>J Oncol Pharm Pract</addtitle><description>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. 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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. 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subjects | Cancer Child Documentation Ethiopia - epidemiology Humans Life Sciences & Biomedicine Medical Oncology Mortality Neoplasms - epidemiology Oncology Patients Pediatrics Pharmacology & Pharmacy Registries Science & Technology |
title | Results of a pre-implementation analysis of Ethiopia’s National Pediatric Cancer Registry |
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