A5035027967- Global Cancer Incidence and Screening
- Cardiac, Anesthesia and Surgical Outcomes
- Surgical site infection prevention
- Colorectal Cancer Screening and Detection
- Global Health and Surgery
- Economic and Financial Impacts of Cancer
- Breast Cancer Treatment Studies
- COVID-19 and healthcare impacts
- Hernia repair and management
- Enhanced Recovery After Surgery
- Appendicitis Diagnosis and Management
- Abdominal Surgery and Complications
- AI in cancer detection
- Anesthesia and Pain Management
- Colorectal Cancer Surgical Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Breast Implant and Reconstruction
- Cancer survivorship and care
- Pelvic and Acetabular Injuries
- BRCA gene mutations in cancer
- Lymphatic System and Diseases
- Abdominal Trauma and Injuries
- Gastric Cancer Management and Outcomes
- Intestinal and Peritoneal Adhesions
- Breast Lesions and Carcinomas
Obafemi Awolowo University Teaching Hospitals Complex
2016-2025
Obafemi Awolowo University
2019-2024
French Institute for Research in Africa
2022-2024
West African College of Physicians
2024
Adekunle Ajasin University
2024
Ekiti State University
2024
University of Birmingham
2023
Royal Brisbane and Women's Hospital
2021
University of Liverpool
2021
Society of Surgical Oncology
2021
Abstract High‐quality data are needed to guide interventions aimed at improving breast cancer outcomes in sub‐Saharan Africa. We present from an institutional database create a framework for policy and development Nigeria. An was queried consecutive patients diagnosed with between January 2010 December 2018. Sociodemographic, diagnostic, histopathologic, treatment outcome variables were analyzed. Of 607 patients, there 597 females mean age of 49.8 ± 12.2 years. Most presented palpable mass...
BackgroundThe iBreastExam electronically palpates the breast to identify possible abnormalities. We assessed performance compared with clinical examination for lesion detection in high risk and symptomatic Nigerian women.MethodsThis prospective study was done at Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) Nigeria. Participants were women aged 40 years or older who presented cancer symptoms those a first-degree relative had history of cancer. underwent four examinations: (by...
Introduction: in Nigeria, the incidence of breast cancer has increased by over 80% last four decades. This study quantifies out-of-pocket (OOP) cost management and associated rate catastrophic healthcare expenditure (CHE) at a public tertiary care facility Ile-Ife, Nigeria.
Importance In Nigeria, 80% of breast cancer is diagnosed at an advanced stage, when clinical management complex and necessitates multidisciplinary collaboration. The Nigerian Federal Ministry Health promotes tumor board (MDT) discussions endorses the National Comprehensive Cancer Network Harmonized Guidelines for Sub-Saharan Africa (Harmonized Guidelines) to standardize care, but extent their utilization not well understood. Objective To identify barriers facilitators standardization care in...
The majority of women managed for breast cancer in Nigeria are relatively young, many their forties. Mastectomy, the most common surgical treatment, raises psychosocial concerns. Understanding these concerns may help address fears who refuse treatment and aid care those have had mastectomy.Using qualitative methods, we purposively sampled 45 years age younger underwent mastectomy at a Nigerian teaching hospital. One-on-one in-depth interviews were conducted using an unstructured interview...
The benefits of laparoscopic surgery such as swifter recovery and fewer wound complications, elude much the developing world. Nigeria, a lower middle-income country, is most populous sub-Saharan nation; an excellent model for studying impact laparoscopy in resource-constrained environments. Department Surgery at Obafemi Awolowo University Teaching Hospital Utah's Center Global present study cases Africa.A retrospective chart review 261 patients compared open surgical outcomes three common...
Background The majority of women in Nigeria present with advanced‐stage breast cancer. To address the role geospatial access, we constructed a geographic information‐system–based model to evaluate relationship between modeled travel time, stage at presentation, and overall survival among patients cancer Nigeria. Methods Consecutive were identified from single‐institution, prospective database (May 2009‐January 2019). Patients geographically located, time hospital was generated using...
Background/aims Cancer burden is predicted to double by 2030 in sub-Saharan Africa; access healthcare services for cancer management a priority the region. In Nigeria, National Control Plan aims ensure >50% screening of eligible populations 2022 all Nigerians. We describe utilisation, activities and potential barriers accessing care within an understudied rural community-based adult population South West Nigeria. Methods April 2018, we conducted cross-sectional study adults (>18 years)...
Abstract Globally, cancer is the second leading cause of death, and low‐ middle‐income countries bear most disease burden. While increasingly recognized as a major global health issue, more work remains. Understanding status care will shape next steps in ensuring equitable access to care. This article highlights ongoing initiatives oncology advancing field.
To address the increasing burden of cancer in Nigeria, National Cancer Control Plan outlines development 8 public comprehensive centers. We map population-level geospatial access to these eight centers and explore equity impact future development.Geospatial methods were used estimate travel times A cost distance model was built using open source road infrastructure data with verified speed limits. Geolocated population estimates amalgamated this calculate at a national regional level for...
The introduction of energy devices has significantly expanded the scope surgical expedition. LigaSure™ vessel sealing system is a bipolar electrosurgical device, recently introduced to our practice. Its impact on peri-operative outcomes in variety major operations was evaluated this study.A retrospective review performed following adoption device carried out. Five categories were (Thyroidectomies, Gastrectomies, Colectomies, Pancreaticoduodenectomies, and Anterior/Abdomino-perineal resection...
Gender differences are expected to influence the pattern and outcome of management abdominal wall hernias. Some these left speculations with few published articles on hernias in females.To describe clinical females.A 5 year retrospective review.There were 181 female patients 184 representing 27.9% total number hernia operated. Mean age was 41.66±24.46 years a bimodal peak 1(st) 7(th) decades. Inguinal accounted for majority (50.5%) but incisional predominated 30-49 group, while only inguinal...
Objective To explore the gaps in safe handling, administration, preparation and disposal of chemotherapy agents low middle-income countries. Design Two surveys comprising a needs assessment survey an American Cancer Society (ACS) ChemoSafe Facility Assessment. Setting 2019 African Research Group for Oncology Symposium South-West Nigeria (needs assessment) 2021 virtual engagement (ChemoSafe Assessment). Participants Health professionals (n=50 98) from multiple institutions across survey)...
Introduction There is a paucity of prospective data on the performance fecal immunochemical test (FIT) for colorectal cancer (CRC) screening in sub-Saharan Africa. The aim this exploratory analysis was to evaluate feasibility and FIT Nigeria. Methods This prospective, single-arm study. A convenience sample asymptomatic, average-risk individuals between 40–75 years age were enrolled at Obafemi Awolowo University Teaching Hospital. Study participants returned 48 hours with specimen ova...
Breast cancer-related lymphedema (BCRL) is common and has significant impact on quality of life. Very little known about BCRL in sub-Saharan Africa. Generally, been mostly evaluated post treatment, with very limited data the prevalence pre-treatment at baseline. This study presents clinical associations among newly diagnosed, treatment-naive breast cancer patients a Nigerian cohort using bioimpedance estimations.Consecutively consenting, were assessed for upper limb measurements...
Chemotherapy improves tumour control and survival, but it may be associated with side effects (SEs) which can impair treatment compliance worsen outcomes. Assessment of patients in routine clinical practice, outside trials, provide the information on chemotherapy its impacts compliance.To assess SE to breast cancer patients.A prospective study involving 120 receiving was carried out at oncology clinics University College Hospital Ibadan. SEs reported were recorded graded using Common...
Background Early postmastectomy discharge with a drain in place is standard practice most developed countries. Its feasibility has not been evaluated low resource settings like Nigeria. Methods Consenting patients undergoing mastectomy were discharged on the third postoperative day and assessed as outpatients for wound complications well their experience at home. Wound outcomes compared who had traditional long stay. Results Forty‐five of 58 during study period participated early program...
Background: The principles of safe and efficient thyroid surgery had been established the technique has remained same for over century without any major significant changes. introductions electrosurgical devices constitute a shift in surgery. Objective: We present our early experience with use LIGASURE vessel sealing system procedure thyroidectomy. Materials Methods: This was quasi-experimental study comparing outcome LigaSure thyroidectomy prospective nonrandomized cohort another...
Background: Vaccine has been identified as the most cost-effective way of fighting COVID-19 pandemic. As countries await vaccine for mass administration amidst numerous misconceptions, it is imperative to assess willingness masses take vaccine. This study aimed determinants uptake vaccines among residents Osun State.Methods: A descriptive cross-sectional design was employed. Seven hundred and forty-four respondents were enrolled from three selected local government areas using a multistage...
In Nigeria, breast cancer incidence is rising, late presentation common, and outcomes are poor. Patient-related factors such as lack of awareness misperceptions in addition to health system deficiencies a clearly defined framework for screening referral some the major drivers this poor outlook. Guidelines high-income countries have limited applicability low-middle-income countries, hence need innovative, resource-compatible strategies combat negative trend. This manuscript presents our study...
Globally, the advent of new cases cancer has been steadily increasing, with rising mortality and a significant impact on economy.Most malignancy outcomes are linked to early detection, prompt diagnosis, treatment.The need for detection is crucial management.With these increasing numbers, there adoption emerging technologies such as machine learning help improve outcome management.For reasons, in this paper, we reviewed role medical imaging techniques management cancer.In general, technology...