CoChat
Sign Up
Cited by 15Telemedicine and Telehealth ImplementationPalliative Care and End-of-Life IssuesPalliative and Oncologic Care

Remote Symptom Monitoring to Enhance the Delivery of Palliative Cancer Care in Low-Resource Settings: Emerging Approaches from Africa

Open access
Salako, Omolola, Enyi, Adaorah, Miesfeldt, Susan, Kabukye, Johnblack K., Ngoma, Mamsau, Namisango, Eve, LeBaron, Virginia, Sisimayi, Chenjerai +6 more·2023·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph20247190PMC PMC10743024
Open this paper in CoChat — free accountOpen PDF

Abstract

This paper brings together researchers, clinicians, technology developers and digital innovators to outline current applications of remote symptom monitoring being developed for palliative cancer care delivery in Africa. We outline three remote symptom monitoring approaches from three countries, highlighting their models of delivery and intended outcomes, and draw on their experiences of implementation to guide further developments and evaluations of this approach for palliative cancer care in the region. Through highlighting these experiences and priority areas for future research, we hope to steer efforts to develop and optimise remote symptom monitoring for palliative cancer care in Africa.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3390/ijerph20247190

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Salako et al [42] described 3 approaches from different countries, highlighting delivery models, outcomes, and implementation experiences.

    “They described 3 approaches from different countries, highlighting delivery models, outcomes, and implementation experiences.”

    From User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review (2026) · cites this paper as [42]

  • Salako et al [42] concluded that codeveloping and adapting remote symptom monitoring tools with local stakeholders is feasible, with user-centered insights guiding future scale-up.

    “The study concluded that codeveloping and adapting these tools with local stakeholders is feasible, with user-centered insights guiding future scale-up.”

    From User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review (2026) · cites this paper as [42]

  • Salako et al [42] brought together researchers, clinicians, and technology developers to review remote symptom monitoring for palliative cancer care in Africa.

    “For example, Salako et al [42] brought together researchers, clinicians, and technology developers to review remote symptom monitoring for palliative cancer care in Africa.”

    From User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review (2026) · cites this paper as [42]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The citation lists haven’t been fetched yet

References 79 · Cited by 15

Research works printed but not linked: 75

  1. [1]Pramesh C.S. Badwe R.A. Bhoo-Pathy N. Booth C.M. Chinnaswamy G. Dare A.J. de Andrade V.P. Hunter D.J. Gopal S. Gospodarowicz M. Priorities for cancer research in low- and middle-income countries: A global perspective Nat. Med. 2022 28 649 657 10.1038/s41591-022-01738-x 35440716 PMC9108683 · DOI
  2. [2]World Health Organization WHO Guideline: Recommendations on Digital Interventions for Health System Strengthening WHO Geneva, Switzerland 2019 31162915
  3. [3]Prager G.W. Braga S. Bystricky B. Qvortrup C. Criscitiello C. Esin E. Sonke G.S. Argilés Martínez G. Frenel J.S. Karamouzis M. Global cancer control: Responding to the growing burden, rising costs and inequalities in access ESMO Open 2018 3 e000285 10.1136/esmoopen-2017-000285 29464109 PMC5812392 · DOI
  4. [4]Sung H. Ferlay J. Siegel R.L. Laversanne M. Soerjomataram I. Jemal A. Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries CA Cancer J. Clin. 2021 71 209 249 10.3322/caac.21660 33538338 · DOI · Paper page
  5. [5]Shah S.C. Kayamba V. Peek R.M. Jr. Heimburger D. Cancer Control in Low- and Middle-Income Countries: Is It Time to Consider Screening? J. Glob. Oncol. 2019 5 1 8 10.1200/JGO.18.00200 30908147 PMC6452918 · DOI · Paper page
  6. [6]Agodirin O. Olatoke S. Rahman G. Olaogun J. Olasehinde O. Katung A. Kolawole O. Ayandipo O. Etonyeaku A. Habeeb O. Presentation intervals and the impact of delay on breast cancer progression in a black African population BMC Public Health 2020 20 962 10.1186/s12889-020-09074-w 32560711 PMC7304119 · DOI
  7. [7]Wassie M. Fentie B. Prevalence of late-stage presentation and associated factors of cervical cancer patients in Tikur Anbesa Specialized Hospital, Ethiopia: Institutional based cross-sectional study Infect. Agents Cancer 2021 16 30 10.1186/s13027-021-00371-6 33975620 PMC8111725 · DOI
  8. [8]Tekalign T. Teshome M. Prevalence and determinants of late-stage presentation among cervical cancer patients, a systematic review and meta-analysis PLoS ONE 2022 17 e0267571 10.1371/journal.pone.0267571 35476851 PMC9045598 · DOI
  9. [9]Rogers J.L. Perry L.M. Hoerger M. Summarizing the Evidence Base for Palliative Oncology Care: A Critical Evaluation of the Meta-analyses Clin. Med. Insights Oncol. 2020 14 1179554920915722 10.1177/1179554920915722 32341671 PMC7171985 · DOI
  10. [11]Court L. Olivier J. Approaches to integrating palliative care into African health systems: A qualitative systematic review Health Policy Plan. 2020 35 1053 1069 10.1093/heapol/czaa026 32514556 PMC7553764 · DOI
  11. [12]Namukwaya E. Deogratius Mwaka A. Namisango E. Mwesiga M.D. Downing J. Current State of Palliative Care in Uganda Palliative Care for Chronic Cancer Patients in the Community: Global Approaches and Future Applications Silbermann M. Springer International Publishing Cham, Switzerland 2021 267 278
  12. [13]Fraser B.A. Powell R.A. Mwangi-Powell F.A. Namisango E. Hannon B. Zimmermann C. Rodin G. Palliative Care Development in Africa: Lessons from Uganda and Kenya J. Glob. Oncol. 2017 1 10 10.1200/JGO.2017.010090 PMC6180772 30241205 · DOI
  13. [14]Downing J. Grant L. Leng M. Namukwaya E. Understanding Models of Palliative Care Delivery in Sub-Saharan Africa: Learning from Programs in Kenya and Malawi J. Pain Symptom Manag. 2015 50 362 370 10.1016/j.jpainsymman.2015.03.017 25936938 · DOI
  14. [15]Brant J.M. Silbermann M. Global Perspectives on Palliative Care for Cancer Patients: Not All Countries Are the Same Curr. Oncol. Rep. 2021 23 60 10.1007/s11912-021-01044-8 33829323 PMC8026388 · DOI
  15. [16]Murray S.A. Kendall M. Mitchell G. Moine S. Amblàs-Novellas J. Boyd K. Palliative care from diagnosis to death BMJ 2017 356 j878 10.1136/bmj.j878 28242747 · DOI
  16. [17]Ngwa W. Addai B.W. Adewole I. Ainsworth V. Alaro J. Alatise O.I. Ali Z. Anderson B.O. Anorlu R. Avery S. Cancer in sub-Saharan Africa: A Lancet Oncology Commission Lancet Oncol. 2022 23 e251 e312 10.1016/S1470-2045(21)00720-8 35550267 PMC9393090 · DOI
  17. [18]Merriman A. Mwebesa E. Zirimenya L. Improving access to palliative care for patients with cancer in Africa: 25 years of Hospice Africa Ecancermedicalscience 2019 13 946 10.3332/ecancer.2019.946 31552119 PMC6722241 · DOI
  18. [19]Mutebi M. Adewole I. Orem J. Abdella K. Coker O. Kolawole I. Komen A. Munema A. Ndlovu N. O’Brien M. Toward Optimization of Cancer Care in Sub-Saharan Africa: Development of National Comprehensive Cancer Network Harmonized Guidelines for Sub-Saharan Africa JCO Glob. Oncol. 2020 6 1412 1418 10.1200/GO.20.00091 32970487 PMC7529540 · DOI
  19. [20]Holeman I. Evans J. Kane D. Grant L. Pagliari C. Weller D. Mobile health for cancer in low to middle-income countries: Priorities for research and development Eur. J. Cancer Care 2014 23 750 756 10.1111/ecc.12250 25324023 · DOI · Paper page
  20. [21]Nkhoma K.B. Ebenso B. Akeju D. Adejoh S. Bennett M. Chirenje M. Dandadzi A. Nabirye E. Namukwaya E. Namisango E. Stakeholder perspectives and requirements to guide the development of digital technology for palliative cancer services: A multi-country, cross-sectional, qualitative study in Nigeria, Uganda and Zimbabwe BMC Palliat. Care 2021 20 4 10.1186/s12904-020-00694-y 33397321 PMC7784352 · DOI
  21. [25]Yadav K. Ginsburg O. Basu P. Mehrotra R. Telemedicine and Cancer Care in Low- and Middle-Income Countries during the SARS-CoV-2 Pandemic JCO Glob. Oncol. 2021 1633 1638 10.1200/GO.21.00249 34860567 PMC8654432 · DOI
  22. [26]Grewal U.S. Shankar A. Saini D. Seth T. Roy S. Aden D. Bhandari D. Singh P. Tele-health and cancer care in the era of COVID-19: New opportunities in low and middle income countries (LMICs) Cancer Treat. Res. Commun. 2021 27 100313 10.1016/j.ctarc.2021.100313 33465561 PMC7833952 · DOI
  23. [27]Wang T. Molassiotis A. Chung B.P.M. Tan J.Y. Unmet care needs of advanced cancer patients and their informal caregivers: A systematic review BMC Palliat. Care 2018 17 96 10.1186/s12904-018-0346-9 30037346 PMC6057056 · DOI · Paper page
  24. [28]Waller A. Girgis A. Johnson C. Lecathelinais C. Sibbritt D. Forstner D. Liauw W. Currow D.C. Improving Outcomes for People with Progressive Cancer: Interrupted Time Series Trial of a Needs Assessment Intervention J. Pain Symptom Manag. 2012 43 569 581 10.1016/j.jpainsymman.2011.04.020 22209224 · DOI · Paper page
  25. [29]Powell R.A. Harding R. Namisango E. Katabira E. Gwyther L. Radbruch L. Murray S.A. El-Ansary M. Leng M. Ajayi I.O. Palliative care research in Africa: Consensus building for a prioritized agenda J. Pain Symptom Manag. 2014 47 315 324 10.1016/j.jpainsymman.2013.03.022 23870840 · DOI
  26. [30]Harding R. Selman L. Powell R.A. Namisango E. Downing J. Merriman A. Ali Z. Gikaara N. Gwyther L. Higginson I. Research into palliative care in sub-Saharan Africa Lancet Oncol. 2013 14 e183 e188 10.1016/S1470-2045(12)70396-0 23561750 · DOI
  27. [31]Hasson F. Nicholson E. Muldrew D. Bamidele O. Payne S. McIlfatrick S. International palliative care research priorities: A systematic review BMC Palliat. Care 2020 19 16 10.1186/s12904-020-0520-8 32013949 PMC6998205 · DOI
  28. [33]Basch E. Stover A.M. Schrag D. Chung A. Jansen J. Henson S. Carr P. Ginos B. Deal A. Spears P.A. Clinical Utility and User Perceptions of a Digital System for Electronic Patient-Reported Symptom Monitoring during Routine Cancer Care: Findings from the PRO-TECT Trial JCO Clin. Cancer Inf. 2020 4 947 957 10.1200/CCI.20.00081 PMC7768331 33112661 · DOI · Paper page
  29. [34]Howell D. Li M. Sutradhar R. Gu S. Iqbal J. O’Brien M.A. Seow H. Dudgeon D. Atzema C. Earle C.C. Integration of patient-reported outcomes (PROs) for personalized symptom management in “real-world” oncology practices: A population-based cohort comparison study of impact on healthcare utilization Support Care Cancer 2020 28 4933 4942 10.1007/s00520-020-05313-3 32020357 · DOI
  30. [35]Rocque G.B. Dionne-Odom J.N. Stover A.M. Daniel C.L. Azuero A. Huang C.-H.S. Ingram S.A. Franks J.A. Caston N.E. Dent D.A.N. Evaluating the implementation and impact of navigator-supported remote symptom monitoring and management: A protocol for a hybrid type 2 clinical trial BMC Health Serv. Res. 2022 22 538 10.1186/s12913-022-07914-6 35459238 PMC9027833 · DOI · Paper page
  31. [36]Agom D.A. Onyeka T.C. Iheanacho P.N. Ominyi J. Barriers to the Provision and Utilization of Palliative Care in Africa: A Rapid Scoping Review Indian J. Palliat. Care 2021 27 3 17 10.4103/IJPC.IJPC_355_20 34035611 PMC8121217 · DOI
  32. [37]Iragorri N. de Oliveira C. Fitzgerald N. Essue B. The Out-of-Pocket Cost Burden of Cancer Care—A Systematic Literature Review Curr. Oncol. 2021 28 1216 1248 10.3390/curroncol28020117 33804288 PMC8025828 · DOI
  33. [38]Farrant L. Harding R. Anderson D. Greeff L. Kassanjee R. Krause R. Mohamed Z. Parkes J. Gwyther L. Symptom prevalence and burden, and the risk of depression among patients with advanced cancer attending two South African oncology units Ecancermedicalscience 2022 16 1349 10.3332/ecancer.2022.1349 35242230 PMC8831113 · DOI
  34. [39]Namukwaya E. Nabirye E. Dandadzi A. Akeju D. Adejoh S. Namisango E. Nkhoma K. Ebenso B. Allsop M.J. “From the Time You Start with Them Until the Lord Calls You”: A Qualitative Study on the Experiences and Expectations of People Living with Advanced Cancer Interacting with Palliative Care Services in Uganda, Nigeria and Zimbabwe J. Pain Symptom Manag. 2022 64 588 601 10.1016/j.jpainsymman.2022.08.022 36089175 · DOI
  35. [40]Selman L. Higginson I.J. Agupio G. Dinat N. Downing J. Gwyther L. Mashao T. Mmoledi K. Moll A.P. Sebuyira L.M. Meeting information needs of patients with incurable progressive disease and their families in South Africa and Uganda: Multicentre qualitative study BMJ 2009 338 b1326 10.1136/bmj.b1326 19386672 PMC3273778 · DOI
  36. [41]Abate Y. Solomon K. Azmera Y.M. de Fouw M. Kaba M. Barrier analysis for continuity of palliative care from health facility to household among adult cancer patients in Addis Ababa, Ethiopia BMC Palliat. Care 2023 22 57 10.1186/s12904-023-01181-w 37173667 PMC10175902 · DOI
  37. [42]Afolabi O.A. Nkhoma K. Maddocks M. Harding R. What constitutes a palliative care need in people with serious illnesses across Africa? A mixed-methods systematic review of the concept and evidence Palliat. Med. 2021 35 1052 1070 10.1177/02692163211008784 33860715 PMC8371282 · DOI
  38. [43]Omigbodun A. Agboola A.D. Fayehun O.A. Fayehun O.A. Ajisola M. Oladejo A. Popoola O. Lilford R. Trends in Clinical Stage at Presentation for Four Common Adult Cancers in Ibadan, Nigeria medRxiv 2023 10.1101/2023.09.22.23295952 · DOI
  39. [45]Olasehinde O. Alatise O. Omisore A. Wuraola F. Odujoko O. Romanoff A. Akinkuolie A. Arowolo O. Adisa A. Knapp G. Contemporary management of breast cancer in Nigeria: Insights from an institutional database Int. J. Cancer 2021 148 2906 2914 10.1002/ijc.33484 33506499 PMC8394611 · DOI
  40. [47]Hazin R. Qaddoumi I. Teleoncology: Current and future applications for improving cancer care globally Lancet Oncol. 2010 11 204 210 10.1016/S1470-2045(09)70288-8 20152772 PMC3157842 · DOI
  41. [49]Harding R. Selman L. Agupio G. Dinat N. Downing J. Gwyther L. Mashao T. Mmoledi K. Moll T. Sebuyira L.M. Validation of a core outcome measure for palliative care in Africa: The APCA African Palliative Outcome Scale Health Qual Life Outcomes 2010 8 10 10.1186/1477-7525-8-10 20100332 PMC2825183 · DOI
  42. [50]Ngoma M. Mushi B. Morse R.S. Ngoma T. Mahuna H. Lambden K. Quinn E. Sagan S.B. Ho Y.X. Lucas F.L. mPalliative Care Link: Examination of a Mobile Solution to Palliative Care Coordination among Tanzanian Patients with Cancer JCO Glob. Oncol. 2021 7 1306 1315 10.1200/GO.21.00122 34406856 PMC8457843 · DOI
  43. [51]Ho Y.X. Morse R.S. Lambden K. Mushi B.P. Ngoma M. Mahuna H. Ngoma T. Miesfeldt S. How a Digital Case Management Platform Affects Community-Based Palliative Care of Sub-Saharan African Cancer Patients: Clinician-Users’ Perspectives Appl. Clin. Inform. 2022 13 1092 1099 10.1055/s-0042-1758223 36384234 PMC9668489 · DOI · Paper page
  44. [52]Okunade K. Nkhoma K.B. Salako O. Akeju D. Ebenso B. Namisango E. Soyannwo O. Namukwaya E. Dandadzi A. Nabirye E. Understanding data and information needs for palliative cancer care to inform digital health intervention development in Nigeria, Uganda and Zimbabwe: Protocol for a multicountry qualitative study BMJ Open 2019 9 e032166 10.1136/bmjopen-2019-032166 31676657 PMC6830840 · DOI
  45. [54]Donovan K.A. Grassi L. McGinty H.L. Jacobsen P.B. Validation of the distress thermometer worldwide: State of the science Psychooncology 2014 23 241 250 10.1002/pon.3430 25160838 · DOI
  46. [55]Kavuma M. The Usability of Electronic Medical Record Systems Implemented in Sub-Saharan Africa: A Literature Review of the Evidence JMIR Hum. Factors 2019 6 e9317 10.2196/humanfactors.9317 30801251 PMC6409508 · DOI
  47. [56]Pettit L. Understanding EMRAM and how it can be used by policy-makers, hospital CIOs and their IT teams World Hosp. Health Serv. 2013 49 7 9 24377140
  48. [57]Kabukye J.K. Kakungulu E. Keizer N.D. Cornet R. Digital health in oncology in Africa: A scoping review and cross-sectional survey Int. J. Med. Inform. 2022 158 104659 10.1016/j.ijmedinf.2021.104659 34929545 · DOI
  49. [58]Namisango E. Bhakta N. Wolfe J. McNeil M.J. Powell R.A. Kibudde S. Luyirika E.B.K. Mulema V. Feudtner C. Baker J.N. Status of Palliative Oncology Care for Children and Young People in Sub-Saharan Africa: A Perspective Paper on Priorities for New Frontiers JCO Glob. Oncol. 2021 7 1395 1405 10.1200/GO.21.00102 34546790 PMC8457851 · DOI
  50. [59]Silveira A. Sequeira T. Gonçalves J. Lopes Ferreira P. Patient reported outcomes in oncology: Changing perspectives—A systematic review Health Qual. Life Outcomes 2022 20 82 10.1186/s12955-022-01987-x 35597948 PMC9124403 · DOI
  51. [60]Reid E.A. Abathun E. Diribi J. Mamo Y. Wondemagegnhu T. Hall P. Fallon M. Grant L. Early palliative care in newly diagnosed cancer in Ethiopia: Feasibility randomised controlled trial and cost analysis BMJ Support. Palliat. Care 2022 10.1136/spcare-2022-003996 36414402 · DOI
  52. [61]Donkor A. Atuwo-Ampoh V.D. Yakanu F. Torgbenu E. Ameyaw E.K. Kitson-Mills D. Vanderpuye V. Kyei K.A. Anim-Sampong S. Khader O. Financial toxicity of cancer care in low- and middle-income countries: A systematic review and meta-analysis Support Care Cancer 2022 30 7159 7190 10.1007/s00520-022-07044-z 35467118 PMC9385791 · DOI
  53. [62]Squitieri L. Bozic K.J. Pusic A.L. The Role of Patient-Reported Outcome Measures in Value-Based Payment Reform Value Health 2017 20 834 836 10.1016/j.jval.2017.02.003 28577702 PMC5735998 · DOI
  54. [63]Issahaku Y. Thoumi A. Abiiro G.A. Ogbouji O. Nonvignon J. Is value-based payment for healthcare feasible under Ghana’s National Health Insurance Scheme? Health Res. Policy Syst. 2021 19 145 10.1186/s12961-021-00794-y 34895235 PMC8665306 · DOI
  55. [64]Neumark T. Prince R.J. Digital Health in East Africa: Innovation, Experimentation and the Market Glob. Policy 2021 12 65 74 10.1111/1758-5899.12990 · DOI · Paper page
  56. [66]McCormack V. Newton R. Research priorities for social inequalities in cancer in sub-Saharan Africa Reducing Social Inequalities in Cancer: Evidence and Priorities for Research Vaccarella S. Lortet-Tieulent J. Saracci R. International Agency for Research on Cancer Lyon, France 2019 33534497
  57. [67]Mutatina B. Basaza R. Obuku E. Lavis J.N. Sewankambo N. Identifying and characterising health policy and system-relevant documents in Uganda: A scoping review to develop a framework for the development of a one-stop shop Health Res. Policy Syst. 2017 15 7 10.1186/s12961-017-0170-3 28166798 PMC5294842 · DOI
  58. [68]Schwartz J.I. Guwatudde D. Nugent R. Mondo Kiiza C. Looking at non-communicable diseases in Uganda through a local lens: An analysis using locally derived data Glob. Health 2014 10 77 10.1186/s12992-014-0077-5 PMC4240853 25406738 · DOI
  59. [71]Singh B. Zopf E.M. Howden E.J. Effect and feasibility of wearable physical activity trackers and pedometers for increasing physical activity and improving health outcomes in cancer survivors: A systematic review and meta-analysis J. Sport Health Sci. 2022 11 184 193 10.1016/j.jshs.2021.07.008 34314878 PMC9068515 · DOI
  60. [72]Huhn S. Matzke I. Koch M. Gunga H.-C. Maggioni M.A. Sié A. Boudo V. Ouedraogo W.A. Compaoré G. Bunker A. Using wearable devices to generate real-world, individual-level data in rural, low-resource contexts in Burkina Faso, Africa: A case study Front. Public Health 2022 10 972177 10.3389/fpubh.2022.972177 36249225 PMC9561896 · DOI
  61. [74]Xu L. Sanders L. Li K. Chow J.C.L. Chatbot for Health Care and Oncology Applications Using Artificial Intelligence and Machine Learning: Systematic Review JMIR Cancer 2021 7 e27850 10.2196/27850 34847056 PMC8669585 · DOI · Paper page
  62. [75]Kabukye J.K. Ilozumba O. Broerse J.E.W. de Keizer N. Cornet R. Implementation of an Interactive Voice Response System for Cancer Awareness in Uganda: Mixed Methods Study JMIR Mhealth Uhealth 2021 9 e22061 10.2196/22061 33496672 PMC7872833 · DOI
  63. [76]Hearn J. Wali S. Birungi P. Cafazzo J.A. Ssinabulya I. Akiteng A.R. Ross H.J. Seto E. Schwartz J.I. A digital self-care intervention for Ugandan patients with heart failure and their clinicians: User-centred design and usability study Digit. Health 2022 8 20552076221129064 10.1177/20552076221129064 36185389 PMC9520172 · DOI
  64. [77]Bhatt S. Evans J. Gupta S. Barriers to Scale of Digital Health Systems for Cancer Care and Control in Last-Mile Settings J. Glob. Oncol. 2017 4 1 3 10.1200/JGO.2016.007179 PMC6180787 30241157 · DOI
  65. [78]Glasgow R.E. McKay H.G. Piette J.D. Reynolds K.D. The RE-AIM framework for evaluating interventions: What can it tell us about approaches to chronic illness management? Patient Educ. Couns. 2001 44 119 127 10.1016/S0738-3991(00)00186-5 11479052 · DOI
  66. [79]Damschroder L.J. Aron D.C. Keith R.E. Kirsh S.R. Alexander J.A. Lowery J.C. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science Implement. Sci. 2009 4 50 10.1186/1748-5908-4-50 19664226 PMC2736161 · DOI · Paper page
  67. [80]Nahum-Shani I. Dziak J.J. Wetter D.W. MCMTC: A Pragmatic Framework for Selecting an Experimental Design to Inform the Development of Digital Interventions Front. Digit. Health 2022 4 798025 10.3389/fdgth.2022.798025 35355685 PMC8959436 · DOI
  68. [81]Jane Bates M. Gordon M.R.P. Gordon S.B. Tomeny E.M. Muula A.S. Davies H. Morris C. Manthalu G. Namisango E. Masamba L. Palliative care and catastrophic costs in Malawi after a diagnosis of advanced cancer: A prospective cohort study Lancet Glob. Health 2021 9 e1750 e1757 10.1016/S2214-109X(21)00408-3 34756183 PMC8600125 · DOI
  69. [82]Venkataramanan R. Pradhan A. Kumar A. Purushotham A. Alajlani M. Arvanitis T.N. Digital Inequalities in Cancer Care Delivery in India: An Overview of the Current Landscape and Recommendations for Large-Scale Adoption Front. Digit. Health 2022 4 916342 10.3389/fdgth.2022.916342 35832659 PMC9272889 · DOI
  70. [83]LeBaron V. Adhikari A. Bennett R. Chapagain Acharya S. Dhakal M. Elmore C.E. Fitzgibbon K. Gongal R. Kattel R. Koirala G. A survey of cancer care institutions in Nepal to inform design of a pain management mobile application BMC Palliat. Care 2021 20 171 10.1186/s12904-021-00824-0 34740339 PMC8570036 · DOI
  71. [84]Mutebi M. Bhatia R. Salako O. Rubagumya F. Grover S. Hammad N. Innovative Use of mHealth and Clinical Technology for Oncology Clinical Trials in Africa JCO Glob. Oncol. 2020 948 953 10.1200/JGO.19.00191 32614724 PMC7392770 · DOI
  72. [85]Allsop M.J. Kabukye J. Powell R.A. Namisango E. Routine Data and Minimum Datasets for Palliative Cancer Care in Sub-Saharan Africa: Their Role, Barriers and Facilitators Palliative Care for Chronic Cancer Patients in the Community: Global Approaches and Future Applications Silbermann M. Springer International Publishing Cham, Switzerland 2021 179 192
  73. [86]Perla R. Provost L. Murray S.K. The run chart: A simple analytical tool for learning from variation in healthcare processes BMJ Qual. Saf. 2011 20 46 51 10.1136/bmjqs.2009.037895 21228075 · DOI
  74. [87]Jordan R.I. Allsop M.J. ElMokhallalati Y. Jackson C.E. Edwards H.L. Chapman E.J. Deliens L. Bennett M.I. Duration of palliative care before death in international routine practice: A systematic review and meta-analysis BMC Med. 2020 18 368 10.1186/s12916-020-01829-x 33239021 PMC7690105 · DOI
  75. [88]Royston G. Pakenham-Walsh N. Zielinski C. Universal access to essential health information: Accelerating progress towards universal health coverage and other SDG health targets BMJ Glob. Health 2020 5 e002475 10.1136/bmjgh-2020-002475 PMC7245367 32424012 · DOI

Authors
Salako, O., Enyi, A., Miesfeldt, S., Kabukye, J. K., Ngoma, M., Namisango, E., LeBaron, V., Sisimayi, C., Ebenso, B., Lorenz, K. A., Wang, Y., Ryan Wolf, J., van den Hurk, C., & Allsop, M.
Affiliations
  • Lagos University Teaching Hospital (NG)
  • Oncopadi Technologies Limited (Nigeria) (NG)
  • Maine Medical Center (US)
  • Stockholm University (SE)
  • Ocean Road Cancer Institute (TZ)
  • African Palliative Care Association (UG)
  • University of Virginia (US)
  • University of Johannesburg (ZA)
  • University of Leeds (GB)
  • United States Department of Veterans Affairs (US)
  • University of Pittsburgh (US)
  • Departments of Dermatology and Radiation Oncology, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY 14642, USA
  • R&D Department, Netherlands Comprehensive Cancer Organisation, 3501 DB Utrecht, The Netherlands
Corresponding author
Allsop, Matthew
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2023-12-17
Volume
20
Issue
24
Pages
7190
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph20247190
PMC
PMC10743024
OpenAlex
W4389918444
Cited by
15
References
79
Citations by year
2026: 7 · 2025: 7 · 2024: 1
FWCI
3.83
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
Yorkshire Cancer Research University Academic Fellowship
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
remote symptom monitoring, cancer palliative care, resource-limited settings, digital health, implementation, Africa, symptom assessment, telemedicine
MeSH terms
Africa, Humans, Neoplasms, Palliative Care

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review