{"id":"https://openalex.org/W7204178938","doi":"https://doi.org/10.1038/s41598-026-66791-9","title":"Early esophageal cancer diagnosis in Central Oromia, Ethiopia: patient and provider perspectives on barriers and facilitators","display_name":"Early esophageal cancer diagnosis in Central Oromia, Ethiopia: patient and provider perspectives on barriers and facilitators","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204178938","doi":"https://doi.org/10.1038/s41598-026-66791-9","pmid":"https://pubmed.ncbi.nlm.nih.gov/42642445","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13507126"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-026-66791-9","doi":"https://doi.org/10.1038/s41598-026-66791-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-66791-9","pdf_url":"https://www.nature.com/articles/s41598-026-66791-9.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-026-66791-9.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078028860","display_name":"Teresa Kisi Beyen","orcid":"https://orcid.org/0000-0002-2168-6887","observed_orcids":["https://orcid.org/0000-0002-2168-6887"]},"institutions":[{"id":"https://openalex.org/I4400600922","display_name":"Arsi University","ror":"https://ror.org/04s6kmw55","country_code":"ET","type":"education","lineage":["https://openalex.org/I4400600922"]},{"id":"https://openalex.org/I68956291","display_name":"Martin Luther University Halle-Wittenberg","ror":"https://ror.org/05gqaka33","country_code":"DE","type":"education","lineage":["https://openalex.org/I68956291"]}],"countries":["DE","ET"],"is_corresponding":true,"raw_author_name":"Teresa Kisi Beyen","raw_affiliation_strings":["Department of Public Health, College of Health Science, Arsi University, Asella, Ph.D. student @SPH, AAU, Ethiopia, Ethiopia. terek7@gmail.com","Global & Planetary Health Working Group, Institute of Medical Epidemiology, Biostatistics and Informatics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany. terek7@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, College of Health Science, Arsi University, Asella, Ph.D. student @SPH, AAU, Ethiopia, Ethiopia. terek7@gmail.com","institution_ids":["https://openalex.org/I4400600922"]},{"raw_affiliation_string":"Global & Planetary Health Working Group, Institute of Medical Epidemiology, Biostatistics and Informatics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany. terek7@gmail.com","institution_ids":["https://openalex.org/I68956291"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112691242","display_name":"Edom Seife","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Edom Seife","raw_affiliation_strings":["Clinical Oncologist, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Oncologist, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080802865","display_name":"Biniyam Tefera Deressa","orcid":"https://orcid.org/0000-0002-7929-2071","observed_orcids":["https://orcid.org/0000-0002-7929-2071"]},"institutions":[{"id":"https://openalex.org/I4405261048","display_name":"Adama Hospital Medical College","ror":"https://ror.org/04p8ta418","country_code":"ET","type":"education","lineage":["https://openalex.org/I4405261048"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Biniyam Tefera Deressa","raw_affiliation_strings":["Clinical Oncology, Adama Hospital Medical College, Adama, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Oncology, Adama Hospital Medical College, Adama, Ethiopia","institution_ids":["https://openalex.org/I4405261048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110403716","display_name":"Girma Taye","orcid":"https://orcid.org/0000-0002-5488-4636","observed_orcids":["https://orcid.org/0000-0002-5488-4636"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Girma Taye","raw_affiliation_strings":["Department of Preventive Medicine, School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Preventive Medicine, School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066074957","display_name":"Adamu Addissie","orcid":"https://orcid.org/0000-0003-4709-3606","observed_orcids":["https://orcid.org/0000-0003-4709-3606"]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]},{"id":"https://openalex.org/I68956291","display_name":"Martin Luther University Halle-Wittenberg","ror":"https://ror.org/05gqaka33","country_code":"DE","type":"education","lineage":["https://openalex.org/I68956291"]}],"countries":["DE","ET"],"is_corresponding":false,"raw_author_name":"Adamu Addissie","raw_affiliation_strings":["Department of Preventive Medicine, School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia","Global & Planetary Health Working Group, Institute of Medical Epidemiology, Biostatistics and Informatics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Preventive Medicine, School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia","institution_ids":["https://openalex.org/I4537092"]},{"raw_affiliation_string":"Global & Planetary Health Working Group, Institute of Medical Epidemiology, Biostatistics and Informatics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany","institution_ids":["https://openalex.org/I68956291"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5078028860"],"corresponding_institution_ids":["https://openalex.org/I4400600922","https://openalex.org/I68956291"],"apc_list":{"value":2690,"currency":"USD","value_usd":2690},"apc_paid":{"value":2690,"currency":"USD","value_usd":2690},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10619","display_name":"Esophageal Cancer Research and Treatment","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10619","display_name":"Esophageal Cancer Research and Treatment","score":0.9940999746322632,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.0026000000070780516,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/esophageal-cancer","display_name":"esophageal cancer","score":0.9879999756813049},{"id":"https://openalex.org/keywords/early-diagnosis","display_name":"early diagnosis","score":0.9290000200271606},{"id":"https://openalex.org/keywords/late-stage-cancer","display_name":"late-stage cancer","score":0.5929999947547913},{"id":"https://openalex.org/keywords/barriers-and-facilitators","display_name":"barriers and facilitators","score":0.8149999976158142},{"id":"https://openalex.org/keywords/patient-perspectives","display_name":"patient perspectives","score":0.878000020980835},{"id":"https://openalex.org/keywords/healthcare-provider-perspectives","display_name":"healthcare provider perspectives","score":0.972000002861023},{"id":"https://openalex.org/keywords/cancer-stigma","display_name":"cancer stigma","score":0.7599999904632568},{"id":"https://openalex.org/keywords/tumor-screening","display_name":"cancer screening","score":0.7300000190734863},{"id":"https://openalex.org/keywords/referral-systems","display_name":"referral systems","score":0.6880000233650208},{"id":"https://openalex.org/keywords/health-workforce-shortage","display_name":"health workforce shortage","score":0.640999972820282},{"id":"https://openalex.org/keywords/health-insurance","display_name":"health insurance","score":0.6759999990463257},{"id":"https://openalex.org/keywords/family-support","display_name":"family support","score":0.6919999718666077}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7684999704360962},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6071000099182129},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.572700023651123},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5630999803543091},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.5231000185012817},{"id":"https://openalex.org/C2779742542","wikidata":"https://www.wikidata.org/wiki/Q372701","display_name":"Esophageal cancer","level":3,"score":0.5144000053405762},{"id":"https://openalex.org/C66071079","wikidata":"https://www.wikidata.org/wiki/Q29253","display_name":"Fatalism","level":2,"score":0.4754999876022339},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44600000977516174},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.43540000915527344},{"id":"https://openalex.org/C85973986","wikidata":"https://www.wikidata.org/wiki/Q1091731","display_name":"Exploratory research","level":2,"score":0.399399995803833},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.38960000872612},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.38580000400543213},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.38359999656677246},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.36079999804496765},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.35910001397132874},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.3154999911785126},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.304500013589859},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.27970001101493835},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.2603999972343445},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.259799987077713}],"mesh":[{"descriptor_ui":"D000096182","descriptor_name":"Treatment Delay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004938","descriptor_name":"Esophageal Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D004938","descriptor_name":"Esophageal Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D004938","descriptor_name":"Esophageal Neoplasms","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006282","descriptor_name":"Health Personnel","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055088","descriptor_name":"Early Detection of Cancer","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1038/s41598-026-66791-9","doi":"https://doi.org/10.1038/s41598-026-66791-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-66791-9","pdf_url":"https://www.nature.com/articles/s41598-026-66791-9.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},{"id":"pmid:42642445","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42642445","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific reports","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13507126","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13507126/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sci Rep","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:206cc280a014467da248bbb23499a78f","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/206cc280a014467da248bbb23499a78f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scientific Reports, Vol 16, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41598-026-66791-9","doi":"https://doi.org/10.1038/s41598-026-66791-9","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-026-66791-9","pdf_url":"https://www.nature.com/articles/s41598-026-66791-9.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.4000000059604645}],"study_designs":[],"awards":[{"id":"https://openalex.org/G6496233500","display_name":null,"funder_award_id":"EDCPT2","funder_id":"https://openalex.org/F4320320300","funder_display_name":"European Commission"}],"funders":[{"id":"https://openalex.org/F4320320300","display_name":"European Commission","ror":"https://ror.org/00k4n6c32"},{"id":"https://openalex.org/F4320324791","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204178938.pdf","grobid_xml":"https://content.openalex.org/works/W7204178938.grobid-xml"},"referenced_works_count":66,"referenced_works":["https://openalex.org/W1563750492","https://openalex.org/W1979290264","https://openalex.org/W1989457814","https://openalex.org/W2023152838","https://openalex.org/W2032924531","https://openalex.org/W2124713566","https://openalex.org/W2125105889","https://openalex.org/W2142413768","https://openalex.org/W2149931223","https://openalex.org/W2163535812","https://openalex.org/W2255682223","https://openalex.org/W2336956633","https://openalex.org/W2472064188","https://openalex.org/W2498679987","https://openalex.org/W2552182551","https://openalex.org/W2766818166","https://openalex.org/W2771402750","https://openalex.org/W2775411160","https://openalex.org/W2785955681","https://openalex.org/W2791089605","https://openalex.org/W2809247835","https://openalex.org/W2889646458","https://openalex.org/W2894093078","https://openalex.org/W2965198484","https://openalex.org/W2998246758","https://openalex.org/W3014713533","https://openalex.org/W3016714284","https://openalex.org/W3038333885","https://openalex.org/W3107639281","https://openalex.org/W3128646645","https://openalex.org/W3129736715","https://openalex.org/W3131155472","https://openalex.org/W3139239609","https://openalex.org/W3158469176","https://openalex.org/W3175998072","https://openalex.org/W3176374998","https://openalex.org/W3208491549","https://openalex.org/W4211076887","https://openalex.org/W4225272104","https://openalex.org/W4229439346","https://openalex.org/W4229459160","https://openalex.org/W4252560545","https://openalex.org/W4288077862","https://openalex.org/W4289544398","https://openalex.org/W4296211252","https://openalex.org/W4306901946","https://openalex.org/W4320856891","https://openalex.org/W4361007873","https://openalex.org/W4387894963","https://openalex.org/W4390699198","https://openalex.org/W4393935425","https://openalex.org/W4394717670","https://openalex.org/W4396748476","https://openalex.org/W4401406356","https://openalex.org/W4403146378","https://openalex.org/W4405330020","https://openalex.org/W4408315182","https://openalex.org/W4409471932","https://openalex.org/W4409893606","https://openalex.org/W4412177972","https://openalex.org/W4412595179","https://openalex.org/W4413972547","https://openalex.org/W4416032298","https://openalex.org/W4417305176","https://openalex.org/W7154936619","https://openalex.org/W7213318061"],"related_works":["https://openalex.org/W7140187871","https://openalex.org/W4406426612","https://openalex.org/W3081811755","https://openalex.org/W3012792012","https://openalex.org/W4293236095","https://openalex.org/W4414049957","https://openalex.org/W3128231519","https://openalex.org/W3131155472","https://openalex.org/W7163197757","https://openalex.org/W6939320657"],"abstract_inverted_index":{"In":[0,220],"Ethiopia,":[1],"70-90%":[2],"of":[3,28,60,114,205],"esophageal":[4,29,90,218,285],"cancer":[5,91,235,286],"patients":[6,62,92,287],"are":[7,274],"diagnosed":[8,63],"at":[9,64],"advanced":[10],"stages":[11,66],"(III":[12],"and":[13,22,55,67,73,93,110,124,151,155,160,162,167,173,179,184,194,209,211,226,231,233,264,280,291],"IV),":[14],"with":[15,87],"the":[16,26,35,58,105],"highest":[17],"burden":[18,27],"in":[19,41,158,239,288],"Oromia's":[20],"Arsi":[21],"Bale":[23],"zones.":[24],"Despite":[25],"cancer,":[30],"little":[31],"is":[32],"known":[33],"about":[34],"factors":[36],"influencing":[37],"its":[38],"early":[39,217],"diagnosis":[40,238,279],"Central":[42,115,240],"Oromia.":[43],"This":[44],"qualitative":[45],"study":[46,85],"sought":[47],"to":[48,216,267,276],"address":[49],"this":[50],"gap":[51],"by":[52],"exploring":[53],"barriers":[54,215,249],"facilitators":[56,222],"from":[57,104,243],"perspectives":[59],"both":[61],"late":[65],"healthcare":[68,95,258],"providers.":[69],"Between":[70],"August":[71],"17":[72],"September":[74],"26,":[75],"2025,":[76],"in-depth":[77],"interviews":[78],"were":[79,102,112,214],"conducted":[80],"using":[81,107,137],"an":[82],"exploratory":[83],"case":[84],"design":[86],"13":[88],"late-stage":[89],"11":[94],"providers":[96],"across":[97],"four":[98],"Ethiopian":[99,293],"hospitals.":[100],"Participants":[101],"recruited":[103],"hospitals":[106],"criterion":[108],"sampling,":[109],"all":[111],"residents":[113],"Oromia,":[116],"specifically":[117],"Arsi,":[118,120],"West":[119],"Bale,":[121,123],"East":[122,125],"Shewa,":[126],"until":[127],"data":[128],"saturation":[129],"was":[130,135],"achieved.":[131],"Inductive":[132],"thematic":[133],"analysis":[134],"performed":[136],"MAXQDA":[138],"(version":[139],"24.4.1).":[140],"Five":[141],"main":[142],"themes":[143],"emerged:":[144],"patient-related":[145],"factors,":[146,149,153],"health":[147,228],"system-related":[148],"policy":[150],"strategy-related":[152],"emotional":[154],"ethical":[156],"challenges":[157],"care,":[159,175],"research":[161,210],"evidence":[163,212],"gaps.":[164],"Late":[165],"presentation":[166],"delayed":[168],"health-seeking,":[169],"reliance":[170],"on":[171],"traditional":[172],"religious":[174],"Cancer-related":[176],"fear,":[177],"stigma,":[178],"fatalistic":[180],"beliefs,":[181],"limited":[182],"awareness":[183,256],"education,":[185],"financial":[186],"constraints,":[187],"geographic":[188],"inaccessibility,":[189],"misdiagnosis,":[190],"referral":[191,262],"system":[192],"dalliance":[193],"complexities,":[195],"diagnostic":[196,270],"service":[197],"limitations,":[198],"workforce":[199],"shortages,":[200],"insufficient":[201],"government":[202],"support,":[203,227],"absence":[204],"contextual":[206],"screening":[207],"frameworks,":[208],"gaps":[213],"cancer.":[219],"contrast,":[221],"comprised":[223],"family":[224],"influence":[225],"insurance":[229],"coverage,":[230],"multidisciplinary":[232],"integrated":[234],"care.":[236],"Delayed":[237],"Oromia":[241,290],"resulted":[242],"complex,":[244],"multi-level":[245],"factors.":[246],"Addressing":[247],"these":[248],"requires":[250],"a":[251],"comprehensive":[252],"strategy":[253],"including":[254],"public":[255],"campaigns,":[257],"provider":[259],"training,":[260],"improved":[261],"systems,":[263],"expanded":[265],"access":[266],"affordable,":[268],"decentralized":[269],"services.":[271],"Context-specific":[272],"interventions":[273],"essential":[275],"facilitate":[277],"earlier":[278],"improve":[281],"survival":[282],"outcomes":[283],"for":[284],"central":[289],"similar":[292],"settings.":[294]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-26T00:00:00"}
