{"id":"https://openalex.org/W7224224906","doi":"https://doi.org/10.61386/imj.v19i4.1382","title":"Cancer Treatment Abandonment in Africa: A Narrative Review of Socioeconomic Determinants, Clinical Consequences and Strategies for Improving Treatment Completion","display_name":"Cancer Treatment Abandonment in Africa: A Narrative Review of Socioeconomic Determinants, Clinical Consequences and Strategies for Improving Treatment Completion","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7224224906","doi":"https://doi.org/10.61386/imj.v19i4.1382"},"language":"en","primary_location":{"id":"doi:10.61386/imj.v19i4.1382","doi":"https://doi.org/10.61386/imj.v19i4.1382","is_oa":true,"landing_page_url":"https://doi.org/10.61386/imj.v19i4.1382","pdf_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/1382/1546","source":{"id":"https://openalex.org/S4394736467","display_name":"Ibom Medical Journal","issn_l":"1597-7188","issn":["1597-7188","2735-9964"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ibom Medical Journal","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/1382/1546","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160097594","display_name":"Oderinde C","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Oderinde C","raw_affiliation_strings":["Nottingham University Hospitals NHS Trust, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nottingham University Hospitals NHS Trust, United Kingdom","institution_ids":["https://openalex.org/I1334287468"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160096302","display_name":"Bello O","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bello O","raw_affiliation_strings":["Hull University Teaching Hospitals NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hull University Teaching Hospitals NHS Trust","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160107292","display_name":"Kurere BJ","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I225661044","display_name":"Barts Health NHS Trust","ror":"https://ror.org/00b31g692","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I225661044"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kurere BJ","raw_affiliation_strings":["Barts Health NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Barts Health NHS Trust","institution_ids":["https://openalex.org/I225661044"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160081435","display_name":"Temidire EM","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405258555","display_name":"Cephas Health Research Initiative","ror":"https://ror.org/00wrsjp90","country_code":"NG","type":"nonprofit","lineage":["https://openalex.org/I4405258555"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Temidire EM","raw_affiliation_strings":["Cephas Health Research Initiative Inc., Ibadan, Nigeria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cephas Health Research Initiative Inc., Ibadan, Nigeria","institution_ids":["https://openalex.org/I4405258555"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086969750","display_name":"Emeka Benjamin Okeke","orcid":"https://orcid.org/0009-0004-2178-7890","observed_orcids":["https://orcid.org/0009-0004-2178-7890"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Okeke EB","raw_affiliation_strings":["Department of Research and Innovation, University of Technology and Entrepreneurship, Phnom Penh, Cambodia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Research and Innovation, University of Technology and Entrepreneurship, Phnom Penh, Cambodia","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.70053957,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"4","first_page":"1090","last_page":"1104"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.8833000063896179,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":0.8833000063896179,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.06989999860525131,"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/T13123","display_name":"Advances in Oncology and Radiotherapy","score":0.02810000069439411,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"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/treatment-completion","display_name":"treatment completion","score":0.7379999756813049},{"id":"https://openalex.org/keywords/socioeconomic-factors","display_name":"socioeconomic factors","score":0.8040000200271606},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.8309999704360962},{"id":"https://openalex.org/keywords/transportation-costs","display_name":"transportation costs","score":0.7839999794960022},{"id":"https://openalex.org/keywords/patient-navigation","display_name":"patient navigation","score":0.8579999804496765},{"id":"https://openalex.org/keywords/financial-aid","display_name":"financial aid","score":0.41999998688697815},{"id":"https://openalex.org/keywords/event-free-survival","display_name":"event-free survival","score":0.6919999718666077},{"id":"https://openalex.org/keywords/premature-mortality","display_name":"premature mortality","score":0.8140000104904175},{"id":"https://openalex.org/keywords/loss-to-follow-up","display_name":"loss to follow-up","score":0.8050000071525574},{"id":"https://openalex.org/keywords/pediatric-cancer","display_name":"childhood cancer","score":0.6639999747276306},{"id":"https://openalex.org/keywords/chemotherapy","display_name":"chemotherapy","score":0.3720000088214874},{"id":"https://openalex.org/keywords/health-workforce-shortage","display_name":"health workforce shortage","score":0.609000027179718}],"concepts":[{"id":"https://openalex.org/C2779816988","wikidata":"https://www.wikidata.org/wiki/Q305418","display_name":"Abandonment (legal)","level":2,"score":0.8737999796867371},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.7321000099182129},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6524999737739563},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.6406999826431274},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5856999754905701},{"id":"https://openalex.org/C199033989","wikidata":"https://www.wikidata.org/wiki/Q1318295","display_name":"Narrative","level":2,"score":0.4593999981880188},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4320000112056732},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.4041000008583069},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.35760000348091125},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34940001368522644},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3370000123977661},{"id":"https://openalex.org/C2777179973","wikidata":"https://www.wikidata.org/wiki/Q5031456","display_name":"Cancer survivor","level":3,"score":0.3172999918460846},{"id":"https://openalex.org/C3019816032","wikidata":"https://www.wikidata.org/wiki/Q2575340","display_name":"Cancer treatment","level":3,"score":0.29980000853538513},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.2971999943256378},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.28519999980926514},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.27559998631477356},{"id":"https://openalex.org/C2993561819","wikidata":"https://www.wikidata.org/wiki/Q5097977","display_name":"Pediatric cancer","level":3,"score":0.26829999685287476},{"id":"https://openalex.org/C172400760","wikidata":"https://www.wikidata.org/wiki/Q332796","display_name":"Survivorship curve","level":3,"score":0.26330000162124634},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.2615000009536743},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.2606000006198883},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.2590000033378601},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2563000023365021},{"id":"https://openalex.org/C83867959","wikidata":"https://www.wikidata.org/wiki/Q371467","display_name":"Scopus","level":3,"score":0.25099998712539673}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.61386/imj.v19i4.1382","doi":"https://doi.org/10.61386/imj.v19i4.1382","is_oa":true,"landing_page_url":"https://doi.org/10.61386/imj.v19i4.1382","pdf_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/1382/1546","source":{"id":"https://openalex.org/S4394736467","display_name":"Ibom Medical Journal","issn_l":"1597-7188","issn":["1597-7188","2735-9964"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ibom Medical Journal","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:02dd9cffa7ec42b29fda844b35a8674b","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/02dd9cffa7ec42b29fda844b35a8674b","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":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Ibom Medical Journal, Vol 19, Iss 4 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.61386/imj.v19i4.1382","doi":"https://doi.org/10.61386/imj.v19i4.1382","is_oa":true,"landing_page_url":"https://doi.org/10.61386/imj.v19i4.1382","pdf_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/1382/1546","source":{"id":"https://openalex.org/S4394736467","display_name":"Ibom Medical Journal","issn_l":"1597-7188","issn":["1597-7188","2735-9964"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ibom Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224224906.pdf","grobid_xml":"https://content.openalex.org/works/W7224224906.grobid-xml"},"referenced_works_count":48,"referenced_works":["https://openalex.org/W1541512052","https://openalex.org/W1824863906","https://openalex.org/W1840531404","https://openalex.org/W2004754777","https://openalex.org/W2006574833","https://openalex.org/W2049956052","https://openalex.org/W2052968703","https://openalex.org/W2072884873","https://openalex.org/W2111123632","https://openalex.org/W2128213053","https://openalex.org/W2162468301","https://openalex.org/W2266461706","https://openalex.org/W2558721685","https://openalex.org/W2623709470","https://openalex.org/W2762057266","https://openalex.org/W2764283094","https://openalex.org/W2800745106","https://openalex.org/W2889553294","https://openalex.org/W2946081959","https://openalex.org/W2948656010","https://openalex.org/W2955416661","https://openalex.org/W2967059115","https://openalex.org/W2996316482","https://openalex.org/W3020942752","https://openalex.org/W3043096282","https://openalex.org/W3092549161","https://openalex.org/W3197463322","https://openalex.org/W3201365320","https://openalex.org/W4229363452","https://openalex.org/W4229448188","https://openalex.org/W4281257642","https://openalex.org/W4286715875","https://openalex.org/W4290659436","https://openalex.org/W4308834295","https://openalex.org/W4386271335","https://openalex.org/W4386582893","https://openalex.org/W4387326749","https://openalex.org/W4390952289","https://openalex.org/W4392595023","https://openalex.org/W4392646597","https://openalex.org/W4400488628","https://openalex.org/W4402018201","https://openalex.org/W4408912875","https://openalex.org/W4411045176","https://openalex.org/W4413808690","https://openalex.org/W4413957379","https://openalex.org/W7165003261","https://openalex.org/W7202210143"],"related_works":["https://openalex.org/W3201365320","https://openalex.org/W2764283094","https://openalex.org/W4387810378","https://openalex.org/W2531142509","https://openalex.org/W4290659436","https://openalex.org/W2994652381","https://openalex.org/W2004754777","https://openalex.org/W1514690104","https://openalex.org/W2162468301","https://openalex.org/W4241882803"],"abstract_inverted_index":{"Context:":[0],"Across":[1],"Africa,":[2,68],"patients":[3,211],"with":[4,105,195],"potentially":[5],"curable":[6],"cancers":[7],"may":[8],"fail":[9],"to":[10,37,213,276],"initiate":[11],"or":[12],"complete":[13],"recommended":[14],"curative":[15],"treatment.":[16,253],"This":[17,54],"preventable":[18,269],"phenomenon,":[19],"known":[20],"as":[21,220,264],"treatment":[22,65,85,167,256],"abandonment,":[23],"occurs":[24],"amid":[25],"limited":[26],"diagnostic":[27],"capacity,":[28],"workforce":[29],"shortages,":[30],"and":[31,34,51,61,72,79,88,99,112,130,144,152,169,182,199,202,236,267,300,302],"substantial":[32,122],"financial":[33,228,286],"geographical":[35],"barriers":[36],"care,":[38,297],"highlighting":[39],"the":[40,59,109,115,121,134,174,205],"need":[41],"for":[42,83],"an":[43,221],"integrated":[44,288],"synthesis":[45,119],"of":[46,63,96,207,279],"its":[47,70,76],"magnitude,":[48],"determinants,":[49,74],"consequences":[50],"potential":[52],"remedies.":[53],"narrative":[55,116],"review":[56],"therefore":[57,261],"examined":[58,81],"magnitude":[60],"patterns":[62,186],"cancer":[64,126,291],"abandonment":[66,139,191,241,257],"in":[67,114,124,149,258],"identified":[69,93],"socioeconomic":[71],"related":[73],"evaluated":[75],"clinical":[77,189],"consequences,":[78],"critically":[80],"strategies":[82],"improving":[84],"completion.":[86],"Materials":[87],"Methods:":[89],"Peer-reviewed":[90],"literature":[91],"was":[92,173,192],"through":[94],"searches":[95],"PubMed/MEDLINE,":[97],"Scopus":[98],"CINAHL,":[100],"supplemented":[101],"by":[102,162,307],"reference-list":[103],"screening,":[104],"53":[106],"publications":[107],"meeting":[108],"eligibility":[110],"criteria":[111],"included":[113,135],"synthesis.":[117],"Narrative":[118],"accommodated":[120],"heterogeneity":[123],"populations,":[125],"types,":[127],"study":[128],"designs":[129],"outcome":[131,270],"definitions":[132,299],"across":[133,142],"evidence.":[136],"Results:":[137],"Reported":[138],"varied":[140],"substantially":[141,239],"settings":[143],"observation":[145],"periods,":[146],"reaching":[147],"54%":[148],"paediatric":[150],"cohorts":[151],"approximately":[153],"one-fifth":[154],"among":[155,312],"adults":[156],"initiating":[157],"chemotherapy.":[158],"Financial":[159],"hardship,":[160],"compounded":[161],"transport":[163,230],"costs,":[164],"distance":[165],"from":[166],"centres":[168],"inadequate":[170],"health-insurance":[171,294],"coverage,":[172,295],"most":[175],"consistently":[176],"reported":[177],"determinant,":[178],"alongside":[179],"health-system,":[180],"sociocultural":[181],"psychosocial":[183],"barriers.":[184],"These":[185],"carried":[187],"real":[188],"weight:":[190],"strongly":[193],"associated":[194],"reduced":[196,240],"event-free":[197],"survival":[198,208],"premature":[200],"mortality,":[201],"it":[203,283],"complicated":[204],"interpretation":[206],"statistics":[209],"whenever":[210],"lost":[212],"follow-up":[214,238],"were":[215,244],"censored":[216],"rather":[217,271],"than":[218,272],"treated":[219],"adverse":[222],"outcome.":[223],"Encouragingly,":[224],"multicomponent":[225],"interventions":[226],"combining":[227],"assistance,":[229],"reimbursement,":[231],"residential":[232],"accommodation,":[233],"patient":[234,280],"navigation":[235,247],"active":[237],"where":[242],"they":[243],"evaluated,":[245],"although":[246],"alone":[248],"could":[249],"not":[250],"overcome":[251],"unaffordable":[252],"Conclusion:":[254],"Cancer":[255],"Africa":[259],"is":[260],"best":[262],"understood":[263],"a":[265,277],"structural":[266],"largely":[268],"being":[273],"attributed":[274],"primarily":[275],"failure":[278],"motivation.":[281],"Reversing":[282],"will":[284],"require":[285],"protection":[287],"into":[289],"routine":[290],"services,":[292],"expanded":[293],"decentralised":[296],"standardised":[298],"reporting,":[301],"reliable":[303],"patient-tracking":[304],"systems,":[305],"supported":[306],"further":[308],"prospective":[309],"research,":[310],"particularly":[311],"adult":[313],"populations.":[314]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-30T00:00:00"}
