Evidence map›Paper›PMID 40526619›Full record

ArticlePloS one2025

Evaluation of optimal strategies for breast cancer screening in Ghana: A simulation study based on a continuous tumor growth model.

Asamoah Larbi, Eric Nyarko, Samuel Iddi

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Asamoah LarbiDepartment of Statistics and Actuarial Science, School of Physical and Mathematical Sciences, University of Ghana, Legon, Accra, Ghana.ORCID https://orcid.org/0000-0003-4456-621X
Eric NyarkoDepartment of Statistics and Actuarial Science, School of Physical and Mathematical Sciences, University of Ghana, Legon, Accra, Ghana.ORCID https://orcid.org/0000-0002-1666-7489
Samuel IddiDepartment of Statistics and Actuarial Science, School of Physical and Mathematical Sciences, University of Ghana, Legon, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mammographic breast cancer screening plays a crucial role in detecting small tumors, which can prevent the progression of the disease and reduce the risk of breast cancer mortality. This study aimed to evaluate optimal strategies for a breast cancer screening program in Ghana. A continuous growth model was employed to evaluate the natural history of breast cancer in Ghana, from its onset to detection. We estimated tumor growth rates and the age at which symptomatic detection occurs using the maximum likelihood estimation method based on clinical data from the National Center of Radiotherapy and Nuclear Medicine at Korle Bu Teaching Hospital. Our results revealed that biennial screening provided a better trade-off between interval cancers and overdiagnosis than annual or triennial intervals. The simulation results for early screening under biennial intervals showed an average detection age of 47 years for unscreened individuals (control group) and 46 years for those screened (intervention group). While the screening approach (50-69 years) with biennial screening proved more reliable than other strategies, the early screening approach (30-65 years with biennial screenings) provided certain advantages in detection for the Ghanaian population. Our findings highlight the importance of early detection and advocate for the systematic adoption of mammography in Ghana and other low- and middle-income countries, contributing to enhanced breast cancer screening and patient treatment plans, as well as informing policy development.

Indexed as

Breast NeoplasmsEarly Detection of CancerAdultAgedComputer SimulationFemaleGhanaHumansMammographyMass ScreeningMiddle Aged

Identifiers

PMID40526619
PMCPMC12173189

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.