Evidence map›Paper›PMID 42266142›Full record

SynthesisCancer reports (Hoboken, N.J.)2026

Stage at Diagnosis and Molecular Subtype Distribution of Breast Cancer in Sub-Saharan Africa: A Systematic Review.

Aïssatou Dada Fall, Veronica Veses, Chirag C Sheth

Abstract readSystematic Review
In one paragraph

Synthesis in Cancer reports (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Aïssatou Dada FallDepartment of Medicine and Surgery, Universidad CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Spain.
Veronica VesesDepartment of Biomedical Sciences, Universidad CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Spain.ORCID 0000-0003-0063-0830
Chirag C ShethDepartment of Medicine and Surgery, Universidad CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Spain.ORCID 0000-0002-8303-0218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review analyzes the stage at diagnosis of breast cancer and the distribution of molecular subtypes across sub-Saharan Africa between January 2014 and December 2025. A search on Medline, African Journals Online, Web of Science, and Embase was performed. RECENT

findingsDistribution of molecular subtypes, such as Luminal A or B, HER2-enriched and Triple-negative, was also analyzed. From 125 selected studies comprising 42689 patients with staged breast cancer, 63.1% were diagnosed at a late stage, with regional variations (74.5% in Middle Africa, 68.5% in Eastern Africa, 71% in Western Africa, and 55.2% in Southern Africa).Luminal subtypes (A and B) accounted for 68.2% of cases, followed by triple-negative breast cancer (21.1%) and HER2-enriched tumors (10.6%).

conclusionsOur findings provide an updated synthesis of the stage at diagnosis of breast cancer in sub-Saharan Africa since January 2014. Although a high proportion of patients continue to present at late stage, comparisons with earlier reports should be interpreted cautiously due to heterogeneity in study populations, regional representation, and reporting practices. These findings should be interpreted as an updated regional synthesis rather than evidence of a confirmed temporal improvement in stage at diagnosis.

trial registrationThe review protocol was not registered in PROSPERO which we acknowledge as a limitation.

Indexed as

Biomarkers, TumorBreast NeoplasmsTriple Negative Breast NeoplasmsAfrica South of the SaharaErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoplasm StagingSub-Saharan African PeopleBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine Kinasesbreast cancerbreast neoplasiamolecular subtypestageSub‐Saharan Africa

Identifiers

PMID42266142
PMCPMC13250637

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.