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• W4376868247 abstract "Abstract Objective To describe the health system, socioeconomic and clinical factors that influence access to and outcomes of care for prostate cancer (PC) in Uganda. Design Qualitative Delphi technique Setting Government and private-not-for-profit hospitals Methods We applied a two-stage modified Delphi technique to identify the consensus view across cancer experts. In the first round, experts received a questionnaire containing 22 statements drawn from a systematic review of the literature focusing on identifying the reason for the delay in accessing cancer care. Round 2 comprised 18 statements considered the greatest priority from round 1. Results We found that the top five research priority areas arise from challenges including: (i) lack of Diagnostic services - Ultrasound, laboratory tests, and biopsy facilities; (ii) High costs of services e.g., surgery, radiotherapy, hormone therapy are unaffordable to most patients, (iii) Lack of critical surgical supplies and essential/critical medicines, (iv) Lack of awareness of cancer as a disease and low recognition of symptoms, (v) Low Healthcare literacy. The lack of critical surgical supplies, high costs of diagnostic investigations and treatments were ranked highest in order of importance in round one. Round two of the survey also revealed lack of diagnostic services, unavailability of critical medicines, lack of radiotherapy options, high costs of treatments and lack of critical surgical supplies as the top priorities. Conclusion These research priority areas ought to be addressed in future research to improve prompt prostate cancer diagnosis and care in Uganda. There is need to improve the supply of high-quality affordable anticancer medicines provided timely to prostate cancer patients so as to improve the survivorship from the cancer. Article Summary Strengths and limitations of this study This is a novel Delphi study exploring research priorities for prostate cancer research in Uganda from various stakeholders in cancer care. The study was informed by a recent systematic review which provided insight into the statements explored in the Delphi technique. Participants were recruited from various clinical, government aided and private settings and geographical locations giving representativeness of the participants. A limitation to this study was the low response rates in round 1 and round 2 as most stakeholders were not familiar with the Delphi technique, or how it works." @default.
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• W4376868247 date "2023-05-17" @default.
• W4376868247 modified "2023-09-29" @default.
• W4376868247 title "Moving forward through consensus: a national Delphi approach to determine the top research priorities in prostate cancer in Uganda" @default.
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• W4376868247 doi "https://doi.org/10.1101/2023.05.17.23290089" @default.
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