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Table 1 Characteristics of study sites in Eastern Africa

From: Treatment outcomes of esophageal cancer in Eastern Africa: protocol of a multi-center, prospective, observational, open cohort study

Site

Tenwek Hospital

Ocean Road Cancer Institute (ORCI)

Muhimbili National Hospital (MNH)

Kamuzu Central Hospital (KCH)

Moi Teaching and Referral Hospital (MTRH)

Kilimanjaro Christian Medical Centre (KCMC)

Location

Bomet, Kenya

Dar es Salaam, Tanzania

Dar es Salaam, Tanzania

Lilongwe, Malawi

Eldoret, Kenya

Moshi, Kilimanjaro

Setting

Rural

Urban

Urban (two campuses, Upanga and Mloganzila)

Urban

Urban

Urban

Type of Hospital

Faith-based hospital

National cancer (specialized) referral hospital

National referral hospital

National referral hospital

National referral hospital

Zonal referral hospital

Recruitment start date

February 2019

May 2019

November 2019

June 2021

November 2021

November 2021

Recruitment end datea

December 2022

December 2022

December 2022

December 2022

December 2022

December 2022

Estimated annual new diagnoses of EC

250

150

167

300

325

90

Forecasted annual recruitment

220

130

150

160

275

80

Forecasted enrollment (total)

862

476

472

253

320

93

Duration of enrollment

47 months

44 months

38 months

19 months

14 months

14 months

Diagnostic modalities available

 Endoscopy

Yes

No

Yes

Yes

Yes

Yes

 Pathology

Referred to outside facility

Yes

Yes

Yes

Yes

Yes

 X-ray / ultrasound

Yes

Yes

Yes

Yes

Yes

Yes

 CT scan

Yes

Yes

Yes

Yes

Yes

Yes

 PET scan

No

No

No

No

No

No

 EUS

No

No

No

No

No

Mo

Treatment modalities available

 Chemotherapy

Yes

Yes

Yesa

Yes

Yes

Yes

 Radiation

  Brachytherapy (for EC)

No

No

No

No

No

No

  EBRT

No

Yes

No

Planned 2022

Yes

Referred to ORCI

 Esophageal stents

Yes

No

Yes

Yes

Yes

Yes

 Esophagectomy

Yes

No

Yes

No

Yes

No

Supportive care

 Availability of TPN

Yes

Yes

Yes

Yes

Yes

Yes

 Capacity for gastrostomy tubes

Yes

No

Yes

Yes

Yes

Yes

 Intensive care unit

Yes

No

Yes

Yes

Yes

Yes

 Palliative care team

Yes

Yes

No

Yes

Yes

Yes

  1. Updated May 2021
  2. CT Computed tomography, EC Esophageal cancer, EBRT External beam radiotherapy, EUS Endoscopic ultrasound, PET Positron emission tomography, TPN Total parental nutrition
  3. aChemotherapy is offered at MNH; most EC patients, however, are referred to ORCI for chemotherapy