Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria
PURPOSEThe introduction of an interventional radiology (IR) unit at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in 2017 marked a significant advancement in health care delivery in a low-resource setting in Nigeria. This study documents the processes, milestones, services, chal...
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American Society of Clinical Oncology
2025-07-01
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| Series: | JCO Global Oncology |
| Online Access: | https://ascopubs.org/doi/10.1200/GO-24-00637 |
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| author | Adeleye D. Omisore Akinola A. Odedeyi Olusola C. Famurewa Adeniyi S. Aderibigbe Roli Y. Akinsulore Folasade M. Adeyemi Adebayo F. Adisa Ernestina C. Orji Abidemi I. Ayeni Anuoluwapo G. Towoju Victoria L. Mango Yolanda Bryce Oluwatosin Z. Omoyiola Marcia Edelweiss Farouk Dako Olusegun I. Alatise Peter T. Kingham Elizabeth J. Sutton |
| author_facet | Adeleye D. Omisore Akinola A. Odedeyi Olusola C. Famurewa Adeniyi S. Aderibigbe Roli Y. Akinsulore Folasade M. Adeyemi Adebayo F. Adisa Ernestina C. Orji Abidemi I. Ayeni Anuoluwapo G. Towoju Victoria L. Mango Yolanda Bryce Oluwatosin Z. Omoyiola Marcia Edelweiss Farouk Dako Olusegun I. Alatise Peter T. Kingham Elizabeth J. Sutton |
| author_sort | Adeleye D. Omisore |
| collection | DOAJ |
| description | PURPOSEThe introduction of an interventional radiology (IR) unit at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in 2017 marked a significant advancement in health care delivery in a low-resource setting in Nigeria. This study documents the processes, milestones, services, challenges, innovations, and collaborations that have supported the establishment of an IR unit.METHODSWe conducted an institutional review board–approved retrospective case study using archival data from the service records (2017-2024). To supplement our findings, we distributed a structured survey to 51 referring clinicians using Google Forms, with a 100% response rate. We analyzed the data descriptively using Microsoft Excel.RESULTSThe establishment of the IR unit in the OAUTHC was driven by structured training, international collaborations, and innovative solutions to overcome infrastructural limitations. The unit began with breast intervention services and was expanded to offer diverse ultrasound- and computed tomography–guided body intervention services. Breast biopsies (31.4%) and liver biopsies (23.5%) constituted the majority of IR referrals. Survey respondents (78.4%; 40 of 51) acknowledged the significant impact of IR services in reducing the need for invasive surgeries, with 84.3% (43 of 51) suggesting the need for increased procedure availability to address long waiting times. Despite challenges such as limited procedural options (56.9%) and long waiting times (41.2%), clinicians rated the IR unit's contributions to patient care as very important (41.2%) or moderately important (52.9%). Key lessons include the importance of structured training programs, leveraging international partnerships to overcome resource gaps, and implementing adaptive strategies to meet local needs.CONCLUSIONThe IR unit transformed patient care at the OAUTHC. This is a replicable model for building sustainable IR programs in other Nigerian hospitals and low-resource settings. |
| format | Article |
| id | doaj-art-bece4405da974cc8b412641471b79551 |
| institution | DOAJ |
| issn | 2687-8941 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | American Society of Clinical Oncology |
| record_format | Article |
| series | JCO Global Oncology |
| spelling | doaj-art-bece4405da974cc8b412641471b795512025-08-20T02:41:49ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412025-07-011110.1200/GO-24-00637Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, NigeriaAdeleye D. Omisore0Akinola A. Odedeyi1Olusola C. Famurewa2Adeniyi S. Aderibigbe3Roli Y. Akinsulore4Folasade M. Adeyemi5Adebayo F. Adisa6Ernestina C. Orji7Abidemi I. Ayeni8Anuoluwapo G. Towoju9Victoria L. Mango10Yolanda Bryce11Oluwatosin Z. Omoyiola12Marcia Edelweiss13Farouk Dako14Olusegun I. Alatise15Peter T. Kingham16Elizabeth J. Sutton17Department of Radiology, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaAfrican Research Group for Oncology, Ile-Ife, NigeriaAfrican Research Group for Oncology, Ile-Ife, NigeriaAfrican Research Group for Oncology, Ile-Ife, NigeriaAfrican Research Group for Oncology, Ile-Ife, NigeriaRAD-AID International, Bethesda, MDAfrican Research Group for Oncology, Ile-Ife, NigeriaAfrican Research Group for Oncology, Ile-Ife, NigeriaAfrican Research Group for Oncology, Ile-Ife, NigeriaPURPOSEThe introduction of an interventional radiology (IR) unit at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in 2017 marked a significant advancement in health care delivery in a low-resource setting in Nigeria. This study documents the processes, milestones, services, challenges, innovations, and collaborations that have supported the establishment of an IR unit.METHODSWe conducted an institutional review board–approved retrospective case study using archival data from the service records (2017-2024). To supplement our findings, we distributed a structured survey to 51 referring clinicians using Google Forms, with a 100% response rate. We analyzed the data descriptively using Microsoft Excel.RESULTSThe establishment of the IR unit in the OAUTHC was driven by structured training, international collaborations, and innovative solutions to overcome infrastructural limitations. The unit began with breast intervention services and was expanded to offer diverse ultrasound- and computed tomography–guided body intervention services. Breast biopsies (31.4%) and liver biopsies (23.5%) constituted the majority of IR referrals. Survey respondents (78.4%; 40 of 51) acknowledged the significant impact of IR services in reducing the need for invasive surgeries, with 84.3% (43 of 51) suggesting the need for increased procedure availability to address long waiting times. Despite challenges such as limited procedural options (56.9%) and long waiting times (41.2%), clinicians rated the IR unit's contributions to patient care as very important (41.2%) or moderately important (52.9%). Key lessons include the importance of structured training programs, leveraging international partnerships to overcome resource gaps, and implementing adaptive strategies to meet local needs.CONCLUSIONThe IR unit transformed patient care at the OAUTHC. This is a replicable model for building sustainable IR programs in other Nigerian hospitals and low-resource settings.https://ascopubs.org/doi/10.1200/GO-24-00637 |
| spellingShingle | Adeleye D. Omisore Akinola A. Odedeyi Olusola C. Famurewa Adeniyi S. Aderibigbe Roli Y. Akinsulore Folasade M. Adeyemi Adebayo F. Adisa Ernestina C. Orji Abidemi I. Ayeni Anuoluwapo G. Towoju Victoria L. Mango Yolanda Bryce Oluwatosin Z. Omoyiola Marcia Edelweiss Farouk Dako Olusegun I. Alatise Peter T. Kingham Elizabeth J. Sutton Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria JCO Global Oncology |
| title | Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria |
| title_full | Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria |
| title_fullStr | Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria |
| title_full_unstemmed | Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria |
| title_short | Establishing Interventional Radiology in a Low-Resource Setting: Lessons From Obafemi Awolowo University Teaching Hospitals Complex, Nigeria |
| title_sort | establishing interventional radiology in a low resource setting lessons from obafemi awolowo university teaching hospitals complex nigeria |
| url | https://ascopubs.org/doi/10.1200/GO-24-00637 |
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