Systemic Barriers to Optimal Cancer Care in Resource-Limited Countries: Jordanian Healthcare as an Example

Cancers, Journal Year: 2024, Volume and Issue: 16(6), P. 1117 - 1117

Published: March 11, 2024

This narrative review explores the multifaceted barriers hindering access to quality cancer care in Jordan. A literature-based was undertaken explore current identified Four databases were searched using relevant keywords identify key insights on and proposed solutions. Key challenges potential solutions based evidence from studies, reports, initiatives. Medical services infrastructure exhibit centralized disparities, impacting rural underserved areas. Human resources shortages, geopolitical instability, management issues pose significant challenges. Public awareness campaigns face hurdles addressing tobacco epidemic late-stage diagnosis. Socioeconomic particularly health insurance urban–rural divides, further compound barriers. Refugees encounter distinct challenges, including diagnosis, financial barriers, psychological distress. Despite multiple Jordan presents a model for regional development equity. study not only contributes improving but also offers roadmap policymakers, healthcare practitioners, researchers similar contexts globally. Government initiatives, aspects, policy measures are examined as Recommendations include coordinated prevention strategies, enhanced screening uptake, training programs, equitable distribution of facilities, directives aligned with global commitments. The role digital technologies, telemedicine, community engagement models is emphasized.

Language: Английский

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Clinical and Histopathological Features of Breast Cancer in Iraqi Patients between 2018-2021

Iraqi Journal of Science, Journal Year: 2024, Volume and Issue: unknown, P. 90 - 107

Published: Jan. 30, 2024

Breast cancer (BC) is the most common malignancy in women worldwide and a major cause of cancer-related deaths for Iraq. This assignment was created to investigate characteristics BC diagnosed Baghdad from 2018 2021. A total eighty-nine paraffin embedded tissue blocks different breast tumors (71 females 18 males) with their data, were collected archive Histopathology Department, Teaching Laboratories Medical City, Al-Yarmouk Hospital, private laboratory Baghdad-Iraq. The clinical information regarding age, gender, tumor size, stage grade, lymph nodes metastasis, addition findings estrogen receptor (ER), progesterone (PR), human epidermal growth factor (HER)-2 molecular subtypes obtained reviewed patients medical records pathologic reports. Results revealed high incidence at sixth seventh decades rate 37.78% 28.89% respectively. dominant size 2–5 cm malignant cases, 91.11% cases females. Regarding histological type, majority (60%) IDCs. Whereas 53.33% had metastasis nodes. Stage III grade II comprising 64.44%. Furthermore, hormone status 46.67% ER positive, while PR results equally positive negative 42.22% per each, 62.22% HER2 negative, luminal accounted all subtypes.

Language: Английский

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Clinical Characteristics and Outcomes of Cancer Cases Among Syrian Refugees From Southern Turkey

JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(5), P. e2312903 - e2312903

Published: May 23, 2023

Importance Cancer was a common noncommunicable disease in Syria before the present conflict and is now major burden among 3.6 million Syrian refugees Turkey. Data to inform health care practice are needed. Objective To explore sociodemographic characteristics, clinical treatment outcomes of patients with cancer residing southern border provinces Turkey hosting more than 50% refugees. Design, Setting, Participants This retrospective hospital-based cross-sectional study. The study sample consisted all adult children diagnosed and/or treated for between January 1, 2011, December 31, 2020, hematology-oncology departments 8 university hospitals Southern province were analyzed from May 2022, September 30, 2022. Main Outcomes Measures Demographic characteristics (date birth, sex, residence), date first cancer-related symptom, place diagnosis, status at presentation, modalities, last hospital visit, death. International Statistical Classification Diseases Related Health Problems, Tenth Revision Childhood Cancers, Third Edition , used classification cancer. Surveillance, Epidemiology, End Results system applied staging. diagnostic interval defined as number days symptoms until diagnosis. Treatment abandonment documented if patient did not attend clinic within 4 weeks prescribed appointment throughout treatment. A total 1114 421 included. median age diagnosis 48.2 (IQR, 34.2-59.4) years adults 5.7 3.1-10.7) children. 66 26.5-114.3) 28 14.0-69.0) Breast (154 [13.8%]), leukemia multiple myeloma (147 [13.2%]), lymphoma (141 [12.7%]) adults, leukemias (180 [42.8%]), lymphomas (66 [15.7%]), central nervous neoplasms (40 [9.5%]) follow-up time 37.5 32.6-42.3) months 25.4 20.9-29.9) 5-year survival rate 17.5% 29.7% Conclusions Relevance Despite universal coverage investment system, low rates reported this both These findings suggest that requires novel planning national control programs global cooperation.

Language: Английский

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Cancer Care for Refugees in Türkiye: Challenges and Achievements

Seminars in Oncology Nursing, Journal Year: 2025, Volume and Issue: unknown, P. 151879 - 151879

Published: April 1, 2025

Language: Английский

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Cancer Care in Jordan: Multidisciplinary Solutions Needed for Complex Disparities

JCO Global Oncology, Journal Year: 2025, Volume and Issue: 11

Published: April 1, 2025

Language: Английский

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Breast Cancer Stage Among Ukrainian Refugees in Poland

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(4), P. e256215 - e256215

Published: April 22, 2025

Importance Millions of Ukrainians displaced by war have sought refuge in Poland, posing challenges for cancer care. Determining whether these refugees present with more-advanced breast is crucial guiding resource allocation. Objective To evaluate the associations between Ukrainian refugee status and clinical presentation compared permanent residents Poland general Polish population. Design, Setting, Participants This retrospective cohort study was conducted February 2021 2024 at a single tertiary oncology center (Lower Silesian Oncology, Pulmonology, Hematology Centre, Wrocław, Poland) included adult women diagnosis stage 0 to IV cancer, regardless treatment intent. were categorized as (UPRs), (UWRs), or population (GPP). Exposures War (UWR) vs residence (UPR) (GPP) cancer. Main Outcomes Measures Primary outcomes (0-IV) diagnosis, tumor grade (G1-G3), age presentation. Stage distributions odds ratios (ORs) evaluated using weighted logistic regression, adjusting time period (before war, first year, second year). Results Of 3259 patients, 44 UWR group (mean [SD] age, 52.9 [13.5] years), 72 UPR 49.9 [11.4] 3143 GPP 59.5 [12.6] years). III disease occurred 19 patients (43.2%) 849 (27.0%) group. Adjusted analysis showed that had 2.00-fold increased (95% CI, 1.06-3.76; P = .03) 2.42-fold 1.29-4.55; .006) 3 tumors. Conclusions Relevance In this study, associated higher prevalence aggressive grades diagnosis. Although subtypes are more common younger women, disproportionate burden advanced highlights impact health care access barriers delayed These findings underscore need tailored strategies, such accessible screening early diagnostic interventions, improve among Poland.

Language: Английский

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Enhancing Cancer Care Amid Conflict: A Proposal for Optimizing Oncology Services During Wartime

JCO Global Oncology, Journal Year: 2023, Volume and Issue: 9

Published: Sept. 1, 2023

The landscape of cancer care within armed conflict zones is characterized by intricate challenges arising from disrupted health systems, scarcity resources, and population displacement. During times war, the provision services often disrupted, leading to significant for oncologists other providers. To optimize during wartime, several key priorities must be addressed. Focusing on needs assessment, treatment prioritization, drug supply chain, telemedicine, mobile clinics, cross-border collaborations, staff support, continuity will enable systems provide essential mitigate adverse impact patients with cancer. This article delineates pivotal optimizing wartime. It calls collaborative action, integration technology, holistic approaches safeguard rights, well-being, dignity individuals confronting dual conflict. By addressing these priorities, providers, policymakers, stakeholders can collectively ensure that remain steadfast compassionate even amid turmoil war. Thus, it may possible ensuring continue receive they need.

Language: Английский

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Cancer care for Ukrainian refugees during the first 6 weeks of 2022 Russian invasion – An experience of a cancer reference centre in Poland

European Journal of Cancer, Journal Year: 2022, Volume and Issue: 178, P. 234 - 242

Published: Oct. 20, 2022

On 24th of February 2022, Ukrainian cancer patients had to face a new war. Here we describe an experience the Maria Sklodowska-Curie National Research Institute Oncology Branch Krakow in providing care for refugees during initial 6 weeks We present patients' characteristic, point out main challenges and share initiatives undertaken.For this cross-sectional analysis, have gathered demographic clinical data together with date crossing Polish-Ukrainian border 112 who their first-time oncology consultation between 8th April 2022. also implemented national guidelines created local procedures, interventions policies manage situation.The peak patient inflow was third week War accounted 13% all within that period time. The majority were women (86%), treated radically (57%) breast (43%). Most required systemic treatment (67%). Amongst at time differences reimbursement system, communication issues, lack documentation or tissue samples, prolonged diagnostic interruptions, increased risk COVID-19 infections, chemotherapy side effects, procedures. Legal, procedural organizational steps level described.The Russian invasion on Ukraine forced unexpectedly high number seek help abroad, leading straining health system Poland.

Language: Английский

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Investigating the impact of COVID-19 on patients with cancer from areas of conflict within the MENA region treated at King Hussein Cancer Center

Frontiers in Oncology, Journal Year: 2023, Volume and Issue: 13

Published: Feb. 23, 2023

Background There is a paucity of evidence regarding the impact COVID-19 on cancer care among refugees or patients from areas conflict. Cancer for these populations remains fragmented due to resource scarcity and limited infrastructure. Aims To explore effect conflict treated at King Hussein Center (KHCC). Methodology We performed retrospective chart review all conflict, KHCC 2018 2021. Patients’ demographics clinical characteristics are presented in form descriptive statistics. Interrupted Time Series (ITS) analysis was utilized investigate number admissions throughout study’s period. Results A total 3317 were included study. Among these, 1546 males (46.6%) while 1771 (53.4%) female. Libyans (34.6%), Palestinians (24.8%), Iraqis (24.5%), Syrians (15.3%), Sudanese (0.9%) constituted our study sample. ITS demonstrated that start lockdown significantly decreased by 44.0% (p = 0.020), end restriction improved 43.0% 0.023). those with available SEER stages, more than quarter had distant metastasis (n 935, 28.2%) irrespective age biological sex. Advanced presentations during 2020 approximately 16% 6% increase compared 2019, respectively. Breast (21.4%), hematolymphoid cancers (18.1%), digestive system (16.5%) most common cohort. Conclusion Restrictions associated significant In long term, this may survival outcomes affected patients.

Language: Английский

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Cancer Diagnoses during Active Conflict: Experience from a Cancer Program in Northwest Syria

Avicenna Journal of Medicine, Journal Year: 2022, Volume and Issue: 12(04), P. 157 - 161

Published: Sept. 8, 2022

Background Protracted conflict has destroyed Syria's health system with severe impacts on the diagnosis and treatment of chronic high-cost diseases including cancer. Here, we review type (where possible) stage cancers diagnosed in a pathology laboratory serving Northwest Syria. Methods We retrospectively reviewed all reports which reported cancer from department Syria January to December 2020. Results A total 397 new were during 2020 191 among males (48.1%) 20 cases children aged 17 years or under (5%). The most common men was bladder (15.7%) skin (14.7%) followed by lymph nodes (includes primary secondary; 9.9%.) In women, breast (38.3%) (9.7%) uterine (8.7%) common. overall proportion diagnoses (20.2%), (12.1%), affecting (8.8%), urinary (8.3%) colorectal (7.3%). Discussion This preliminary analysis is first report types demographics areas outside government control since onset conflict. Despite limitations, it presents some indication burden oncological this area. Further research aims describe address populations ongoing humanitarian crises remains essential, especially given attacks underfunding. There particular need investigate how best apply interventions support systems services within settings. More resources be allocated centers long-term partnership models. underresourced understaffed conditions hospital are significant limits more detailed report.

Language: Английский

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