Palliative care for children with cancer in the Middle East: A comparative study

Mojen, Leila Khanali; Rassouli, Maryam; Eshghi, Peyman; Sari, Ali Akbari; Heravi‐Karimooi, Majideh

doi:10.4103/ijpc.ijpc_69_17

Cited by 40 publications

(23 citation statements)

References 44 publications

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“…New PC centres in MoH Hospitals were established following 2010 [ 20 ]. A multidisciplinary PC team in 2010 and first PC unit for children in 2011 were established in Dokuz Eylul University [ 134 , 135 ]. The first ‘Comprehensive PC Center’ in the Turkish MoH, Ulus State Hospital was opened in December 2012.…”

Section: Resultsmentioning

confidence: 99%

Progress in palliative care for cancer in Turkey: a review of the literature

Kutluk¹,

Ahmed²,

Cemaloğlu³

et al. 2021

ecancer

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Background:The demographic transition in Turkey is shifting the burden of diseases towards non-communicable diseases including cancer. Palliative care (PC) as a component of Universal Health Coverage assures patient and family-centred care provision throughout the spectrum of cancer.Objectives: This study aimed to make a detailed evaluation of the progress achieved since the mid-90s and the current situation of cancer PC in Turkey.Methods: A literature review was conducted in PubMed,

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Section: Resultsmentioning

confidence: 99%

Progress in palliative care for cancer in Turkey: a review of the literature

Kutluk¹,

Ahmed²,

Cemaloğlu³

et al. 2021

ecancer

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“…Regarding services other than cancer therapy (eg, palliative care, home care, long-term support), most sources refer to palliative care being underdeveloped. 21 - 23 Only one study explored in some depth potential barriers or challenges for palliative care: a survey of heads of 31 pediatric oncology units in Turkey reported the lack of professionals (58%), lack of physical space (48%), and lack of education (26%) among the perceived challenges to the development of palliative care. 24 We found one study reporting on the availability of services other than palliative care: a survey of 33 pediatric oncology departments in Turkey.…”

Section: Resultsmentioning

confidence: 99%

Economics of Pediatric Cancer in Four Eastern Mediterranean Countries: A Comparative Assessment

Gheorghe

Chalkidou

Shamieh

et al. 2020

JCO Global Oncology

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PURPOSE Cancer is a leading cause of death among children in the Eastern Mediterranean region, where conflict and economic downturn place additional burden on the health sector. In this context, using economic evidence to inform policy decisions is crucial for maximizing health outcomes from available resources. We summarized the available evidence on the economics of pediatric cancer in Jordan, Lebanon, the occupied Palestinian territory, and Turkey. METHODS A scoping review was performed of seven academic databases and gray literature pertaining to pediatric cancer in the four jurisdictions, published between January 1, 2010, and July 17, 2019. Information was extracted and organized using an analytical framework that synthesizes economic information on four dimensions: the context of the health system, the economics of health care inputs, the economics of service provision, and the economic consequences of disease. RESULTS Most of the economic evidence available across the four jurisdictions pertains to the availability of health care inputs (ie, drugs, human resources, cancer registration data, and treatment protocols) and individual-level outcomes (either clinical or health-related quality of life). We identified little evidence on the efficiency or quality of health care inputs and of pediatric cancer services. Moreover, we identified no studies examining the cost-effectiveness of any intervention, program, or treatment protocol. Evidence on the economic consequences of pediatric cancer on families and the society at large was predominantly qualitative. CONCLUSION The available economic evidence on pediatric cancer care in the four countries is limited to resource availability and, to an extent, patient outcomes, with a substantial gap in information on drug quality, service provision efficiency, and cost-effectiveness. Links between researchers and policymakers must be strengthened if pediatric cancer spending decisions, and, ultimately, treatment outcomes, are to improve.

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“…Hospitals provide palliative care at the end-of-life stage. [ 57 58 ] In Iran, the lack of medical centers such as outpatient clinics and hospices for symptom management in children with cancer results in long-term hospitalizations and expensive medications and can have negative effects on the child and his/her family.…”

Section: Discussionmentioning

confidence: 99%

A comparison of symptom management for children with cancer in Iran and in the selected countries: A comparative study

Pakseresht

Baraz

Rassouli

et al. 2018

Indian J Palliat Care

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Aim:The aim of this study is to describe the experiences of other countries regarding the status of pediatric palliative care in the field of symptom management and to compare it with the current status in Iran to achieve an appropriate level of symptom management for children with cancer.Materials and Methods:This is a comparative study. The research population includes the palliative care systems of Jordan, England, Australia, and Canada, which were ultimately compared with Iran's palliative care system.Results:The results showed that in the leading countries in the field of palliative care, such as Australia and Canada, much effort has been made to improve palliative care and to expand its service coverage. In the UK, as a pioneer in the introduction of palliative care, a significant portion of clinical performance, education and research, is dedicated to childhood palliative care. Experts in this field and policymakers are also well aware of this fact. In developing countries, including Jordan, palliative care is considered a nascent specialty, facing many challenges. In Iran, there is still no plan for providing these services coherently even for adults.Conclusion:Children with cancer experience irritating symptoms during their lives and while they are hospitalized. Regarding the fact that symptom management in developed countries is carried out based on specific and documented guidelines, using the experiences of these successful countries and applying them as an operational model can be useful for developing countries such as Iran.

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Palliative care for children with cancer in the Middle East: A comparative study

Cited by 40 publications

References 44 publications

Progress in palliative care for cancer in Turkey: a review of the literature

Progress in palliative care for cancer in Turkey: a review of the literature

Economics of Pediatric Cancer in Four Eastern Mediterranean Countries: A Comparative Assessment

A comparison of symptom management for children with cancer in Iran and in the selected countries: A comparative study

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