Rheumatic diseases in Syrian refugee children: a retrospective multicentric study in Turkey

Karadağ, Şerife Gül; Sönmez, Hafize Emine; Demir, Ferhat; Çakan, Mustafa; Öztürk, Kübra; Tanatar, Ayşe; Çakmak, Figen; Sözeri, Betül; Ayaz, Nuray Aktay

doi:10.1007/s00296-020-04534-3

Cited by 8 publications

(7 citation statements)

References 32 publications

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“…18 Other barriers reported were social and cultural gaps and irregular clinic follow-up. 17 A review of specific humanitarian interventions during the Syrian war demonstrates a delay in the coordination of humanitarian health-care programs which ultimately hindered optimal delivery of the medical interventions. It also highlights the prioritization in the time of crisis, with chronic and ambulatory health needs naturally taking lower priority to trauma and infectious disease control treatment.…”

Section: Discussionmentioning

confidence: 99%

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Humanitarian Outpatient Pediatric Endeavor (HOPE): A Novel Specialist Ambulatory Health-Care Concept in Conflict Areas

Mizrachi,

Levy,

Dror

et al. 2023

Disaster med. public health prep.

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With the collapse of the medical system in Syria, Israel began providing Syrians with humanitarian aid, first to the war-injured and then general medical treatment. We developed a novel specialist ambulatory care concept to provide medical care for Syrian children. Children with their caregivers were transported by bus across the border from Syria to our medical center in Israel for day-stay outpatient-clinic advanced evaluation and treatment due to coordination between Syrian, Red Cross, and Israeli authorities, including Israeli Defense Forces. This retrospective field report includes 371 Syrian children treated as outpatients at Galilee Medical Center between January 2016 and September 2018. In our experience, this novel pediatric ambulatory care concept has been feasible, efficient, and successful in providing specialist care for children in a crisis region devoid of access to health care. We believe it can also serve adult patients and be implemented in other crises and disasters scenarios.

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Section: Discussionmentioning

confidence: 99%

“…18 Other barriers reported were social and cultural gaps and irregular clinic follow-up. 17 HOPE is a unique program aiming to overcome various barriers to those previously reported interventions.…”

Section: Discussionmentioning

confidence: 99%

Humanitarian Outpatient Pediatric Endeavor (HOPE): A Novel Specialist Ambulatory Health-Care Concept in Conflict Areas

Mizrachi,

Levy,

Dror

et al. 2023

Disaster med. public health prep.

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“…At the national level, Thailand showed the most prominent decreasing trend of death caused by RHD, probably due to economic development and urbanization [ 26 ]. In the Syrian Arab Republic, the decreasing trends were probably related to the displacement of refugees due to local unrest [ 27 ]. However, increasing trends of death and DALYs were observed in Zimbabwe, Belgium, and the Philippines.…”

Section: Discussionmentioning

confidence: 99%

Global burden of rheumatic heart disease: trends from 1990 to 2019

Liang

et al. 2022

Arthritis Res Ther

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Background Rheumatic heart disease (RHD) is a critical public health issue worldwide, and its epidemiological patterns have changed over the decades. This article aimed to estimate the global trends of RHD, and attributable risks from 1990 to 2019. Methods Data on RHD burden were explored from the Global Burden of Disease Study 2019. Trends of the RHD burden were estimated using the estimated annual percentage change (EAPC) and age-standardized rate (ASR). Results During 1990–2019, increasing trends in the ASR of incidence and prevalence of RHD were observed worldwide, with the respective EAPCs of 0.58 (95% confidence interval [CI] 0.52 to 0.63) and 0.57 (95%CI 0.50 to 0.63). Meanwhile, increasing trends commonly occurred in low and middle Socio-Demographic Index (SDI) regions and countries. The largest increasing trends in the ASR of incidence and prevalence were seen in Fiji, with the respective EAPCs being 2.17 (95%CI 1.48 to 2.86) and 2.22 (95%CI 1.53 to 2.91). However, death and disability-adjusted life years (DALYs) due to RHD showed pronounced decreasing trends of ASR globally, in which the EAPCs were − 2.98 (95%CI − 3.03 to − 2.94) and − 2.70 (95%CI − 2.75 to − 2.65), respectively. Meanwhile, decreasing trends were also observed in all SDI areas and geographic regions. The largest decreasing trends of death were observed in Thailand (EAPC = − 9.55, 95%CI − 10.48 to − 8.61). Among the attributable risks, behavioral risk-related death and DALYs caused by RHD had pronounced decreasing trends worldwide and in SDI areas. Conclusions Pronounced decreasing trends of death and DALYs caused by RHD were observed in regions and countries from 1990 to 2019, but the RHD burden remains a substantial challenge globally. The results would inform the strategies for more effective prevention and control of RHD.

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“…Diagnosis and follow-up of glomerular diseases were made in accordance with the KDIGO Glomerulonephritis guideline. [5] Chronic kidney disease was defined as the 'The Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guidelines. [6]…”

Section: Data Collectionmentioning

confidence: 99%

Mülteci çocukların renal sağlığı: süregelen bir zorluk

TANER,

EKBERLİ

2023

Journal of Contemporary Medicine

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Aim: Its geographical proximity to Syria makes Turkey an important destination and transit country for refugees from various countries. The aim of this study is to determine the kidney and urological disease profile and to reveal the ongoing problems of refugee children who applied to a single center in Adana, home to a dense refugee population. To the best of our knowledge, this study is the largest single center experience with the refugee pediatric patient population in this field. Methods: Medical records of 614 refugee children admitted to the pediatric nephrology and urology departments between February 2020 and May 2022 evaluated retrospectively. A total of 530 patients were included in the study. Results: Median age of the 530 patients (301 male/229 female) was 72 months. The median follow-up time was 7 months (IQR 14 months). Congenital anomalies of the kidney and urinary tract with 181 patients (34.2%) is the most common diagnosis. The frequency of chronic kidney disease (CKD) of the patients was determined as 25% with 132 patients. 64 (12%) of the patients required surgical intervention. It was observed that 322 (61%) of the patients did not come to their regular follow-ups and delayed their follow-up. Conclusion: Irregular follow-up and delaying the treatment can lead to sad consequences in patients with CKD in the long term. We believe that regular patient follow-up will have a positive impact on the long-term follow-up results of the patients and on the health costs of the country hosting the refugee patient profile.

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Rheumatic diseases in Syrian refugee children: a retrospective multicentric study in Turkey

Cited by 8 publications

References 32 publications

Humanitarian Outpatient Pediatric Endeavor (HOPE): A Novel Specialist Ambulatory Health-Care Concept in Conflict Areas

Humanitarian Outpatient Pediatric Endeavor (HOPE): A Novel Specialist Ambulatory Health-Care Concept in Conflict Areas

Global burden of rheumatic heart disease: trends from 1990 to 2019

Mülteci çocukların renal sağlığı: süregelen bir zorluk

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