Evidence map›Paper›PMID 33209120›Full record

ArticleEcancermedicalscience2020

Mapping breast cancer journal publications in conflict settings in the MENA region: a scoping review.

Rima A Abdul-Khalek, Ghassan Abu-Sitta, Nassim El Achi, Walaa Kayyal, Ahmad Elamine, Aya Noubani, Marilyne Menassa, Fahad Ahmed, Richard Sullivan, Deborah Mukherji

Abstract readScoping Review
In one paragraph

Article in Ecancermedicalscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rima A Abdul-KhalekConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Ghassan Abu-SittaConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Nassim El AchiConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Walaa KayyalConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Ahmad ElamineConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Aya NoubaniConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Marilyne MenassaConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.
Fahad AhmedInstitute of Oncology, Hacettepe University, Ankara, Turkey.
Richard SullivanKing's Health Partners Comprehensive Cancer Centre and Institute of Cancer Policy, King's College London, London, UK.
Deborah MukherjiConflict Medicine Program Global Health Institute, American University of Beirut, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is a major cause of cancer-related morbidity and mortality among women in the the Middle East and North Africa (MENA) region. Conflict and political instability in the region may affect medical research output, including that on breast cancer. This scoping review aims to systematically identify and map breast cancer publications across different stages of the cancer care pathway and across conflict-affected countries within the MENA region. The findings of this work will highlight the impact of conflict on cancer research that could be mitigated with the proper contextualised capacity strengthening intervention.

methodsWe followed the PRISMA-Scr methodology. We searched for peer-reviewed publications on topics related to breast cancer in 11 databases: Medline, PubMed, EMBASE, Web of Science, PROQUEST, CINAHL, Global Index Medicus, Arab World Searches Complete, Popline, Scopus and Google Scholar using both controlled vocabulary and keywords. Publication abstracts and full-text versions were screened for duplicates and included in our study based on pre-specified eligibility criteria: focused on breast cancer, related to the specific country of analysis and human or health system studies. We used a structured data extraction form to extract information related to the article, its methodology and the cancer care pathway being studied.

resultsA total of 19,215 citations were retrieved from our search. After removing duplicates, a total of 8,622 articles remained. Title and abstract screening retained 1,613 articles. Publications with first author affiliations to Turkey were consistently the highest across all categories of the cancer care pathway. Trends show an increase in articles from Lebanon, Jordan and Palestine after 2015. Early exploratory and epidemiological studies represented the majority of breast cancer research, followed by policy and implementation research and lastly experimental research. Most research conducted followed an observational study design. Important gaps were identified in the research output related to advanced breast cancer and palliative care (Libya, Syria and Yemen), mental health (Libya), and knowledge and education of breast cancer (Libya and Syria).

conclusionThis scoping review has identified key areas in breast cancer research that lack significant research activity in conflict MENA settings. These areas, including but are not limited to palliative care, mental health, and education, can be prioritised and developed through regional collaboration and contextualised capacity strengthening initiatives.

Indexed as

breast cancerconflictresearch capacity

Identifiers

PMID33209120
PMCPMC7652545

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.