Evidence map›Paper›PMID 34038215›Full record

ArticleThe Journal of international medical research2021

Late presentation and suboptimal treatment of breast cancer among Syrian refugees: a retrospective study.

Hikmat Abdel-Razeq, Faris Tamimi, Nayef Abdel-Razeq, Maryam El-Atrash, Baha' Sharaf, Rawan Mustafa, Razan Mansour, Rayan Bater

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  14. Breast Cancer Beliefs and Screening Practices among Syrian Refugee Women and Jordanian Women.International journal of environmental research and public health · 2023
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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

8 authors at 2 institutions in 1 country.

Hikmat Abdel-RazeqDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.ORCID https://orcid.org/0000-0003-2833-6051
Faris TamimiDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Nayef Abdel-RazeqDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Maryam El-AtrashDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Baha' SharafDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.ORCID https://orcid.org/0000-0003-4368-1224
Rawan MustafaDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Razan MansourDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Rayan BaterDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
King Hussein Cancer Center · JOUniversity of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe crisis in Syria has had a profound impact on the entire region. In this study, we report the patterns of presentation and management of Syrian patients with breast cancer treated at our institution.

methodsWe retrospectively collected data on Syrian refugees treated for breast cancer over the past 10 years at our center. Management was compared against our approved clinical practice guidelines.

resultsA total of 113 patients were eligible and included. The median age (range) at diagnosis was 47 (21-84) years and most women presented with locally advanced or metastatic disease (n = 74, 65.5%). Breast-conserving surgery and breast reconstruction were performed in 27 (33.8%) and 11 (35.4%) patients, respectively. Only a few patients received targeted (35.5%) or advanced endocrine therapy (30.0%). In total, 37 (32.7%) patients had considerable deviations from our institutional treatment guidelines and had worse outcomes.

conclusionsSyrian refugees with breast cancer present late, have more advanced-stage disease, and are more likely to receive delayed and suboptimal therapy. An international systematic approach for cancer care among such vulnerable populations is urgently needed.

Indexed as

Breast NeoplasmsRefugeesFemaleHumansMiddle AgedRetrospective StudiesSyriaBreast cancerhealth disparitypatient managementrefugeeSyriatreatment

Identifiers

PMID34038215
PMCPMC8161870
OpenAlexW3164087508

What OpenQuestion holds

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LicenceCC BY-NC
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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.