Evidence map›Paper›PMID 36184640›Full record

ArticleBMC palliative care2022

Palliative care in the Eastern Mediterranean: comparative analysis using specific indicators.

Miguel Antonio Sánchez-Cárdenas, Nasim Pourghazian, Eduardo Garralda, Danny van Steijn, Slim Slama, Edgar Benítez, Marie-Charlotte Bouësseau, Carlos Centeno

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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 5 institutions in 3 countries.

Miguel Antonio Sánchez-CárdenasATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31080, Pamplona, Spain.
Nasim PourghazianNCD Prevention (NCP) Unit in the Department of UHC/NCDs at the World Health Organizations Regional Office for the Eastern Mediterranean (WHO EMRO), Cairo, 11371, Egypt.
Eduardo GarraldaATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31080, Pamplona, Spain. egarralda@unav.es.
Danny van SteijnATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31080, Pamplona, Spain.
Slim SlamaNCD Prevention (NCP) Unit in the Department of UHC/NCDs at the World Health Organizations Regional Office for the Eastern Mediterranean (WHO EMRO), Cairo, 11371, Egypt.
Edgar BenítezATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31080, Pamplona, Spain.
Marie-Charlotte BouësseauIntegrated Health Services, World Health Organisation, CH1211, Geneva, Switzerland.
Carlos CentenoATLANTES Global Palliative Care Observatory, Institute for Culture and Society, University of Navarra, 31080, Pamplona, Spain.
Universidad de Navarra · ESWorld Health Organization Regional Office for the Eastern Mediterranean · EGNavarre Institute of Health Research · ESTecnalia · ESWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundMonitoring the development of palliative care (PC) illustrates the capacity of health systems to respond to the needs of people experiencing serious health-related suffering.

aimTo analyse comparatively the situation of PC in the countries of the Easter Mediterranean region using context-specific indicators.

methodAn online questionnaire with 15 context-specific PC indicators investigating service provision, use of medicines, policy, education, and vitality was designed. Authors Institution 1 nominated in-country experts to complete the survey. Data were analysed using a comparative description of indicators per domain and a multivariate analysis.

resultsIn-country experts were identified in 17/22 countries. 12/17 contributed to the survey. In total, 117 specialized PC services were identified. Specialized services per population ranges from 0.09 per 100,000 inhabitants in Lebanon and Saudi Arabia, Qatar and Kuwait; to zero services in the Occupied Palestinian Territories. On average, opioid consumption was 2.40 mg/capita/year. National PC strategies were reported in nine countries. In six countries, PC is officially accredited either as a specialty or sub-specialty, and PC mandatory courses are implemented in 36% of medical schools and 46% of nursing schools. National PC associations were documented in six countries. A higher pattern of development was identified in Jordan, Kuwait, Saudi Arabia, Oman, Lebanon, Qatar.

conclusionsDespite a higher development in the Arabian Peninsula, the region is characterised by a very low provision of specialized PC services and opioid consumption. Policy improvements represent an opportunity to improve access to PC.

Indexed as

Hospice and Palliative Care NursingPalliative CareAnalgesics, OpioidData CollectionHumansKuwaitAnalgesics, OpioidDevelopmentEastern MediterraneanNational-levelPalliative careProvisionPublic healthSpecialized services

Identifiers

PMID36184640
PMCPMC9528121
OpenAlexW4300003488

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.