Evidence map›Paper›PMID 37126143›Full record

ArticlePediatric cardiology2023

Access to Care and Therapy for Kawasaki Disease in the Arab Countries: A Kawasaki Disease Arab Initiative (Kawarabi) Multicenter Survey.

Raed Alzyoud, Nermeen El-Kholy, Yousra Arab, Nadine Choueiter, Ashraf S Harahsheh, Adnan Salem Aselan, Alyaa Kotby, Asma Bouaziz, Aso F Salih, Awatif Abushhaiwia and 25 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 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

35 authors at 20 institutions in 13 countries.

Raed AlzyoudChief of Pediatric Allergy, Immunology and Rheumatology Divsion, Queen Rania Children's Hospital, Amman, Jordan.
Nermeen El-KholyMirdif Private Hospital, Dubai, UAE.
Yousra ArabUniversité de Sherbrooke, Sherbrooke, Canada.
Nadine ChoueiterIcahn School of Medicine at Mount Sinai, New York, USA.
Ashraf S HarahshehDepartment of Pediatrics, Children's National Hospital, George Washington University School of Medicine & HealthSciences Cardiology, Washington, DC, USA.
Adnan Salem AselanPediatric Cardiologist, Madinah Maternity and Children Hospital, King Salman Medical City, Al Madinah Al Munawwarah, Saudi Arabia.
Alyaa KotbyPediatric Cardiology Division, Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Asma BouazizHeadmaster of Children and Neonatal Department, Hôpital Régional, Tunis, Tunisia.
Aso F SalihHD Cardiology, Pediatric Cardiology Department, Children's Heart Hospital, Sulaimani College of Medicine, Sulaimani University, Sulaimani, Iraq.
Awatif AbushhaiwiaPediatric Rheumatology Department, Tripoli Children's Hospital, Tripoli, Libya.
Fahad AlahmadiKing Faisal Specialist Hospital and Research Center, Pediatric Cardiology, Taibah University, Al Madinah Al Munawwarah, Saudi Arabia.
Hala M AghaPediatric Cardiology Division, Cairo University, Cairo, Egypt.
Hala M ElmarsafawyPediatric Cardiology Division, Children Hospital, Mansoura University, Mansoura, Egypt.
Hanifa AlrabtePediatric Cardiology Department, Tripoli Children's Hospital, Tripoli, Libya.
Hesham Al-SaloosDivision of Cardiology, Clinical Pediatrics, Sidra Medicine, Weill Cornell Medicine, Doha, Qatar.
Houda BoudiafOnco-Pediatric Department, University Hospital Mustapha Bacha, Algiers University, Algiers, Algeria.
Issa HijaziCardiology Center, King Hussein Medical Center, Amman, Jordan.
Kenza BouayedHarouchi, Mother and Child Hospital, CHU Ibn Rochd, Casablanca, Morocco.
Khalfan Salim Al SenaidiDivision of Pediatric Cardiology, Sultan Qaboos University Hospital, Muscat , Oman.
Lamia BoughammouraPediatric Department of Farhat Hached Hospital, Faculté de Médecine de Sousse, Sousse, Tunisia.
Maryam JalalHarouchi, Mother and Child Hospital, CHU Ibn Rochd, Casablanca, Morocco.
Mohamed S LadjPediatric Department, Faculty of Medicine, Djillali Belkhenchir University Hospital, Algiers University, Algiers, Algeria.
Mohammed E Abu-ShukairJO-PAIR CLINIC, Saudi Hospital, Amman, Jordan.
Mona M ElGanzouryPediatric Cardiology Division, Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Nacera HammadouchePediatric Department, Faculty of Medicine, Djillali Belkhenchir University Hospital, Algiers University, Algiers, Algeria.
Nora ElsammanPediatric Cardiology, Pediatrics Department, Ain Shams University, Cairo, Egypt.
Pierre MouawadPediatric Department, Saint George Hospital University Medical Center, Beirut, Lebanon.
Rachida BoukariPediatric Department University Hospital, Mustapha Bacha, Algiers, Algeria.
Nassiba BenalikhoudjaPediatric Department University Hospital, Mustapha Bacha, Algiers, Algeria.
Salima JdourPediatric Cardiology Department, Tripoli Children's Hospital, Tripoli, Libya.
Sima Y Abu Al-SaoudDepartment of Pediatrics, Faculty of Medicine, Makassed Hospital, Al- Quds University, Jerusalem, Palestine.
Soued Nabila TouriPediatric Department, University Hospital, Algiers, Algeria.
Thouraya KammounPediatric Department of Hedi Chakar Hospital, Faculté de Médecine de Sfax, Sfax, Tunisia.
Zohra FitouriUnit of Rheumatology, Emergency and Outpatient Department, Pediatric Hospital of Béchir Hamza of Tunis. University Tunis El Manar, Tunis, Tunisia.
Nagib DahdahDivision of Pediatric Cardiology, CHU Ste-Justine, Université de Montréal, Montréal, Canada. Nagib.dahdah.med@ssss.gouv.qc.ca.
Ain Shams University · EGHôpital Mustapha Pacha · DZCentre Hospitalier Universitaire Ibn Rochd · MAAl-Quds University · PSCairo University · EGChildren's Hospital Mansoura University · EGGeorge Washington University · USHôpital Farhat Hached · TNHopital Universitaire Hedi Chaker · TNIcahn School of Medicine at Mount Sinai · USJordan Hospital · JOKing Hussein Medical Center · JOSaint George Hospital · LBSultan Qaboos University Hospital · OMTaibah University · SATunis El Manar University · TNUniversité de Montréal · CAUniversité de Sherbrooke · CAUniversity of Sulaimani · IQWeill Cornell Medical College in Qatar · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kawasaki Disease (KD) is still the most common acquired heart disease in children below the age of five years; it has been well described in the developed world; however, data from the Arab world are limited to case reports or single-center case series. In an effort of optimizing KD research in the Arab world, a group of physicians and researchers established the KD Arab Initiative (Kawarabi) in 2021, and published the first survey, which showed disparities in the availability of intravenous immunoglobulin (IVIG); this had prompted Kawarabi to assess the access to care and therapy of KD patients in Arab countries. A 32 structured questions survey was conducted in thirteen Arab countries and addressed KD patients' access to healthcare in urban and rural settings. The survey results showed that access to care was uniform across large, mid-size cities and rural areas in 7/13 (54%) countries, while in 6/13 (46%) countries, it was in favor of large and mid-size cities over rural areas. The quality of medical services received by children with KD in large cities was rated as excellent in 6/13 or good in 7/13 countries compared to fair in 4/13 or poor in 4/13 countries in rural areas. Availability of IVIG was limited (23%) in mid-size cities and almost impossible (23%) in rural areas. The KD patients in mid-size cities and rural areas have limited access to standard healthcare in the Arab world. This survey laid the foundation for future Kawarabi endeavors to improve the care of children with KD.

Indexed as

Heart DiseasesMucocutaneous Lymph Node SyndromeArabsChildChild, PreschoolHealth Services AccessibilityHumansImmunoglobulins, IntravenousInfantImmunoglobulins, IntravenousArabIntravenous ImmunoglobulinsKawasaki DiseaseTreatment

Identifiers

PMID37126143
OpenAlexW4367600842

What OpenQuestion holds

Textmetadata
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.