Evidence map›Paper›PMID 37213303›Full record

ArticleFrontiers in oncology2023

War and oncology: cancer care in five Iraqi provinces impacted by the ISIL conflict.

Mac Skelton, Ahmed Khalid Al-Mash'hadani, Zahi Abdul-Sater, Mohammed Saleem, Saad Alsaad, Marwa Kahtan, Ahmed Hazim Al-Samarai, Ahmed Moyed Al-Bakir, Layth Mula-Hussain

Abstract read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Provision of supportive care by an NGO in the face of a dual challenge: cancer and wartime.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

9 authors.

Mac SkeltonInstitute of Regional and International Studies, American University of Iraq-Sulaimani, Sulaymaniyah, Iraq.
Ahmed Khalid Al-Mash'hadaniOncology Department, Anbar Cancer Center, Ramadi, Iraq.
Zahi Abdul-SaterGlobal Health Institute, American University of Beirut, Beirut, Lebanon.
Mohammed SaleemMedical Oncology Department, Kirkuk Oncology and Hematology Center, Kirkuk, Iraq.
Saad AlsaadMedical Oncology Department, Tikrit Oncology Center, Tikrit, Iraq.
Marwa KahtanMedical Oncology Department, Diyala Cancer Center, Baqubah, Iraq.
Ahmed Hazim Al-SamaraiOncology Department, Anbar Cancer Center, Ramadi, Iraq.
Ahmed Moyed Al-BakirMedical Oncology Department, Specialized Oncology and Nuclear Medicine Hospital, Mosul, Iraq.
Layth Mula-HussainRadiation Oncology Department, Sultan Qaboos Comprehensive Cancer Care and Research Centre, Muscat, Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

War and cancer have been intertwined in Iraq for over three decades, a country where the legacies and ongoing impacts of conflict have been commonly associated with both increased cancer rates as well as the deterioration of cancer care. Most recently, the Islamic State of Iraq and the Levant (ISIL) violently occupied large portions of the country's central and northern provinces between 2014 and 2017, causing devastating impacts on public cancer centers across central and northern Iraq. Focusing on the five Iraqi provinces previously under full or partial ISIL occupation, this article examines the immediate and long-term impacts of war on cancer care across three periods (before, during, and after the ISIL conflict). As there is little published data on oncology in these local contexts, the paper relies primarily upon the qualitative interviews and lived experience of oncologists serving in the five provinces studied. A political economy lens is applied to interpret the results, particularly the data related to progress in oncology reconstruction. It is argued that conflict generates immediate and long-term shifts in political and economic conditions that, in turn, shape the rebuilding of oncology infrastructure. The documentation of the destruction and reconstruction of local oncology systems is intended to benefit the next generation of cancer care practitioners in the Middle East and other conflict-affected regions areas in their efforts to adapt to conflict and rebuild from the legacies of war.

Indexed as

cancerconflictIraq warIslamic StateMosuloncologypolitical economytherapeutic geographies

Identifiers

PMID37213303
PMCPMC10196689

What OpenQuestion holds

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LicenceCC BY
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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.