Evidence map›Paper›PMID 37624401›Full record

ArticleRheumatology international2023

The rheumatology workforce in the Arab countries: current status, challenges, opportunities, and future needs from an ArLAR cross-sectional survey.

Nelly Ziade, Ihsane Hmamouchi, Chafika Haouichat, Fatemah Baron, Sulaiman Al Mayouf, Nizar Abdulateef, Basel Masri, Manal El Rakawi, Lina El Kibbi, Manal El Mashaleh and 4 more

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Article in Rheumatology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Observational
  5. Article
  6. 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

14 authors.

Nelly ZiadeRheumatology Department, Saint-Joseph University, Beirut, Lebanon. nellziade@yahoo.fr.ORCID 0000-0002-4479-7678
Ihsane HmamouchiLaboratory of Clinical Research and Epidemiology, Faculty of Medicine, Mohammed V University, Rabat, Morocco.ORCID 0000-0003-4402-5034
Chafika HaouichatRheumatology Department, Djillali Bounaama University Hospital, Douera, Algeria.ORCID 0000-0002-3779-8576
Fatemah BaronUnit of Rheumatology, Internal Medicine Department, Al-Jahra Hospital, Ministry of Health, Kuwait City, State of Kuwait.ORCID 0000-0002-0367-3177
Sulaiman Al MayoufDivision of Rheumatology, Department of Pediatrics, King Faisal Specialist Hospital and Research Center. College of Medicine, Al Faisal University, Riyadh, Saudi Arabia.ORCID 0000-0003-0142-6698
Nizar AbdulateefRheumatology Unit, Department of Medicine, College of Medicine, University of Baghdad, Baghdad, Iraq.ORCID 0000-0003-0659-8130
Basel MasriRheumatology Division, Department of Internal Medicine, Jordan Hospital and Medical Center, Amman, Jordan.ORCID 0000-0002-4592-1247
Manal El RakawiRheumatology Department, Faculty of Medicine El Mahdi Si Ahmed, Blida, Algeria.ORCID 0000-0002-8235-4595
Lina El KibbiDivision of Rheumatology, Department of Internal Medicine, Specialized Medical Center, Riyadh, Saudi Arabia.ORCID 0000-0003-1710-9996
Manal El MashalehRheumatology Division of Internal Medicine, King Hussein Medical Center, Royal Medical Services, Jordan Armed Forces, Amman, Jordan.ORCID 0000-0002-8286-6531
Bassel ElzorkanyRheumatology Department, Cairo University, Giza, Egypt.ORCID 0000-0003-2704-9712
Jamal Al SalehRheumatology Department, Dubai Hospital, Dubai, UAE.ORCID 0000-0002-7569-003X
Christian DejacoDepartment of Rheumatology and Immunology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-0173-0668
Fatemah AbutibanUnit of Rheumatology, Department of Internal Medicine, Jaber Alahmed Hospital, Ministry of Health, Kuwait City, State of Kuwait.ORCID 0000-0002-6725-4561

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Arab League of Associations for Rheumatology (ArLAR) Research Group (ARCH) conducted this study to investigate the number of current practicing rheumatologists in the Arab countries, to estimate the projected number of rheumatologists in 10 years, and to evaluate the current workload, practice profile, consultation waiting time, and geographical mobilities of these rheumatologists. This cross-sectional survey study was conducted in 16 Arab countries in two parts. The first survey was addressed nominally to national societies to estimate the current and projected workforce. The second was an anonymous e-survey elaborated by the study steering committee on the Google Forms platform and distributed to Arab rheumatologists using social media, WhatsApp, and mass e-mails to evaluate their practice. The mean number of rheumatologists in Arab countries was 0.84 per 100,000 inhabitants (mean age 47.5 years, 55% females), ranging from 0.06 (Sudan) to 1.86 (Tunisia). The number of rheumatologists is expected to increase by 50% in 2032. Nevertheless, a 20% increase in population associated with an increase in demand is also expected. Data from 446 rheumatologists (mean age 43.9 years, 60.5% females) revealed that 72% worked full-time, and 53% were employed in the public sector only. The average waiting time for a rheumatology consultation was 19.9 days. Of 394 rheumatologists, 19% obtained their rheumatology diplomas from non-Arab countries, and 47% of Gulf rheumatologists were non-citizen physicians. Considering local demographic disparities, healthcare system differences, and geographical mobilities, national authorities are advised to implement effective intervention plans to optimize the rheumatology workforce.

Indexed as

Health Services Needs and DemandHealth WorkforceNeeds AssessmentRheumatologistsRheumatologyAdultCross-Sectional StudiesFemaleHealth Care SurveysHumansMaleMiddle AgedMiddle EastReferral and ConsultationSurveys and QuestionnairesWorkloadArab countriesHealthcareRheumatologyWorkforce

Identifiers

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.