Evidence map›Paper›PMID 39616398›Full record

ArticleInternational journal for equity in health2024

The impact of economic sanctions on cancer diagnosis and treatment in Iran: a qualitative study.

Leila Haghjou, Leila Mounesan, Aziz Shamsi, Maryam Nazari, Najmeh Bahmanziari, Mohammad Shirkhoda, Saeid Amanpour, Alireza Abdollahi, Kazem Zendehdel, Hamideh Rashidian

Abstract read
In one paragraph

Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Leila HaghjouKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Leila MounesanKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Aziz ShamsiDepartment of Nursing, Mahabad Faculty of Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran.
Maryam NazariDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Najmeh BahmanziariSchool of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad ShirkhodaDepartment of General Surgery, Subdivision of Surgical Oncology, Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
Saeid AmanpourCancer Biology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
Alireza AbdollahiDepartment of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Kazem ZendehdelCancer Biology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.
Hamideh RashidianCancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, I.R. of Iran. hmdhrashidian@yahoo.com.

Funding

Tehran Univarsity of Medical Sciences 45890
6 · The paper itself

Abstract

backgroundThe economic sanctions imposed on Iran have had a significant impact on the country's healthcare system. The sanctions have affected the availability and affordability of cancer diagnosis and treatment services, leading to a range of challenges for patients with cancer. This study aimed to explore these challenges and gain a deeper understanding of the impact of economic sanctions on cancer care in Iran.

methodsThe research method involved qualitative in-depth interviews with 53 experts, including clinical and basic sciences specialists, who were selected through purposeful sampling. The data were analyzed through qualitative content analysis using MAXQDA 2020.

resultsA total of 900 codes were identified, categorized into three primary groups-input, process, and output-and further divided into 13 subcategories. Within the input category related to health systems providing cancer care to patients, several critical issues emerged. These included instability in financing mechanisms and regulations, shortages of materials, low-quality imported materials, high material prices, and loss of human resources. Meanwhile, in the process of delivering diagnostic and treatment procedures to cancer patients, concerns centered around delayed and inadequate care, non-adherence to guidelines, limited international collaborations, and reduced provider satisfaction. Finally, during the output phase, the main subcategories extracted were lower effectiveness, increased adverse events, and increased equity gaps.

conclusionsAlthough economic sanctions against Iran have not officially targeted healthcare and access to drugs, they have restricted access to standard equipment and modern technologies, leading to increased delays, misdiagnosis, and diagnostic and therapeutic side effects in cancer patients to the point of death.

Indexed as

NeoplasmsQualitative ResearchDelivery of Health CareFemaleHealth Services AccessibilityHumansIranMaleDiagnosisEconomic sanctionIranNeoplasmsTreatment outcome

Identifiers

PMID39616398
PMCPMC11607833

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.