Evidence map›Paper›PMID 40065348›Full record

ArticleBMC health services research2025

Effects of economic sanctions on cancer care for patients in Iran: a qualitative study.

Maryam Nazari, Leila Haghjou, Hamideh Rashidian, Kazem Zendehdel, Najmeh Bahmanziari, Ali Haghjoo, Aziz Shamsi, Leila Mounesan

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Maryam NazariDepartment of Health Management, Policy and Economics, School of Public Health; Center for Academic and Health Policy (CAHP), Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-9360-5708
Leila HaghjouKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0003-2984-9414
Hamideh RashidianCancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-2155-1683
Kazem ZendehdelCancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0002-0269-4945
Najmeh BahmanziariDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. bahmanziari.najmeh@gmail.com.ORCID http://orcid.org/0000-0001-8275-0312
Ali HaghjooIntensive Care Unit, Mehr Hospital, Tehran, Iran.
Aziz ShamsiDepartment of Nursing, Mahabad School of Nursing, Urmia University of Medical Sciences, Urmia, Iran.ORCID http://orcid.org/0000-0003-1949-7988
Leila MounesanDepartment of Epidemiology and Biostatistics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.ORCID http://orcid.org/0000-0002-7588-2381

Funding

Cancer Research Center, Tehran University of Medical Sciences 98-3-115-45890
6 · The paper itself

Abstract

backgroundDue to political and security concerns, Iran has faced stringent sanctions in recent decades, significantly impacting vulnerable cancer patients. According to the latest statistics, the 5-year prevalent cases in Iran were 357,906 for both sexes combined. This study aimed to investigate the perspectives of cancer patients, their families, and non-governmental organizations (NGOs) regarding the ramifications of economic sanctions on cancer diagnosis and treatment.

methodsThis qualitative study was conducted by semi-structured interviews with 21 cancer patients and their family members, as well as representatives from relevant NGOs based in Tehran in 2020. The interviewees were selected using convenience sampling, and the data were classified and analyzed using qualitative content analysis in MAXQDA-2019 software.

resultsThe effects of economic sanctions on cancer patients were categorized into four themes: medicines, medical equipment, human resources, and financial resources. Medicines were further categorized into medicine price changes, scarcity, the complexity of dispensing medication, profiteering of drug manufacturers and distributors, and prolonged medical treatment subthemes. Medical equipment included price changes and difficulties in procuring medical devices and their accessories. Human resources comprised inadequate access to specialists and distorted doctor-patient relationships. Finally, financial resources were delineated by the diminished purchasing power of individuals and insufficient support extended to NGOs catering to patients' needs.

conclusionsThe findings underscore the urgency of addressing the multifaceted consequences of sanctions, which exacerbate vulnerabilities among cancer patients and hinder their access to timely and adequate care. Collaborative efforts between policymakers, healthcare providers, and NGOs are essential to mitigate these challenges and ensure equitable access to cancer treatment amidst ongoing sanctions. Furthermore, global health diplomacy could help reduce the effects of economic sanctions and facilitate the provision of medical equipment, medicines, and financial resources.

Indexed as

Health Services AccessibilityNeoplasmsAdultFemaleHumansInterviews as TopicIranMaleMiddle AgedQualitative ResearchCancer careEconomic sanctionsHealth policyQualitative research

Identifiers

PMID40065348
PMCPMC11895320

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.