Evidence map›Paper›PMID 42082203›Full record

ReviewBMJ global health2026

Fragmented geographies and trauma pathways in the Middle East.

Mac Skelton, Ghassan Abu Sittah, Zahi Abdul Sater, Anas Ismail, Hannah B Wild, Rasheed M Fakhri, Gemma Bowsher, Richard Sullivan, Craig Jones

Abstract readReview
In one paragraph

Review in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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 & International Studies, American University of Iraq, Sulaimani, Iraq.ORCID 0000-0002-0302-5209
Ghassan Abu SittahGlobal Health Institute, American University of Beirut, Beirut, Lebanon.
Zahi Abdul SaterGlobal Health Institute, American University of Beirut, Beirut, Lebanon.
Anas IsmailPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0003-1912-660X
Hannah B WildUniversity of Washington, Seattle, Washington, USA.
Rasheed M FakhriMédecins Sans Frontières, Paris, France.
Gemma BowsherCentre for Conflict and Health Security, King's College London, London, UK.
Richard SullivanInstitute of Cancer Policy, Kings College London, London, UK.ORCID 0000-0002-6435-1825
Craig JonesSchool of Geography, Politics and Sociology, Newcastle University, Newcastle upon Tyne, UK craig.jones@newcastle.ac.uk.ORCID 0000-0002-3603-3467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enduring and interlocking conflicts across the Middle East over the last 25 years have generated injuries on a large scale. While civilian injuries in the region have been widely documented, very little is known about civilian trauma pathways-the system designed to manage patients from the moment of injury through to rehabilitation. Military trauma pathways are premised on rapid evacuation, coordinated referral and timely access to treatment, but replicating these systems for civilians, under conditions of active and ongoing conflict, presents many challenges. Civilians can be injured almost anywhere-far away from hospitals, without access to ambulances, emergency and other services-and in absence of a clear trauma pathway, their care trajectory in the weeks and years after sustaining injury is highly inequitable and geographically fragmented. This analysis examines some of the problems posed by the geographical fragmentation of civilian trauma pathways and reflects on what might be done to rebuild and improve them.

Indexed as

Wounds and InjuriesHumansMiddle EastGlobal HealthHealth systemsInterdisciplinary ResearchTraumatologyViolence

Identifiers

PMID42082203
PMCPMC13141086

What OpenQuestion holds

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LicenceCC BY
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.