Strengthening capacity for cancer research in conflict settings: key informant insights from the Middle East.
Strengthening capacity for cancer research in conflict settings: key informant insights from the Middle East.
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DOI：
10.3332/ecancer.2020.1153
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发表时间：
2020
影响因子：
1.8
通讯作者：
Mukherji D
中科院分区：
文献类型：
--
作者：
Abdul-Sater Z;Menassa M;El Achi N;Abdul-Khalek RA;Abu-Sittah G;Mukherji D
中东和北非（MENA）地区的癌症管理伴随着多重挑战，包括早期检测和治疗选择的异质性以及国家癌症控制计划的有限实施。此外，整个区域旷日持久的武装冲突产生了巨大影响，包括医疗保健系统的中断和医疗保健专业人员的移徙。加强癌症研究能力已被确定为纠正数据匮乏、为政策提供信息、管理有限资源和改善健康成果的一项关键干预措施。本研究的主要目的是深入了解中东和北非地区癌症培训，研究和护理的景观，障碍和推动因素。我们利用目的抽样采访了16名来自不同学术，医学和研究背景的关键线人，他们来自受冲突影响的国家，如黎巴嫩，以及包括伊拉克和叙利亚在内的活跃冲突地区。访谈中出现的主题集中在癌症护理的障碍，癌症研究和培训的障碍，癌症研究和培训建议的优势和重要性。冲突对癌症提供和研究的不利影响是一个跨领域的分主题，由于不安全的环境、分散的设施、缺乏药物和人员的移徙，干扰了癌症护理的提供和研究。当被问及癌症研究的最佳培训形式时，大多数受访者建议研究生面对面培训，重点是癌症研究方法和概念。这项研究提供了一个独特的见解，影响癌症研究的障碍和能力加强的优先事项，从肿瘤学家和研究人员在中东和北非地区受冲突影响的地区工作。这些数据将成为今后应对具体区域挑战的能力加强举措的基础。
Management of cancer in the Middle East and North Africa (MENA) region is accompanied by multiple challenges including heterogeneous access to early detection and treatment options and limited implementation of national cancer control plans. Furthermore, protracted armed conflicts across the region have had dramatic effects, including disruption of healthcare systems and the migration of healthcare professionals. Strengthening capacity for cancer research has been identified as a key intervention to correct data poverty, inform policy, manage limited resources and improve health outcomes. The main objective of this study is to gain insights into the landscape, barriers and enablers of cancer training, research and care in the MENA region. We utilised purposive sampling to interview 16 key informants from a diverse academic, medical and research background originating from countries affected by conflicts, such as Lebanon, and from active conflict zones including Iraq and Syria. The themes that emerged from the interviews focused on the barriers to cancer care, barriers to cancer research and training, strengths and importance of cancer research and training recommendations. The detrimental effect of conflict on cancer provision and research was a cross-cutting sub-theme disrupting cancer care provision and research due to unsafe environments, fragmented facilities, absence of drugs and migration of personnel. When asked about perceived optimal training format for cancer research, most informants recommended a post-graduate, face-to-face training focusing on cancer research methods and concepts. This study offers a unique insight into the barriers affecting cancer research and capacity-strengthening priorities from oncologists and researchers working in conflict-affected areas of the MENA region. These data will form the base for future capacity-strengthening initiatives addressing specific regional challenges.
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DOI：
10.1200/edbk_201365
发表时间：
2018-05-23
期刊：
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
影响因子：
--
作者：
El Saghir, Nagi S;Soto Perez de Celis, Enrique;Sullivan, Richard
通讯作者：
Sullivan, Richard
影响因子：
--
作者：
Hamadeh, Randah R;Borgan, Saif M;Sibai, Abla M
通讯作者：
Sibai, Abla M
影响因子：
1.6
作者：
Al-Jaber A;Al-Nasser L;El-Metwally A
通讯作者：
El-Metwally A
评估健康研究能力建设：基于证据的工具。
影响因子：
15.8
作者：
Bates, Imelda;Akoto, Alex Yaw Osei;Ansong, Daniel;Karikari, Patrick;Bedu-Addo, George;Critchley, Julia;Agbenyega, Tsiri;Nsiah-Asare, Anthony
通讯作者：
Nsiah-Asare, Anthony
影响因子：
4
作者：
Kok MO;Rodrigues A;Silva AP;de Haan S
通讯作者：
de Haan S