ISSN: 2165-7386

Journal of Palliative Care & Medicine
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  • Research Article   
  • J Palliat Care Med 2022, Vol 12(6): 461
  • DOI: 10.4172/2165-7386.1000461

Analysis of Socio-Economic Disparities on the Outcome of Pain Management in Cancer Patients in Middle Eastern Countries

Azza Hassan, Gamila Ahmed, MsC, MsC20, Nesreen Alalfi, MD19, Nahla Gafer, PhD18, Khaled Khader, MD17, PsyD21, MSN, RN16, Memeh Manasrah, RN15, Ibtisam Ghrayeb, PhD14, MD, Hani Ayyash, PhD13, Gonca Tuncel, MD2, Elon Eisenberg, PhD26, MSc, RN, Fusun Terzioglu, MD, Gulcin Ozalp-Senel25, MD25, Mohammad Al-Qadire, PhD24, RN, Ayfer Aydin, MD23, Rejin Kebudi, Rejin Kebudi, RN22, PhD, Gulbeyaz Can, Rasha Fahmi, CCI, ChB, MB, Layth Mula-Hussain, PhD7, Maryam Rassouli, MD6, Mohamed Hablas, MD5, MSc, M. Pall4, MD, Sophia Nestoros, MD3, Haris Charalambous, Boris Futerman2, Michael Thomas MD2, PhD1*, DMD, MD9, PhD12, Suha Omran, PhD11, Loai Abu-Sharour, MA10, RN, Glynis J. Katz, MD9, Samaher Razaq Fadhil, Michael Silbermann*, Hasanein Ghali, MD9, Mazin Al-Jadiry, MD9, Salma Al-Hadad, MD9, Safa Faraj, EF8 and JB
1Middle East Cancer Consortium, Haifa, Israel
2Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
3Bank of Cyprus Oncology Center, Nicosia, Cyprus
4Cyprus AntiCancer Society, Nicosia, Cyprus
5El-Salam Oncology Center, Cairo, Egypt, Egypt
6Gharbiah Cancer Society, Tanta, Egypt
7Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
8Sultan Qaboos Comprehensive Cancer Care and Research Center, Muscat, Oman and the University of Sulaimani, Sulaimani, Kurdistan, Iraq
9Children Welfare Teaching Hospital, Medical City, Baghdad, Iraq
10Sabar Health, Israel
11Al-Zaytoonah University of Jordan, Amman, Jordan
12Jordan University of Science and Technology, Irbid, Jordan
13Al-Bayt University, Mafraq, Jordan
14European Gaza Hospital, Khan Yunis, Gaza, Palestine
15Makassed Islamic Charitable Hospital, Palestine
16Hebron University, Faculty of Nursing, Hebron, West Bank, Palestinian Authority, Palestine
17National Center for Cancer Care & Research, Doha, Qatar
18Taif University, Taif, Saudi Arabia
19Radiation and Isotope Center, Khartoum, Sudan
20University College of Dublin, Northern Ireland
21National Cancer Center, Aden, Yemen
22Florence Nightingale Faculty of Nursing, Istanbul University, Istanbul, Turkey
23Istanbul University Oncology Institute, Cerrahpasa, Istanbul, Turkey
24Koc University, Istanbul, Turkey
25Dr. AY Ankara Oncology Education & Research Hospital, Ankara, Turkey
26Kocaeli Health and Technology University, Kocaeli, Turkey
*Corresponding Author (s) : Michael Silbermann, Middle East Cancer Consortium, Haifa, Israel, Email: cancer@mecc-research.com
PhD, Israel

Received Date: Jun 08, 2022 / Accepted Date: Jul 06, 2022 / Published Date: Jul 07, 2022

Abstract

Background: Cancer incidence in the Middle East is predicted to increase significantly in the near future. In recent years, some progress has been achieved in providing palliative care to cancer patients; throughout this part of the world, pain management is a more complex issue, ascribable to local traditions and beliefs which put a greater emphasis on the psychological, emotional and spiritual aspects of suffering. Socio-economic factors further contribute to the complexity of the problem in lower-middle income countries in the region.

Objective: To further analyze the barriers related to pain management, while comparing high- income, highermiddle income and lower-middle income countries (according to the World Bank categories) in the Middle East.

Design: Statistical analysis of a regional survey.

Setting/Subjects: Thirteen countries in the Middle East; the sample of 604 individuals was comprised of physicians, and pharmacists; employed in various health care settings.

Results: 64.19% of respondents in high-income countries achieved satisfactory outcomes, whereas only 52% achieved satisfactory outcomes in lower-middle income countries. This disparity can be associated with various economical factors, such as lack of resources; however, while analgesics cannot fully control pain in its entirety,patients would certainly benefit from them, and the usage of these analgesics is diminished by the cardinal role that religion and culture play in pain management in these countries.

Conclusion: Cancer pain management should focus much more on the emotional and spiritual aspects of patients’ suffering as patients lend great importance to their religious beliefs and traditions. The poorer they are, the more connected and devoted they are to a religious lifestyle.

Citation: Silbermann M, Thomas M, Futerman B, Charalambous H, Nestoros S, Pall M, et al. (2022) Analysis of Socio-Economic Disparities on the Outcome of Pain Management in Cancer Patients in Middle Eastern Countries. J Palliat Care Med 12: 461. Doi: 10.4172/2165-7386.1000461

Copyright: © 2022 Silbermann M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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