Cancer Care in Palestine

Kharroubi, Akram; Seir, Rania Abu

doi:10.1007/978-3-319-22912-6_6

Cited by 13 publications

(18 citation statements)

References 3 publications

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“…In children, less than 15 years old, leukemia is the most common one. Cancer is diagnosed at late stages; at least 60% of cancer cases are diagnosed at Stage III or IV [4]. he psychological distress among cancer patients has been addressed consistently in an international context.…”

Section: Introductionmentioning

confidence: 99%

'The Relationship Between Post-Traumatic Stress Disorder and Coping Strategies among Patients with Cancer in Gaza Strip

M¹,

Aa²

2017

J Nurs Health Stud

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Aim: The study aimed to examine the mental health status of the patients with cancer and the coping strategies that adopted by them in front of stressful situations. Method:The sample consisted of 358 patients with cancer in the oncology clinic at Shifa Hospital in Gaza Strip. Participants were interviewed individually by questionnaire include socioeconomic questionnaire, PTSD scale, and Ways of coping Scale. Results:The study showed that 42.5% of patients had PTSD, 47% had re-experiencing of PTSD, 40.5% had hyperarousal, and 40.1% had avoidance symptoms. The group of 40 years and less were significantly higher in reexperiences than 71 years and above among the study sample.The results showed that affiliation at the highest rank (81.6%), followed by reinterpretation (75.5%), self-control coping strategy (75.3%), problem solving (72.3%), wish and avoidance thinking was (69.0%), trouble and escape was (61.8%), accountability coping strategy was (53.0%) among the study sample of patients with cancer. The result showed that there were no significant differences in sex of patients and wish and avoidance thinking, problem solving, reinterpretation, affiliation, accountability, and self-control. However, there were significant differences in trouble and escape in favor of male patients.There was positive significant correlation between wish and avoidance thinking and re-experience of PTSD. In addition, there were positive significant correlation between accountability and PTSD, re-experience of PTSD, avoidance of PTSD, hyper-arousal of PTSD. In addition, there were positive significant correlation between Trouble and escape and PTSD, re-experience of PTSD, avoidance of PTSD, hyper-arousal of PTSD. While; there were negative significant correlation between problem solving and PTSD, re-experience of PTSD, avoidance of PTSD, hyperarousal of PTSD. In addition, there were negative significant correlation between re-interpretation and PTSD, re-experience of PTSD, avoidance of PTSD, hyperarousal of PTSD. In addition, there were negative significant correlation between affiliation and PTSD, avoidance of PTSD, hyperarousal of PTSD. In addition, there were negative significant correlation between selfcontrol and PTSD, avoidance of PTSD, hyper-arousal of PTSD.Clinical implications: Our findings highlight the need for therapeutic and educational programmes-including counseling for those patients with cancer and their families, support groups, and behavioural therapy for patients with P.T.S.D, and other psychiatric disorders. Also, new family therapy programmes must be established aimed at improving communications and interactions between family members, as well as teaching problemsolving skills to assist the family members in confronting the mental health problems associated with cancer.

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Section: Introductionmentioning

confidence: 99%

'The Relationship Between Post-Traumatic Stress Disorder and Coping Strategies among Patients with Cancer in Gaza Strip

M¹,

Aa²

2017

J Nurs Health Stud

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“…In the Palestinian territories, the most common cancer sites in men were the lung, followed by the prostate and colorectum (12). The rate of hematolymphoid cancers in our cohort is likely higher because the Palestinian MoH routinely refers patients to the KHCC for bone marrow transplantation; only one hospital in the Palestinian territories (namely An-Najah National University Hospital, located in the West Bank) provides bone marrow transplantation and the service is limited (18).…”

Section: Cancers Of the Breastmentioning

confidence: 93%

“…Notably, we also found that 14.3% of Palestinian women with breast cancer treated at the KHCC had distant metastasis and 6.7% received palliative therapy. In the Palestinian territories, the 5-year overall survival of women with breast cancer is almost 50% (18). In comparison, the 5-year overall survival of women with breast cancer in the United States, Jordan, and…”

Section: Cancers Of the Breastmentioning

confidence: 99%

“…Misdiagnoses may be attributed to the lack of comprehensive cancer care as well as limited availability of advanced diagnostic equipment. For example, positron emission tomography/computed tomography is not available in the Palestinian territories, there are no nuclear medicine specialists, and patients who require the scan are referred to hospitals in Israel (18). The infrastructure of cancer care in the Palestinian territories is de cient and requires investment; there is an urgent need for advanced diagnostic equipment and specialist care.…”

Section: Cancers Of the Breastmentioning

confidence: 99%

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Palestinian Patients With Cancer at the King Hussein Cancer Center

Mansour¹,

Amarin²,

Al‐Hussaini³

et al. 2020

Preprint

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PURPOSE: The Palestinian Ministry of Health (MoH) routinely refers Palestinian patients with cancer to the King Hussein Cancer Center (KHCC), the largest cancer center in the Middle East. Our aim was to describe the characteristics of these patients.PATIENTS AND METHODS: We performed a retrospective chart review of all Palestinian patients with cancer who were treated at the KHCC during 2018 and 2019. We retrieved data from the Cancer Registry and described the demographic and clinical characteristics of the cohort.RESULTS: Out of 521 Palestinian patients, we excluded 41 patients who were misdiagnosed and included the remaining 480. Most patients were adults (n = 426, 88.8%). The most common cancer sites in men (n = 200) were the hematolymphoid system (n = 47, 23.5%), followed by the digestive system (n = 35, 17.5%), and lung and pleura (n = 23, 11.5%). In women (n = 226), the most common cancer sites were the breast (n = 104, 46.0%), followed by the digestive system (n = 34, 15.0%), and hematolymphoid system (n = 23, 10.2%). Children and adolescents accounted for 11.3% (n = 54) of the total cases. The hematolymphoid system was the most common cancer site (n = 27, 50%), followed by the brain (n = 8, 14.8%). More than a third of all patients presented with distant metastasis.CONCLUSION: The most common cancer sites in our cohort are generally similar to data from the Palestinian territories. Many patients presented with advanced-stage disease, which signals the need for awareness campaigns and screening programs. Cancer is misdiagnosed in many patients with benign tumors, which is a consequence of a shortage in specialists and limited diagnostic equipment.

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“…Despite the fact that the medical standards in Palestine are higher compared to some neighboring Middle Eastern countries, cancer care is still encountering enormous challenges. This is related to the lack of a coherent national cancer care policy, de-contextualized health interventions and strategies (Giacaman, 2018), limited resources, and the inaccessibility of health care services for those with late presentations of cancer (stages III and IV) (Kharroubi & Abu Seir, 2016). More importantly, the disintegration of cancer care services is related to the territorial, institutional, and organizational fragmentations (Hammoudeh, Hogan, & Giacaman, 2016) resulting from the Israeli occupation.…”

Section: Introductionmentioning

confidence: 99%

“Al-Khabith”—The malignant cunning disease: Sociocultural complexity and social representations of cancer in the occupied Palestinian territory

Albarghouthi

Klempe

2018

Culture & Psychology

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This qualitative research aims to understand the sociocultural complexity and social representations of cancer in the occupied Palestinian territory. The researcher conducted 16 in-depth semi-structured individual interviews with Palestinians from the occupied Palestinian territory, using thematic analysis as a methodology and social representation theory as the theatrical framework. The findings revealed three main themes. The first theme is social representations of cancer and cancer treatments divided into four subthemes: (1.1) manifestations of dilemmatic indeterminacy and vagueness. The second subtheme (1.2) refers to social representations of cancer in close proximity with death. The third subtheme (1.3) is constituted by metaphorical social representations of cancer, and the fourth (1.4) refers to social representations of cancer. The second theme is the paradoxical social representations of cancer patients as divided into three subthemes: (2.1) pity-based societal responses, (2.2) manifestations of stigma, and (2.3) cancer rumors, a form of collective sense-making. The third theme, religious discourses and social representations of cancer, is divided into three subthemes: (3.1) cancer as predestined by the will of God, (3.2) cancer as a punishment or a trial,

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Cancer Care in Palestine

Cited by 13 publications

References 3 publications

'The Relationship Between Post-Traumatic Stress Disorder and Coping Strategies among Patients with Cancer in Gaza Strip

'The Relationship Between Post-Traumatic Stress Disorder and Coping Strategies among Patients with Cancer in Gaza Strip

Palestinian Patients With Cancer at the King Hussein Cancer Center

“Al-Khabith”—The malignant cunning disease: Sociocultural complexity and social representations of cancer in the occupied Palestinian territory

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