Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in the Middle East: a report from the Global Opioid Policy Initiative (GOPI)

Cleary, James F.; Silbermann, Michael; Scholten, Willem; Radbruch, Lukas; Torode, Julie; Cherny, Nathan I.

doi:10.1093/annonc/mdt503

Cited by 69 publications

(62 citation statements)

References 14 publications

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“…Hence, modern nursing ought to apply rigor and reliability to the human element of nurses' care. In the Middle East, like other low-income and middleincome countries, regulations hampering opioid accessibility combined with the scarcity of trained doctors and nurses, stymie delivery of pain treatment and palliative care [16,17]. MECC together with ONS has initiated training programs for nurses at all levels of the health-care system in the Middle East [18].…”

Section: Resultsmentioning

confidence: 99%

Perspectives on the Role of Nurses in Contemporary Palliative Care Practice: The Middle East as Example for the Developing World

Silbermann¹

2015

J Palliat Care Med

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Modern nursing ought to apply rigor and reliability to the human aspect of care. Basically, the goals of oncology and palliative care nursing have not changed; which are to alleviate suffering and comfort patients and their families deal with life-threatening illness. Yet, modern oncology and palliative care nursing should assume leadership roles in practice, education and research.Hence, the modern nurse faces the dilemma of how to keep up with the accumulating new knowledge, whereas the individual patient and his family are kept as the focus. Patient-centred care has been and should always remain as the motto for nursing, whether it be in the hospital, community or at home. Further, honesty should remain as the cornerstone for nursing practice at all stages of the disease trajectory. Now, as before, palliative care nurses have the obligation to provide meaningful service and play a pivotal role in the multidisciplinary care for cancer patients and their families.

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Section: Resultsmentioning

confidence: 99%

Perspectives on the Role of Nurses in Contemporary Palliative Care Practice: The Middle East as Example for the Developing World

Silbermann¹

2015

J Palliat Care Med

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“…In 2007, the IAHPC developed a list of essential medicines for PC in response to a request from the Cancer Control Program of the WHO [15]. This collaborative effort put together a list of medications that addresses the predictable symptoms, the most prominent being pain, of patients in hospice and PC units.…”

Section: Drug Availabilitymentioning

confidence: 99%

“…This collaborative effort put together a list of medications that addresses the predictable symptoms, the most prominent being pain, of patients in hospice and PC units. Seven essential opioid medications recommended, including: immediate release oral morphine, controlled-release oral morphine, injectable morphine, oral immediate release oxycodone, transdermal fentanyl, and oral methadone [15,16]. mcg) were added to the list of opioid while the other medications were <25% of the actual drug cost [16].…”

Section: Drug Availabilitymentioning

confidence: 99%

Palliative Care in Qatar, 2008-2016

Bharani¹,

Y²,

Helmy³

et al. 2018

J Palliat Care Med

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With the increase of geriatric population, there is rise in demand for services aimed at improving end-of-life care. Palliative care, through its five-component approach, focuses on improving the quality of life and provide relief from complications of serious illnesses. Although a widely accepted concept in other parts of the world, palliative care is a relatively new concept in the Middle East, having been initiated in Qatar only in 2008. The paper discusses the development of palliative care program in Qatar from its initiation in 2008 to its development until 2016, and aims to delineate a stepwise approach for establishment of a successful palliative care program elsewhere, especially in the Middle East, through the model used in Qatar. Primary research data was obtained through analysis of patient demographics and interviews, and secondary data was attained through literature review using PubMed, CINAHL and Google Scholar respectively. Through its multi-faceted approach, aligning with the national health strategy, meeting the rising demands of Qatar's population, involving a multi-disciplinary team, focusing on education and research, palliative care in Qatar has established a successful model. It is the first one in the region to get Joint Commission International accreditation, thus aligning in par with the international standards and is striving to meet the emerging needs of Qatar's population and uphold its title as a successful model.

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“…The Middle East Cancer Consortium (MECC) joined the project as a collaborating partner organization. By and large, the Middle East still has very low medical opioid consumption [9].…”

Section: Asrmentioning

confidence: 99%