Clinical characteristics and outcomes of cancer cases among syrian refugees from Southern Turkey

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dc.authorid0000-0002-7870-8741en_US
dc.authorid0000-0002-7451-2786en_US
dc.authorid0000-0001-5673-8408en_US
dc.authorid0000-0002-3037-2353en_US
dc.contributor.authorKutluk, Tezer
dc.contributor.authorŞahin, Berksoy
dc.contributor.authorKirazlı, Meral
dc.contributor.authorAhmed, Fahad
dc.contributor.authorAydın, Sinem
dc.contributor.authorÇınkır, Havva Yeşil
dc.contributor.authorEbinç, Senar
dc.contributor.authorIşıkdoğan, Abdurrahman
dc.contributor.authorAyyıldız, Mehmet Orhan
dc.contributor.authorÜzel, Veysiye Hülya
dc.date.accessioned2023-10-10T06:13:22Z
dc.date.available2023-10-10T06:13:22Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıklar Ana Bilim Dalıen_US
dc.description.abstractImportance: Cancer was a common noncommunicable disease in Syria before the present conflict and is now a major disease burden among 3.6 million Syrian refugees in Turkey. Data to inform health care practice are needed. Objective: To explore sociodemographic characteristics, clinical characteristics, and treatment outcomes of Syrian patients with cancer residing in the southern border provinces of Turkey hosting more than 50% of refugees. Design, Setting, and Participants: This was a retrospective hospital-based cross-sectional study. The study sample consisted of all adult and children Syrian refugees diagnosed and/or treated for cancer between January 1, 2011, and December 31, 2020, in hematology-oncology departments of 8 university hospitals in the Southern province of Turkey. Data were analyzed from May 1, 2022, to September 30, 2022. Main Outcomes and Measures: Demographic characteristics (date of birth, sex, and residence), date of first cancer-related symptom, date and place of diagnosis, disease status at first presentation, treatment modalities, date and status at last hospital visit, and date of death. The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision and International Classification of Childhood Cancers, Third Edition, were used for the classification of cancer. The Surveillance, Epidemiology, and End Results system was applied for staging. The diagnostic interval was defined as the number of days from first symptoms until the diagnosis. Treatment abandonment was documented if the patient did not attend the clinic within 4 weeks of a prescribed appointment throughout the treatment. Results: A total of 1114 Syrian adult and 421 Syrian children with cancer were included. The median age at diagnosis was 48.2 (IQR, 34.2-59.4) years for adults and 5.7 (IQR, 3.1-10.7) years for children. The median diagnostic interval was 66 (IQR, 26.5-114.3) days for adults and 28 (IQR, 14.0-69.0) days for children. Breast cancer (154 [13.8%]), leukemia and multiple myeloma (147 [13.2%]), and lymphoma (141 [12.7%]) were common among adults, and leukemias (180 [42.8%]), lymphomas (66 [15.7%]), and central nervous system neoplasms (40 [9.5%]) were common among children. The median follow-up time was 37.5 (IQR, 32.6-42.3) months for adults and 25.4 (IQR, 20.9-29.9) months for children. The 5-year survival rate was 17.5% in adults and 29.7% in children. Conclusions and Relevance: Despite universal health coverage and investment in the health care system, low survival rates were reported in this study for both adults and children with cancer. These findings suggest that cancer care in refugees requires novel planning within national cancer control programs with global cooperation.en_US
dc.identifier.citationKutluk, T., Şahin, B., Kirazlı, M., Ahmed, F., Aydın, S., Çınkır, H. Y. ve diğerleri. (2023). Clinical characteristics and outcomes of cancer cases among syrian refugees from Southern Turkey. JAMA network open, 6(5), 1-13.en_US
dc.identifier.doi10.1001/jamanetworkopen.2023.12903
dc.identifier.endpage13en_US
dc.identifier.issn2574-3805
dc.identifier.issue5en_US
dc.identifier.pmid37219908
dc.identifier.scopus2-s2.0-85160013024
dc.identifier.scopusqualityQ1
dc.identifier.startpage1en_US
dc.identifier.urihttps://jamanetwork.com/journals/jamanetworkopen/fullarticle/2805174
dc.identifier.urihttps://hdl.handle.net/11468/12784
dc.identifier.volume6en_US
dc.identifier.wosWOS:001046640100001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorEbinç, Senar
dc.institutionauthorIşıkdoğan, Abdurrahman
dc.institutionauthorAyyıldız, Mehmet Orhan
dc.institutionauthorÜzel, Veysiye Hülya
dc.language.isoenen_US
dc.publisherNLM (Medline)en_US
dc.relation.ispartofJAMA network open
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdulten_US
dc.subjectAmbulatory care facilitiesen_US
dc.subjectChilden_US
dc.subjectCross-sectional studiesen_US
dc.titleClinical characteristics and outcomes of cancer cases among syrian refugees from Southern Turkeyen_US
dc.titleClinical characteristics and outcomes of cancer cases among syrian refugees from Southern Turkey
dc.typeArticleen_US

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