Impact of the COVID-19 Pandemic on Cancer Care in Iraq: Exploratory Research
Al- Anbar Medical Journal,
2021, Volume 17, Issue 1, Pages 9-15
AbstractBackground: The COVID-19 pandemic has a tangible impact on the health care systems globallyand is represented by interruption of the usual services in many health facilities and exposingvulnerable patients to significant risks.Objectives: We aimed to evaluate this pandemic’s impact on Iraq’s cancer care.Materials and methods: We conducted an exploratory study using a validated web-basedquestionnaire of 51 items. The questionnaire collected information on the capacity and servicesoffered at the Iraqi cancer centers, the magnitude of care disruption, reasons for the disruption,challenges faced, patient harm estimation, and the interventions implemented during the pandemic.Results: 18 cancer centers from 11 Iraqi governorates took part between 21st April and 8th May2020. These centers were serving around 18,867 new patients per year. Most of them (72.2%)were facing challenges in delivering their care during the pandemic. Although 44.4% of the centersreduced their services as part of a pre-emptive strategy, other reported reasons included lack ofpersonal protective equipment (22.2%), an overwhelmed system (11.1%), and a restricted approachto medications (11.1%). Missing at least one therapy cycle by > 10% of the patients was reportedin 38.9% of the centers. Participants have reported that their patients were exposed to potentialharm from interruption of cancer-specific care (44.4%) and non-cancer-related care (33.3%).Conclusion: The negative impact of the COVID-19 pandemic on cancer care in Iraq is evident.Additional research to estimate such an effect at the patients’ level and the required measures tocounteract this problem is vital.
 H. Lu, C. W. Strattonc, and Y.-W. Tang. Outbreak of
pneumonia of unknown etiology in wuhan, china:The
mystery and the miracle.J. Med. Virol., 92(4):401–402,
 World Health Organization. Who director-generals open-
ing remarks at the media briefing on covid-19 - 11 march
2020.WHO Director General, 2020, [Online].
 Corona Virus Resource Center. Covid-19 dashboard by
the center for systems science and engineering (csse) at
johns hopkins university (JHU).Johns Hopkins, 06-Dec-
 A. R. Jaziehet al. Oncologists knowledge, attitude and
practice in covid-19 pandemic and its negative impact
on them: An international study.Ann. Oncol., 31(S4),
 J. van de Haaret al.Caring for patients with cancer
in the covid-19 era.Nat. Med., 26(5):665–671, 2020,
 D. Schrag,D. L. Hershman,and E. Basch.Oncol-
ogy practice during the covid-19 pandemic.JAMA,
323(20):2005–2006, 2020, doi:10.1001/jama.2020.6236.
 C.-L. Bong, C. Brasher, E. Chikumba, R. McDougall,
J. Mellin-Olsen, and A. Enright. The covid-19 pandemic:
Effects on low- and middle-income countries.Anesth.
Analg., 131(1), 2020.
 Iraqi Cancer Board. Cancer care regulations in iraq dur-
ing covid-19 pandemic.Baghdad:Ministry of Health,
 A. R. Jaziehet al. The impact of covid-19 pandemic on
cancer care: A global collaborative study.Ann. Oncol.,
31(S4), 2020, doi:10.1016/j.annonc.2020.08.2325.
 A. R. Jaziehet al. Impact of the covid-19 pandemic on
cancer care:A global collaborative study.JCO Glob.
Oncol., 6:1428–1438, 2020, doi:10.1200/GO.20.00351.
 S. J. Nidhamalddin, R. O. Hasan, and G. O. Abubakr.
the kurdistan region of northern iraq.Ecancermedi-
calscience, 14, 2020, doi:10.3332/ecancer.2020.1096.
tients’ perspective.Eur. J. Cancer, 136:132–139, 2020,
gion:A report from the pediatric oncology east and
mediterranean (poem) group.Cancer, 126(18), 2020,
 T. P. Hanna, G. A. Evans, and C. M. Booth.Cancer,
covid-19 and the precautionary principle:prioritizing
treatment during a global pandemic.Nat. Rev. Clin. On-
col., 17(5):268–270, 2020, doi:10.1038/s41571-020-0362-
 American Society of Clinical Oncology. A guide to cancer
care delivery during the covid-19 pandemic.Alexandria,
 European Society for Medical Oncology. Cancer patient
management during the covid-19 pandemic.ESMO Rec-
ommendations, 06-Dec, 2020, [Online].
 H. O. AlShamsiet al.A practical approach to the
management of cancer patients during the novel coro-
navirus disease 2019 (covid-19) pandemic:An inter-
national collaborative group.Oncologist, 25(6), 2020,
 Z. Benbrahimet al.National approaches to managing
cancer care:Responses of countries in the mena re-
gion to covid-19 pandemic.Ann. Oncol., 31(S4), 2020,
 L. C. Abu Esba, H. A. Al-Abdulkarim, A. Alrushidan,
and M. Al Harbi.Pharmacy and therapeutics commit-
tee preparedness plan for covid-19.Glob. J. Qual. Saf.
Healthc., 3(2), 2020, doi:10.36401/JQSH-20-9.
 European Medicines Agency.Availability of medicines
during covid-19 pandemic.European Medicines Agency,
19-Dec, 2020, [Online].
 Food and Drug Administration. Drug shortages.FDA,
19-Dec, 2020, [Online].
equipmenta call for ideas.JAMA, 323(19):1911, 2020,
 J. M. Marron, S. Joffe, R. Jagsi, R. A. Spence, and F. J.
Hlubocky. Ethics and resource scarcity: Asco recommen-
dations for the oncology community during the covid-
19 pandemic.J. Clin. Oncol., 38(19):2201–2205, 2020,
 M. L. Ranney, V. Griffeth, and A. K. Jha. Critical supply
shortagesthe need for ventilators and personal protec-
tive equipment during the covid-19 pandemic.N. Engl.
J. Med., 382(18), 2020, doi:10.1056/NEJMp2006141.
and E. Mossialos.The impact of the covid-19 pan-
demic on cancer care.Nat. Cancer, 1(6):565–567, 2020,
on cancer treatment and research.Lancet. Haematol.,
7(6):e432–e435, 2020, doi:10.1016/S2352-3026(20)30123-
 R. S. Hoehn and A. H. Zureikat.Cancer disparities in
the covid19 era.J. Surg. Oncol., 122(3):702951, 2020,
 Iraqi Cancer Registry. 2018 annual report - iraqi cancer
 Z. Bakounyet al.Covid-19 and cancer:Current chal-
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