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Arbaein TJ, Alharbi KK, Alfahmi AA, Alharthi KO, Monshi SS, Alzahrani AM, Alkabi S. Makkah healthcare cluster response, challenges, and interventions during COVID-19 pandemic: A qualitative study. J Infect Public Health 2024; 17:975-985. [PMID: 38631067 DOI: 10.1016/j.jiph.2024.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 04/03/2024] [Accepted: 04/08/2024] [Indexed: 04/19/2024] Open
Abstract
BACKGROUND The global COVID-19 crisis has underscored the critical role of effective decision-making in healthcare systems. Saudi Arabia has shown resilience by implementing comprehensive testing, tracing, and vaccination measures. Given the unique cultural and religious characteristics of Makkah, specific challenges have prompted efforts to uncover local pandemic responses. This qualitative assessment aims to delineate the challenges faced by decision-makers during COVID-19 in Makkah and identify key interventions implemented by the Makkah healthcare cluster to manage and coordinate care. METHOD Utilizing a purposive sampling approach, executive leaders within the Makkah Healthcare Cluster were invited for semi-structured interviews during the COVID-19 period. Thematic analysis was carried out in five steps, ensuring rigor and trustworthiness through multiple checks, and employing a critical and collaborative approach. RESULT Throughout the COVID-19 outbreak in Makkah, participants revealed Several factors that have hindered healthcare organizations' ability to effectively manage the pandemic, including testing difficulties, resource shortages, vaccination misconceptions, continuity of care issues, infections among healthcare workers, and the need for consistent protocols. The participant leaders in Makkah's healthcare cluster specified implemented strategies that helped in overcoming the encountered challenges, such as adopting new technologies, enhancing communication, managing supply and demand, and improving workforce adaptability and development. Their experience in managing Hajj and Umrah provided valuable insights for handling the pandemic effectively. CONCLUSION The study emphasizes the significance of technology adoption, effective communication, supply management, workforce development, and lessons from managing religious events. Its findings have implications for healthcare systems globally, emphasizing the importance of preparedness, response, and resilience in diverse cultural contexts.
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Affiliation(s)
- Turky J Arbaein
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia.
| | - Khulud K Alharbi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Afrah A Alfahmi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Khawlah O Alharthi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Sarah S Monshi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Ali M Alzahrani
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Sanaa Alkabi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
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Arbaein TJ, Alharbi KK, Alzhrani AA, Monshi SS, Alzahrani AM, Alsadi TM. The assessment of readiness to change among head managers of primary healthcare centers in Makkah, KSA. J Taibah Univ Med Sci 2024; 19:453-459. [PMID: 38510063 PMCID: PMC10950747 DOI: 10.1016/j.jtumed.2024.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 02/28/2024] [Accepted: 02/29/2024] [Indexed: 03/22/2024] Open
Abstract
Background KSA is currently undergoing significant changes in its healthcare system, with a particular emphasis on enhancing the role of primary healthcare centers (PHCs) to elevate patient experience and overall healthcare quality. At the forefront of this transformation are head managers in PHCs, who play a crucial role in implementing these changes effectively. The readiness of these managers is paramount to the successful execution of the envisioned transformation and the subsequent improvement of patient experience. Objective This study aims to assess the readiness to change among head managers of primary healthcare centers in Makkah, KSA. Methodology Cross-sectional study utilized the ADKAR model questionnaire, consisting of 22 Likert scale questions, to assess PHCs head managers' awareness, desire, knowledge, ability, reinforcement, and overall change readiness. Results The study found a significant association between higher educational levels and increased awareness (β = 0.214, p = 0.030), along with greater desire (β = 0.207, p = 0.029) among primary healthcare (PHC) managers. Additionally, a positive association was found between age (≥41 years) and knowledge among PHC managers (β = 0.138, p = 0.030). However, managers with 11 or more years of experience showed a negative association with change readiness (β = -0.112, p = 0.001). Conclusion The ADKAR model outlines five dimensions that are useful for identifying the readiness and willingness of head managers in PHCs in Makkah cluster to undergo change. Assessing change readiness is crucial for organizational transformation, with head managers playing a significant role. Factors such as age, education, and experience influence managers' readiness for change in primary healthcare centers (PHCs) in Makkah.
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Affiliation(s)
- Turky J. Arbaein
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA
| | - Khulud K. Alharbi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA
| | - Abdulrhman A. Alzhrani
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA
| | - Sarah S. Monshi
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA
| | - Ali M. Alzahrani
- Department of Health Administration and Hospital, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA
| | - Talal M. Alsadi
- Al Awali Primary Healthcare Department, Makkah Healthcare Cluster, KSA
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Alotaibi RM, Alattas SH, Alandanusi BN, Alomiri SS, Nazer TS, Alzahrani AM, Lingawi HS. Prevalence and Severity of Ectopic Eruption of First Permanent Molars in Pediatric Patients in Makkah, Saudi Arabia. Cureus 2023; 15:e49220. [PMID: 38143676 PMCID: PMC10739543 DOI: 10.7759/cureus.49220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2023] [Indexed: 12/26/2023] Open
Abstract
Background Early detection and management of ectopic eruption (EE) of first permanent molars (FPMs) are crucial to avoid complicated treatments later. Aim This study aimed to assess the prevalence and severity of EE of FPMs among children in Makkah, Saudi Arabia. Methods This retrospective study was based on a radiographic evaluation of 1,008 dental panoramic radiographs performed for children attending the Dental Educational Hospital at Umm Al-Qura University and the Security Forces Hospital in Makkah. Patients' age, sex, tooth location, and severity of EE were assessed. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline for cross-sectional studies. Results Of the 1,008 reviewed cases, 18 (1.79%) were diagnosed with EE of FPMs. Among the 11 male patients, 81.82% showed severe EE, while 57.14% exhibited moderately severe EE among the seven female patients. The prevalences of EE in the maxilla and mandible were 1.59% and 0.20%, respectively. In contrast, the occurrence of EE of FPMs was similar between the right and left sides. Conclusion In this study, the prevalence of EE of FPMs among children in Makkah was 1.79%. The frequency and severity were both greater in male patients compared to female patients. While significantly more EE of FPMs was observed in the maxilla than in the mandible, there was no significant difference between the right and left sides.
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Affiliation(s)
| | | | | | | | - Tariq S Nazer
- Pediatric Dentistry, Security Forces Hospital, Makkah, SAU
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Alharbi KK, Arbaein TJ, Alzhrani AA, Alzahrani AM, Monshi SS, Alotaibi AFM, Aljasser AI, Alruhaimi KT, Alotaibi SDK, Alsultan AK, Arafat MS, Aldhabib A, Abd-Ellatif EE. Factors Affecting the Length of Stay in the Intensive Care Unit among Adults in Saudi Arabia: A Cross-Sectional Study. J Clin Med 2023; 12:6787. [PMID: 37959252 PMCID: PMC10649797 DOI: 10.3390/jcm12216787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 10/15/2023] [Accepted: 10/18/2023] [Indexed: 11/15/2023] Open
Abstract
This study aimed to assess patient-related factors associated with the LOS among adults admitted to the ICU in Saudi Arabia. The Ministry of Health provided a cross-sectional dataset for 2021, which served as the data source for this study. The data included data on adults admitted to different ICUs at various hospitals. The number of days spent in the ICU was the outcome variable of interest. The potential predictors were age, sex, and nationality, as well as clinical data from the time of admission. Descriptive statistics and bivariate analysis were used to analyse the association between the predictors and the ICU LOS and characterize how they were distributed. We used negative binomial regression to examine the relationship between the study predictors and the ICU LOS. A total of 42,884 individuals were included in this study, of whom 25,520 were men and 17,362 were women. The overall median ICU LOS was three days. This study showed that the ICU LOS was highly influenced by the patient's age, sex, nationality, source of admission, and clinical history. Several predictors that affect how long adults stay in the ICU in Saudi Arabian hospitals were identified in this study. These factors can be attributed to variances in health care delivery systems, patient demographics, and cultural considerations. To allocate resources efficiently, enhance patient outcomes, and create focused treatments to reduce ICU LOS, it is essential to comprehend these elements.
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Affiliation(s)
- Khulud K. Alharbi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah 24382, Saudi Arabia; (T.J.A.); (A.A.A.); (A.M.A.); (S.S.M.)
| | - Turky J. Arbaein
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah 24382, Saudi Arabia; (T.J.A.); (A.A.A.); (A.M.A.); (S.S.M.)
| | - Abdulrhman A. Alzhrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah 24382, Saudi Arabia; (T.J.A.); (A.A.A.); (A.M.A.); (S.S.M.)
| | - Ali M. Alzahrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah 24382, Saudi Arabia; (T.J.A.); (A.A.A.); (A.M.A.); (S.S.M.)
| | - Sarah S. Monshi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah 24382, Saudi Arabia; (T.J.A.); (A.A.A.); (A.M.A.); (S.S.M.)
| | - Adel Fahad M. Alotaibi
- Department of Preventive Health, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.F.M.A.); (A.I.A.); (K.T.A.); (S.D.K.A.)
| | - Areej I. Aljasser
- Department of Preventive Health, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.F.M.A.); (A.I.A.); (K.T.A.); (S.D.K.A.)
| | - Khalil Thawahi Alruhaimi
- Department of Preventive Health, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.F.M.A.); (A.I.A.); (K.T.A.); (S.D.K.A.)
| | - Satam Dhafallah K. Alotaibi
- Department of Preventive Health, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.F.M.A.); (A.I.A.); (K.T.A.); (S.D.K.A.)
| | - Ali K. Alsultan
- Emergency Medicine, Saudi Medical Appointment and Referral Center, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.K.A.); (M.S.A.); (A.A.)
| | - Mohammed S. Arafat
- Emergency Medicine, Saudi Medical Appointment and Referral Center, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.K.A.); (M.S.A.); (A.A.)
| | - Abdulrahman Aldhabib
- Emergency Medicine, Saudi Medical Appointment and Referral Center, Ministry of Health, Riyadh 13717, Saudi Arabia; (A.K.A.); (M.S.A.); (A.A.)
| | - Eman E. Abd-Ellatif
- Department of Public Health and Community Medicine, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt;
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Alzahrani AA, Aledresee TM, Alzahrani AM. Issues Faced by Pharmacy Technicians While Maintaining Automated Dispensing Cabinets and How to Overcome Them in the National Guard Health Affairs in Riyadh: A Qualitative Study. Cureus 2023; 15:e42210. [PMID: 37602092 PMCID: PMC10439815 DOI: 10.7759/cureus.42210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/20/2023] [Indexed: 08/22/2023] Open
Abstract
Objectives Technology is rapidly evolving to improve patient safety and increase healthcare providers' efficiency. Automated dispensing cabinets (ADCs) are an example of a technology that has been used to facilitate patient safety. As with any other technology, there are benefits and drawbacks associated with the use of ADCs. In this study, we aim to identify the issues related to maintaining ADCs in National Guard Health Affairs (NGHA) hospitals from the pharmacy technicians' perspective and find some solutions to overcome the problems that complicate the usability of the ADCs. Methods A cross-sectional qualitative study was conducted using an open-ended questionnaire. It was completed by 30 pharmacy technicians who deal with ADCs in NGHA hospitals. Results Three themes were extracted from the questionnaire: "issues faced by pharmacy technicians before filling the ADCs," "issues faced by pharmacy technicians during filling the ADCs," and "issues faced by pharmacy technicians after filling the ADCs." Discussion and conclusion This study portrayed a better understanding of the issues faced by pharmacy technicians who deal with ADCs based on their experience. It will help stakeholders to make appropriate decisions and improve the workflow for a successful ADC implementation.
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Affiliation(s)
- Asma A Alzahrani
- Department of Health Informatics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
- Department of Pharmaceutical Care, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, SAU
| | - Thamer M Aledresee
- Department of Health Informatics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
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Almotairy MM, Alghamdi AT, Alzahrani AM, Alqarni MS, Alghamdi SA, Alshahrani MA. Nurses' readiness to prescribe under supervision in Saudi Arabia: A cross-sectional study. Saudi Pharm J 2023; 31:1294-1305. [PMID: 37333020 PMCID: PMC10275749 DOI: 10.1016/j.jsps.2023.05.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 05/20/2023] [Indexed: 06/20/2023] Open
Abstract
Aim To explore nurses' readiness to prescribe medications under supervision and identify associations between prescribing practices under supervision and demographic characteristics in Saudi Arabia. Design A cross-sectional study. Methods Using convenience sampling, this study used a 32-item survey to collect data on nurses prescribing medications under supervision between December 2022 and March 2023. Results A total of 379 nurses were recruited from different regions in Saudi Arabia. Approximately 7% (n = 30) of the participants were prescribing medications independently, and 70% (n = 267) expressed their likelihood of becoming prescribers. The highest motivating factors to become prescribers were improvement of patient care (52.2%) and contribution to the multidisciplinary team (52.0%). Most participants (60%-81%) agreed that prescribing medications under supervision would improve potential outcomes at the system, nurse, and patient levels. Availability of appropriate mentors or supervisors (72.9%) was the highest rated facilitating factor, followed by support of nursing colleagues (72%). Based on demographic characteristics, findings revealed significant differences in the: a) likelihood and motivators of becoming prescribers; b) required minimum qualification, years of experience, and continuing professional education hours to become prescribers; and c) type of organizations delivering educational programs for nurse prescribing. Conclusion Majority of nurses in Saudi Arabia favored becoming prescribers, and motivating factors were mostly relevant to optimizing patient care outcomes. Having the proper supervision was rated as the most facilitating factor for nurse prescribing. Nurses' views on potential outcomes, facilitating factors, and possible motivators varied based on nurses' demographical characteristics. Implications for the professional and/or patient care Nurses favored prescribing under supervision to improve patient care outcomes, which is an opportunity to expand the benefits of health services, including easy access to healthcare. Impact Results revealed that nurses support the implementation of prescribing practice under supervision. Thus, the findings may inform practice change in Saudi Arabia to allow prescribing under supervision, which was perceived to have a positive impact on patient care outcomes. Reporting Method This study adhered to STROBE guidelines.
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Affiliation(s)
- Monir M. Almotairy
- Department of Nursing Administration and Education, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
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Alzahrani AM, Felix HC, Al-Etesh NS. Determinants of periodic health examination uptake among adults in Al-Jouf Region, Saudi Arabia. J Family Community Med 2023; 30:197-203. [PMID: 37675212 PMCID: PMC10479028 DOI: 10.4103/jfcm.jfcm_63_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 05/23/2023] [Accepted: 06/06/2023] [Indexed: 09/08/2023] Open
Abstract
BACKGROUND Periodic Health Examinations (PHEs) typically occur annually and provide an important opportunity for providers to screen their patients for undiagnosed health conditions and monitor existing conditions, such as diabetes and hypertension. Unfortunately, PHEs are reported to be low in Saudi Arabia. This study's aim was to assess the regular uptake of PHEs by adults residing in Al-Jouf region, Saudi Arabia. MATERIALS AND METHODS A cross-sectional survey was conducted among adults (aged ≥ 20 years) residing in five communities in the Al-Jouf Region on sociodemographic characteristics, self-reported chronic conditions, knowledge of PHEs, and their regular uptake. Chi-square tests and multivariate logistic regression analysis were performed to determine the factors associated with regular uptake of PHEs. RESULTS A total of 624 participants completed the survey questionnaire. Of the participants, 27.7% reported a regular uptake of PHEs. The odds of regular uptake of PHEs were higher among older respondents (odds ratio [OR] =1.98; P = 0.002), those who reported that they had diabetes (OR = 3.25; P < 0.001), hypertension (OR = 4.11; P = 0.001), hyperlipidemia (OR = 2.66; P = 0.003), and those with a higher PHEs knowledge score (OR = 1.35; P < 0.001). However, the odds regular uptake of PHEs among respondents residing in the three governorates and Skaka city were significantly lower (OR = 0.27; P = 0.001 and OR = 0.30; P = 0.002, respectively) than their counterparts. CONCLUSION Low rates of PHEs uptake were observed among the survey participants in the Al-Jouf Region of Saudi Arabia. The characteristics of individuals associated with low uptake of PHEs were identified. Tailored interventions, such as the use of community health workers and clinic communications, could target these individuals to increase the uptake of PHEs.
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Affiliation(s)
- Ali M. Alzahrani
- Department of Health Services Management, College of Public Health and Healths Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Holly C. Felix
- Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Monshi SS, Alanazi AMM, Alzahrani AM, Alzhrani AA, Arbaein TJ, Alharbi KK, Z Alqahtani M, Alzahrani AH, A Elkhobby A, Almazrou AM, Al-Zalabani AH. Awareness and utilization of smoking cessation clinics in Saudi Arabia, findings from the 2019 Global Adult Tobacco Survey. Subst Abuse Treat Prev Policy 2023; 18:33. [PMID: 37322497 PMCID: PMC10268372 DOI: 10.1186/s13011-023-00543-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 06/01/2023] [Indexed: 06/17/2023] Open
Abstract
BACKGROUND Tobacco use remains a leading cause of premature death. To combat tobacco use, the Ministry of Health (MOH) improved access to smoking cessation clinics (SCCs) by developing fixed SCCs and mobile SCCs, which move based on demand across locations. The goal of this study was to investigate awareness and utilization of SCCs among tobacco users in Saudi Arabia and the factors that influence their awareness and utilization. METHOD This cross-sectional study used the 2019 Global Adult Tobacco Survey. Three outcome variables were employed, including tobacco users' awareness of fixed SCCs, mobile SCCs, and utilization of fixed SCCs. Several independent variables were examined, including sociodemographic characteristics and tobacco use. Multivariable logistic regression analyses were performed. RESULTS One thousand six hundred sixty-seven tobacco users were included in this study. There were 60%, 26%, and 9% of tobacco users who were aware of fixed SCCs, aware of mobile SCCs, and visited fixed SCCs, respectively. The likelihood of being aware of SCCs increased among users residing in urban areas (fixed SCCs: OR = 1.88; 95% CI = 1.31-2.68; mobile SCCs: OR = 2.09; CI = 1.37-3.17) while it decreased among those reported self-employed (fixed SCCs: OR = 0.31; CI = 0.17-0.56; mobile SCCs: OR = 0.42; CI = 0.20-0.89). The likelihood of visiting fixed SCCs increased among educated tobacco users aged 25-34 (OR = 5.61; CI = 1.73-18.21) and 35-44 (OR = 4.22; CI = 1.07-16.64) while the odds of visiting SCCs decreased among those who were working in the private sector (OR = 0.26; CI = 0.09-0.73). CONCLUSION The decision to quit smoking must be supported by an effective healthcare system that provides accessible and affordable smoking cessation services. Knowing the factors that influence the awareness and utilization of SCCs would help policymakers dedicate efforts targeting those who desire to quit smoking yet face limitations in using SCCs.
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Affiliation(s)
- Sarah S Monshi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia.
| | - Abdullah M M Alanazi
- Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
| | - Ali M Alzahrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Abdulrhman A Alzhrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Turky J Arbaein
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Khulud K Alharbi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | | | - Ali H Alzahrani
- Tobacco Control Program at Ministry of Health, Riyadh, Saudi Arabia
| | - Ahmed A Elkhobby
- Tobacco Control Program at Ministry of Health, Riyadh, Saudi Arabia
| | | | - Abdulmohsen H Al-Zalabani
- Department of Family and Community Medicine, College of Medicine, Taibah University, Medina, Saudi Arabia
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Alzahrani AM, Felix HC, Al-Etesh NS. Low uptake of seasonal influenza vaccination in Al-Jouf region of Saudi Arabia. Saudi Pharm J 2023; 31:687-691. [PMID: 37181148 PMCID: PMC10172606 DOI: 10.1016/j.jsps.2023.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 03/12/2023] [Indexed: 05/16/2023] Open
Abstract
Introduction Seasonal influenza is a contagious viral respiratory condition typically occurring in the fall to early spring months of the year globally. The risk of infection from seasonal influenza can be greatly reduced with vaccination. Unfortunately, research has indicated that the seasonal influenza vaccination rate in Saudi Arabia is low. This study assessed the uptake of seasonal influenza vaccination among adults residing in Al-Jouf region, Saudi Arabia. Materials and Methods A cross-sectional survey targeting adults (20-80 years) residing in Al-Jouf region, Saudi Arabia, was conducted to gather information about their sociodemographic characteristics, chronic conditions, knowledge about periodic health examinations (PHE), regular use of PHE, and uptake of seasonal influenza vaccination. Comparative statistics and a multivariate logistic regression analysis were conducted to determine characteristics associated with the uptake of seasonal influenza vaccination. Results A total of 624 respondents completed the survey and participated in this study. Among the participants, 27.4% indicated they visited their primary healthcare centers or hospitals every year to get a seasonal influenza vaccination. The regression analysis showed that the odds of getting a seasonal influenza vaccination were higher among employed respondents (Odds Ratio [OR] = 1.73; P = 0.039), respondents who were employees of the healthcare sector (OR = 2.31; P = 0.001), and those with a higher PHE Knowledge Score (OR = 1.22; P = 0.008), compared to their counterparts. Conclusions Seasonal influenza is a serious condition warranting appropriate prevention measures, including vaccination. However, this study confirmed low rates of seasonal influenza vaccination in Al-Jouf Region of Saudi Arabia. Interventions to boost vaccination uptake, in particular among unemployed individuals, those not working in the healthcare sector, and those with lower PHE knowledge Scores, are therefore recommended.
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Affiliation(s)
- Ali M. Alzahrani
- Department of Health Services Management, Faculty of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
- Corresponding author at: Department of Health Services Management, Faculty of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia.
| | - Holly C. Felix
- Department of Health Policy and Management, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Monshi SS, Arbaein TJ, Alzhrani AA, Alzahrani AM, Alharbi KK, Alfahmi A, Alqahatani M, Alzahrani AH, Yaqoob A, Almazroua A, Alanazi AMM. Factors associated with the desire to quit tobacco smoking in Saudi Arabia: Evidence from the 2019 Global Adult Tobacco Survey. Tob Induc Dis 2023; 21:33. [PMID: 36875735 PMCID: PMC9983308 DOI: 10.18332/tid/159735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/22/2023] [Accepted: 01/24/2023] [Indexed: 03/06/2023] Open
Abstract
INTRODUCTION Saudi Arabia is expected to witness a slight reduction in tobacco use. The Saudi government offers free-of-charge smoking cessation services. Yet, factors influencing the desire to quit smoking are not comprehensively investigated in Saudi Arabia. This study examines the factors influencing the desire to quit among smoking adults in Saudi Arabia and investigates whether using alternative tobacco products, such as e-cigarettes, is associated with the desire to quit smoking. METHODS Data from the 2019 nationally representative Global Adults Tobacco Survey (GATS) was used. GATS utilized a face-to-face household cross-sectional survey that collected data from adults aged ≥15 years. Several factors including, sociodemographic characteristics, use of alternative tobacco products, attitude toward tobacco control, and awareness of smoking cessation clinics (SCCs), were examined to predict the desire to quit. Logistic regression analysis was conducted. RESULTS A total of 11381 individuals completed the survey. Of the total sample, 1667 participants were tobacco smokers. The majority of the tobacco smokers were interested in quitting smoking (82.4%); 58% of cigarette smokers and 17.1% of waterpipe smokers were interested in quitting smoking. The desire to quit smoking was positively associated with the awareness of SCCs (AOR=3; 95% CI: 1.8-5), attitude toward raising tobacco taxes (AOR=2.3; 95% CI: 1.4-3.8), and a strict rule of smoking inside the home (AOR=2; 95% CI: 1.1-3.9). No statistical association was found between the desire to quit smoking and the use of e-cigarettes. CONCLUSIONS The desire to quit tobacco smoking among Saudi smokers increased with awareness of SCCs, favoring taxes on tobacco products, and implementing strict rules of smoking inside the home. The study reveals valuable insights into the main factors that could inform the development of more effective policy interventions targeting smokers in Saudi Arabia.
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Affiliation(s)
- Sarah S Monshi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Turky J Arbaein
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Abdulrhman A Alzhrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Ali M Alzahrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Khulud K Alharbi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Afrah Alfahmi
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia
| | | | - Ali H Alzahrani
- Tobacco Control Program, Ministry of Health, Riyadh, Saudi Arabia
| | - Ahmad Yaqoob
- Tobacco Control Program, Ministry of Health, Riyadh, Saudi Arabia
| | | | - Abdullah M M Alanazi
- Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
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11
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Alzahrani AM, Felix HC, Al-Etesh NS. Characteristics Associated with Knowledge about Periodic Health Examinations among Adults in Al-Jouf Region, KSA. J Taibah Univ Med Sci 2022; 18:652-659. [PMID: 36818173 PMCID: PMC9905658 DOI: 10.1016/j.jtumed.2022.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 09/23/2022] [Accepted: 11/19/2022] [Indexed: 12/05/2022] Open
Abstract
Objectives A lack of knowledge is one of the key barriers that hinders the use of Periodic Health Examinations (PHEs). This study aimed to investigate the knowledge of PHE among adults residing in Al-Jouf region, KSA, and determine characteristics associated with such knowledge. Methods A cross-sectional survey targeting adults (≥18 years) residing in Al-Jouf region, KSA, was conducted to gather information relating to their sociodemographic characteristics, needs for healthcare, and knowledge about and practices toward PHE. Comparative statistics and multivariate linear regression analysis were conducted to determine the key characteristics associated with knowledge about PHE. Results A total of 624 respondents completed the survey and participated in this study. Among the participants, the mean PHE knowledge score was 5.26 (SD = 0.05) with a range of 0-7. Regression analysis showed that the PHE knowledge score was significantly higher among females, respondents with a college degree, and those worked in the healthcare field when compared to their counterparts. Conclusion Analysis revealed a relatively high overall knowledge score for PHE among surveyed adults in KSA although knowledge score varied in males, those with lower educational levels and those who did not work in the healthcare field; these cohorts were significantly less knowledgeable about PHE than their peers even after controlling for other characteristics that may affect knowledge levels. Research to address knowledge of other health topics and health behaviors, including the utilization of health services, may provide guidance to those in KSA to improve the knowledge and use of PHE overall and within specific groups.
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Affiliation(s)
- Ali M. Alzahrani
- Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, KSA,Corresponding address: Department of Health Services Management, College of Public Health and Health Informatics, Umm Al-Qura University, P.O. Box 715, Zip Code 21955, Alaziziah, Makkah, KSA
| | - Holly C. Felix
- Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Alzahrani AM, Quronfulah BS, Felix HC, Khogeer AA. Barriers to routine checkups use among Saudis from the perspective of primary care providers. Saudi Med J 2022; 43:618-625. [PMID: 35675932 PMCID: PMC9389902 DOI: 10.15537/smj.2022.43.6.20220090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 05/17/2022] [Indexed: 11/16/2022] Open
Abstract
Objectives: To explore the perspectives of primary care providers (PCPs) on the low use of and barriers to routine checkups among Saudi adults. Methods: A qualitative phenomenological study design was used. Interviews were carried out between (December 2020 and February 2021) with 19 PCPs working at 5 primary healthcare centers (PHCs) operated by the Ministry of Health (MOH) in Makkah, Saudi Arabia. Descriptive statistics were performed to characterize participants, and a directed content analysis was carried out to examine major themes. Results: Primary care providers identified a number of barriers that contributed to a low uptake of routine checkup among Saudis. These barriers to routine checkups were classified into 3 main themes: patient-related barriers, provider-related barriers, and healthcare system-related barriers. Lack of knowledge of patients, crowdedness at PHCs, and busy staff at PHCs were the most frequently mentioned barriers that hamper the use of routine checkups. Conclusion: This study presented new insight into the low use of routine checkups by obtaining the perspective of PCPs. Although results point to potential targets for interventions to increase routine checkups, additional research is recommended with a representative sample of PCPs randomly selected from the healthcare system to inform future policy and decision making related to improving use of routine care available through the Saudi Healthcare System.
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Affiliation(s)
- Ali M. Alzahrani
- From the Department of Health Services Management and Management (Alzahrani); from the Health Promotion and Health Education Department (Quronfulah), Faculty of Public Health and Health Informatics, Umm Al-Qura University; from the Research Department (Khogeer), The Strategic Planning, General Directorate of Health Affairs; from the Medical Genetics Unit (Khogeer), Maternity & Children Hospital, Makkah Healthcare Cluster, Ministry of Health, Makkah, Kingdom of Saudi Arabia; and from the Department of Health Policy and Management (Felix), University of Arkansas for Medical Sciences, Arkansas, United States of America.
- Address correspondence and reprint request to: Dr. Ali M. Alzahrani, Department of Health Services Management, Faculty of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia. E-mail: ORCID ID: https://orcid.org/0000-0001-8849-9675
| | - Baraa S. Quronfulah
- From the Department of Health Services Management and Management (Alzahrani); from the Health Promotion and Health Education Department (Quronfulah), Faculty of Public Health and Health Informatics, Umm Al-Qura University; from the Research Department (Khogeer), The Strategic Planning, General Directorate of Health Affairs; from the Medical Genetics Unit (Khogeer), Maternity & Children Hospital, Makkah Healthcare Cluster, Ministry of Health, Makkah, Kingdom of Saudi Arabia; and from the Department of Health Policy and Management (Felix), University of Arkansas for Medical Sciences, Arkansas, United States of America.
| | - Holly C. Felix
- From the Department of Health Services Management and Management (Alzahrani); from the Health Promotion and Health Education Department (Quronfulah), Faculty of Public Health and Health Informatics, Umm Al-Qura University; from the Research Department (Khogeer), The Strategic Planning, General Directorate of Health Affairs; from the Medical Genetics Unit (Khogeer), Maternity & Children Hospital, Makkah Healthcare Cluster, Ministry of Health, Makkah, Kingdom of Saudi Arabia; and from the Department of Health Policy and Management (Felix), University of Arkansas for Medical Sciences, Arkansas, United States of America.
| | - Asim A. Khogeer
- From the Department of Health Services Management and Management (Alzahrani); from the Health Promotion and Health Education Department (Quronfulah), Faculty of Public Health and Health Informatics, Umm Al-Qura University; from the Research Department (Khogeer), The Strategic Planning, General Directorate of Health Affairs; from the Medical Genetics Unit (Khogeer), Maternity & Children Hospital, Makkah Healthcare Cluster, Ministry of Health, Makkah, Kingdom of Saudi Arabia; and from the Department of Health Policy and Management (Felix), University of Arkansas for Medical Sciences, Arkansas, United States of America.
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13
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Esmat A, Alzahrani AM, Alharthy BT, Ramadan WS, Sattar Ahmad MAA. Potential Nephroprotective Effect of Dorsomorphin Homolog 1 (DMH1) in a rat model of diabetic nephropathy. Eur Rev Med Pharmacol Sci 2022; 26:2489-2500. [PMID: 35442464 DOI: 10.26355/eurrev_202204_28485] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Diabetic nephropathy (DN) represents the most common cause of end-stage renal disease. On the other hand, Bone Morphogenetic Protein signaling pathway (BMP/Smad) is one of the most interesting prophylactic targets, since inhibition of this pathway may preserve kidney functions. Therefore, a BMP pharmacological inhibitor, Dorsomorphin Homolog 1 (DMH1) was used to assess the potential nephroprotective effect in an animal model of DN. MATERIALS AND METHODS STZ-induced diabetic rat was the selected model to assess the nephroprotective effect of DMH1(5 mg/kg) for eight weeks. Rats were divided into normal control (C=10), diabetic control (DC=10), diabetic+vehicle (DV=10) and diabetic DMH1-treated rats (DT=10). Fasting blood glucose (FBG) level was measured on a weekly basis. Then, glycated hemoglobin (HbA1c), serum Creatinine (sCr), Cystatin-C (Cys-C) and Blood Urea Nitrogen (BUN) were measured by the end of the experiment. Furthermore, Tumor Necrosis Factor (TNF-α), Interleukin-6 (IL-6) and Malondialdehyde (MDA) levels were determined in kidney tissues. The histopathological study was also performed using Hematoxylin and Eosin (H&E), Periodic acid Schiff (PAS) and Masson's trichrome stains. RESULTS DMH1 treatment has significantly reduced HbA1c along with sCr, Cys-C and BUN vs. the diabetic non-treated groups (p < 0.001). Furthermore, TNF-α, IL-6 and MDA levels were also significantly decreased in the DT group compared to the diabetic non-treated groups (p < 0.001). This improvement was further confirmed and found in correspondence with histopathological findings. CONCLUSIONS The present findings revealed a nephroprotective activity of DMH1 against STZ-induced DN in rats. DMH1 also showed anti-inflammatory and antioxidant activities, which may explain part of the nephroprotective mechanism. This can shed light on the importance of DMH1 and BMP/Smad pathway for further experimental studies.
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Affiliation(s)
- A Esmat
- Department of Pharmacology, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
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Alzahrani AM, Al Mutari B, Alzahrani A, Alkhodaidi A, Yahya G. Spindle Cell Squamous Cell Carcinoma of the Scalp Treated With Pembrolizumab Cisplatin and 5-Fluorouracil. Cureus 2021; 13:e20242. [PMID: 34909351 PMCID: PMC8653921 DOI: 10.7759/cureus.20242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2021] [Indexed: 12/03/2022] Open
Abstract
Cutaneous spindle cell squamous cell carcinoma (SpSCC) of the head and neck is a very rare tumor. It is an aggressive variant of squamous cell carcinoma. The usual treatment of the localized disease is surgery with or without radiotherapy. No standard treatment for metastatic disease although some case reports had reported the effectiveness of programmed cell death protein 1 (PD-1) blockade as a possible treatment. We are reporting a 57-year-old Arabic female presented with metastatic scalp spindle cell squamous carcinoma, who was treated with three lines of chemotherapy. She received pembrolizumab, cisplatin, and 5-fluorouracil for three cycles but did not respond, the pembrolizumab was dropped and we added cetuximab for three more cycles but did not respond also. She had a partial response to doxorubicin single agent as a third line. Our case showed resistance to pembrolizumab and cetuximab combined with chemotherapy regimens which are both considered as standard treatments for the classical squamous cell carcinoma of the head and neck, but there was a partial response to single-agent doxorubicin.
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Affiliation(s)
| | | | - Anas Alzahrani
- College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, SAU
| | | | - Gaaem Yahya
- Oncology, King Fahad Medical City, Riyadh, SAU
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15
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Alzahrani AM, Alzahrani AA, Alsharm AA. The Use of Ziziphus spina-christi Extract in Treating Erlotinib (Tarceva®) Associated Rash: A Case Report. Case Rep Oncol 2020; 12:909-912. [PMID: 31911777 DOI: 10.1159/000504696] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 11/12/2019] [Indexed: 11/19/2022] Open
Abstract
The most common side effect for cancer patients using epidermal growth factor receptor inhibitors (EGFRI) is the development of an itchy papulopustular rash. In severe cases, the patients are forced to stop taking the medications, hence affecting treatment outcomes. We herein report a case of a 50-year-old patient who developed a papulopustular rash after starting erlotinib. He treated himself with Ziziphus spina-christi leaves which is a plant well known for its anti-inflammatory and antibacterial properties in the middle east. We hypothesize that the anti-inflammatory, soothing, and antibacterial activity of the Ziziphus tree might actually represent a possible better treatment of the rash than available treatments, particularly in patients on EGFR blockers, and hence improve treatment outcomes.
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Affiliation(s)
- Ali M Alzahrani
- Oncology Department, King Fahad Medical City, Riyadh, Saudi Arabia
| | - Asma A Alzahrani
- Pharmaceutical Care Department, National Guard Health Affairs, Riyadh, Saudi Arabia
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16
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Bazarbashi S, Hakoun AM, Gad AM, Elshenawy MA, Aljubran A, Alzahrani AM, Eldali A. Efficacy of second-line chemotherapy after a first-line triplet in patients with metastatic colorectal cancer. Curr Oncol 2019; 26:e24-e29. [PMID: 30853806 PMCID: PMC6380651 DOI: 10.3747/co.26.4217] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Exposing patients with metastatic colorectal cancer (mcrc) to all three active chemotherapeutic agents (oxaliplatin, irinotecan, fluorouracil) has improved survival. The benefit of second-line chemotherapy after a first-line triplet is not clearly defined. We evaluated the efficacy of second-line chemotherapy in patients who had received first-line triplet therapy. METHODS The medical records of patients treated on a prospective trial of first-line triplet therapy were reviewed for second-line treatment. Univariate and multivariate analyses were performed to establish factors of prognostic significance. RESULTS Of the 53 patients who received first-line triplet therapy, 28 (53%) received second-line chemotherapy [13 men; 8 with a colon primary; mutant KRAS in 10, wild-type in 15, and unknown status in 3; Eastern Cooperative Oncology Group performance status (ps) of 1 in 16 patients, ps 2 in 3, ps 3 in 2, and unknown in 7; involved organs: liver in 17 patients, lung in 16, and peritoneum in 8]. Second-line chemotherapy consisted of xelox or folfox in 13 patients, xeliri or folfiri in 12, and single-agent irinotecan in 3. Concurrent bevacizumab was given in 16 patients (57%), and cetuximab, in 2 (7%). Median survival was 28.0 months [95% confidence interval (ci): 22.8 months to 33.2 months] for patients receiving second-line therapy and 23.0 months (95% ci: 13.2 months to 32.8 months) for those not receiving it. Best response was partial in 6 patients (21%), stable disease in 11 (39%), and progressive disease in 11 (39%). Median progression-free survival was 4.8 months (95% ci: 2.4 months to 9.6 months), and overall survival was 15 months (95% ci: 9.6 months to 20.4 months). CONCLUSIONS Second-line chemotherapy after first-line triplet therapy in mcrc is feasible and suggests efficacy comparable to that reported for second-line therapy after a doublet, regardless of the agent used.
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Affiliation(s)
- S Bazarbashi
- Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - A M Hakoun
- Research Office, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
| | - A M Gad
- Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Clinical Oncology and Nuclear Medicine Department, Faculty of Medicine, Ain Shams University, Cairo
| | - M A Elshenawy
- Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Clinical Oncology and Nuclear Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt
| | - A Aljubran
- Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - A M Alzahrani
- Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - A Eldali
- Oncology Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Research Office, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
- Clinical Oncology and Nuclear Medicine Department, Faculty of Medicine, Ain Shams University, Cairo
- Clinical Oncology and Nuclear Medicine Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt
- Department of Biostatistics, Epidemiology and Scientific Computing, Research Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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Alzahrani AM, Bazarbashi SN, Rahal MM, Al-Shehri AS, Aljubran AH, Kandil MS, Zekri JE, Al Olayan AA, Alsharm AA, Yamani NM, Alomary IS, Fagih MA. Saudi Oncology Society clinical management guideline series. Esophageal cancer 2014. Saudi Med J 2014; 35:1545-9. [PMID: 25491227 PMCID: PMC4362166 DOI: pmid/25491227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Affiliation(s)
- Ali M Alzahrani
- Oncology Department, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
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18
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Bazarbashi SN, Alzahrani AM, Rahal MM, Al-Shehri AS, Aljubran AH, Alsanea NA, Al-Obeed OA, Kandil MS, Zekri JE, Al Olayan AA, Alsharm AA, Balaraj KS, Fagih MA. Saudi Oncology Society clinical management guideline series. Colorectal cancer 2014. Saudi Med J 2014; 35:1538-44. [PMID: 25491226 PMCID: PMC4362171 DOI: pmid/25491226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Affiliation(s)
- Shouki N Bazarbashi
- Oncology Center, King Faisal Specialist Hospital and Research Center, PO Box 3354 (MBC 64), Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (11) 4423935. E-mail.
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Rahal MM, Bazarbashi SN, Kandil MS, Al-Shehri AS, Alzahrani AM, Aljubran AH, Zekri JE, Al Olayan AA, Alsharm AA, Kabbani MA, Fagih MA. Saudi Oncology Society clinical management guideline series. Pancreatic cancer 2014. Saudi Med J 2014; 35:1534-7. [PMID: 25491225 PMCID: PMC4362172 DOI: pmid/25491225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Affiliation(s)
- Mohammed M Rahal
- Department of Oncology, Oncology Center, King Fahad Specialist Hospital, Dammam, Kingdom of Saudi Arabia. E-mail.
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Bazarbashi SN, Alzahrani AM, Rahal MM, Al-Shehri AS, Aljubran AH, Alsanea NA, Al-Obeed OA, Kandil MS, Zekri JE, Al Olayan AA, Alsharm AA, Balaraj KS. Saudi Oncology Society clinical management guideline series. Anal canal cancer 2014. Saudi Med J 2014; 35:1527-8. [PMID: 25491223 PMCID: PMC4362169 DOI: pmid/25491223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Affiliation(s)
- Shouki N Bazarbashi
- Oncology Center, King Faisal Specialist Hospital and Research Center, PO Box 3354 (MBC 64), Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (11) 4423935. E-mail.
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Kandil MS, Bazarbashi SN, Rahal MM, Al-Shehri AS, Alzahrani AM, Aljubran AH, Zekri JE, Al Olayan AA, Alsharm AA, Yamani NM, Alomary IS, Fagih MA. Saudi Oncology Society clinical management guideline series. Gastric cancer 2014. Saudi Med J 2014; 35:1529-33. [PMID: 25491224 PMCID: PMC4362164 DOI: pmid/25491224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Affiliation(s)
- Magdy S Kandil
- Oncology Department, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
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