Publication Name	World Journal of Clinical Oncology
Manuscript ID	91828
Country	Lebanon

Received	2024-01-06 12:25
Peer-Review Started	2024-01-06 12:25
To Make the First Decision
Return for Revision	2024-01-17 02:55
Revised	2024-02-12 12:20
Second Decision	2024-03-27 02:36
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2024-03-27 05:06
Articles in Press	2024-03-27 05:06
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2024-05-09 00:33
Publish the Manuscript Online	2024-05-21 07:25

ISSN	2218-4333 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
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Category	Oncology
Manuscript Type	Observational Study
Article Title	Impact of the economic crisis and drug shortage on Lebanese cancer patients’ care
Manuscript Source	Unsolicited Manuscript
All Author List	Dollen Eid, Jad Jabbour, Elissar Moujaes, Hampig Raphael Kourie, Maissa Safieddine and Joseph Kattan
ORCID	Author(s) ORCID Number Dollen Eid http://orcid.org/0009-0005-1839-6538 Elissar Moujaes http://orcid.org/0000-0003-0244-8573 Joseph Kattan http://orcid.org/0000-0003-4576-6248
Funding Agency and Grant Number
Corresponding Author	Dollen Eid, MD, Doctor, Doctor, Department of Hematology and Oncology, Saint Joseph University, Faculty of Medicine, Damascus Road, Mar Mikhaël, Beirut 0000, Lebanon. dolleneid@gmail.com
Key Words	Cancer care; Drug shortage; Economic crisis; Cancer psychology; Healthcare access
Core Tip	The Lebanese healthcare system, strained by economic crisis, sociopolitical unrest, and the coronavirus disease 2019 pandemic, faces critical shortages, impacting vital oncology medications. In February 2022, a questionnaire was administered to 182 oncologic patients at Hôtel Dieu de France University Hospital, Beirut during outpatient therapy. Results revealed that 31.87% experienced treatment interruptions due to acute drug scarcities. Despite 87.91% having third-party coverage, 69.60% self-funded medications, leading to 69.78% perceiving limited healthcare access post-2020. Psychologically, one-third exhibited anxiety/depression symptoms, and 7 patients reported suicidal thoughts. Most patients altered their treatment plan, citing financial strains.
Publish Date	2024-05-21 07:25
Citation	<p>Eid D, Jabbour J, Moujaes E, Kourie HR, Safieddine M, Kattan J. Impact of the economic crisis and drug shortage on Lebanese cancer patients’ care. <i>World J Clin Oncol</i> 2024; 15(5): 644-652</p>
URL	https://www.wjgnet.com/2218-4333/full/v15/i5/644.htm
DOI	https://dx.doi.org/10.5306/wjco.v15.i5.644

Full Article (PDF)	WJCO-15-644-with-cover.pdf
STROBE Statement	91828-STROBE statement.pdf
Manuscript File	91828_Auto_Edited-YJP.docx
Answering Reviewers	91828-Answering reviewers.pdf
Audio Core Tip	91828-Audio core tip.wav
Biostatistics Review Certificate	91828-Biostatistics statement.pdf
Conflict-of-Interest Disclosure Form	91828-Conflict-of-interest statement.pdf
Copyright License Agreement	91828-Copyright license agreement.pdf
Signed Informed Consent Form(s) or Document(s)	91828-Informed consent statement.pdf
Institutional Review Board Approval Form or Document	91828-Institutional review board statement.pdf
Non-Native Speakers of English Editing Certificate	91828-Language certificate.pdf
Supplementary Material	91828-Supplementary material.pdf
Peer-review Report	91828-Peer-review(s).pdf
Scientific Misconduct Check	91828-Bing-Li L-2.png
Scientific Editor Work List	91828-Scientific editor work list.pdf
CrossCheck Report	91828-CrossCheck.png
CrossCheck Report	91828-CrossCheck report.pdf