Dagoglu Nergiz, Karaman Sule, Atalar Banu, Miller Robert C, Oral Ethem N
Department of Radiation Oncology, Istanbul Faculty of Medicine, Istanbul, Turkey.
Department of Radiation Oncology, Istanbul University Oncology Institute, Istanbul, Turkey.
Adv Radiat Oncol. 2022 Jul 15;7(4):100976. doi: 10.1016/j.adro.2022.100976. eCollection 2022 Jul-Aug.
For over 10 years, the Syrian conflict has caused millions of people to leave their homeland, causing one of the biggest refugee crises in modern history. Considering its prevalence, cancer is an important care burden among Syrian refugees. Radiation therapy is one of the essential parts of cancer treatment, and radiation oncology departments must guarantee optimal cancer treatments even in such a challenging setting when patients are displaced forcefully from their homes. National and institutional measures are highlighted in this manuscript to provide suggestions for the delivery of care during refugee crises. There are two issues creating barriers to serving refugee populations: the loss of access to their original care records in Syria for those with a previous diagnosis of cancer referred for continuation of radiation therapy or reirradiation, and the effect of acute radiation therapy toxicity on treatment compliance.
十多年来,叙利亚冲突致使数百万人背井离乡,引发了现代历史上最严重的难民危机之一。鉴于癌症的普遍性,它是叙利亚难民面临的一项重大医疗负担。放射治疗是癌症治疗的重要组成部分,放射肿瘤学部门即使在患者被迫背井离乡的如此具有挑战性的环境中,也必须确保提供最佳的癌症治疗。本手稿着重介绍了国家和机构层面的措施,以为难民危机期间的医疗服务提供建议。有两个问题给为难民群体提供服务造成了障碍:对于那些之前被诊断患有癌症并前来继续接受放射治疗或再程放疗的人来说,他们失去了获取在叙利亚的原始病历的机会;以及急性放射治疗毒性对治疗依从性的影响。