{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:35:37Z","timestamp":1792164937626,"version":"4.4.0"},"reference-count":53,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2007,8,1]],"date-time":"2007-08-01T00:00:00Z","timestamp":1185926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,8,28]],"date-time":"2014-08-28T00:00:00Z","timestamp":1409184000000},"content-version":"vor","delay-in-days":2584,"URL":"https:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Surgery"],"published-print":{"date-parts":[[2007,8]]},"DOI":"10.1016\/j.ijsu.2006.06.015","type":"journal-article","created":{"date-parts":[[2006,8,25]],"date-time":"2006-08-25T11:50:19Z","timestamp":1156506619000},"page":"225-233","source":"Crossref","is-referenced-by-count":213,"title":["Trends in epidemiology and management of breast cancer in developing Arab countries: A literature and registry analysis"],"prefix":"10.1097","volume":"5","author":[{"given":"Nagi S.","family":"El Saghir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mazen K.","family":"Khalil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toufic","family":"Eid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Rahman","family":"El Kinge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Charafeddine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fady","family":"Geara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhieddine","family":"Seoud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali I.","family":"Shamseddine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"10.1016\/j.ijsu.2006.06.015_bib1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/S1470-2045(01)00486-7","article-title":"Global cancer statistics in the year 2000","volume":"2","author":"Parkin","year":"2001","journal-title":"Lancet Oncol"},{"key":"10.1016\/j.ijsu.2006.06.015_bib2","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1002\/1097-0142(20010215)91:4<863::AID-CNCR1074>3.0.CO;2-Y","article-title":"Breast carcinoma presents a decade earlier in Mexican women than in women in the United States or European countries","volume":"91","author":"Rodriguez-Cuevas","year":"2001","journal-title":"Cancer"},{"key":"10.1016\/j.ijsu.2006.06.015_bib3","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1158\/1055-9965.EPI-04-0849","article-title":"Age-specific incidence rates of in\u00a0situ breast carcinomas by histologic type, 1980 to 2001","volume":"14","author":"Li","year":"2005","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"10.1016\/j.ijsu.2006.06.015_bib4","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1007\/s00268-003-6977-9","article-title":"Medical and radiation oncology for breast cancer in developing countries with particular reference to locally advanced breast cancer","volume":"27","author":"Murray","year":"2003","journal-title":"World J Surg"},{"key":"10.1016\/j.ijsu.2006.06.015_bib5","unstructured":"Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, World Population Prospects. The 2004 Revision and world urbanization prospects: the 2003 revision."},{"key":"10.1016\/j.ijsu.2006.06.015_bib6","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1016\/j.transproceed.2004.07.037","article-title":"A multicenter clinical trial in the Arab world","volume":"36","author":"Abbas","year":"2004","journal-title":"Transplant Proc"},{"key":"10.1016\/j.ijsu.2006.06.015_bib7","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ajic.2005.01.006","article-title":"Saudi Arabia-United States collaboration in health research: a formula for success","volume":"33","author":"Hooper","year":"2005","journal-title":"Am J Infect Control"},{"key":"10.1016\/j.ijsu.2006.06.015_bib8","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.26719\/1999.5.5.1035","article-title":"Cancer incidence in Oman, 1993\u20131997","volume":"5","author":"Al-Lawati","year":"1999","journal-title":"East Mediterr Health\u00a0J"},{"key":"10.1016\/j.ijsu.2006.06.015_bib9","unstructured":"Saudi Arabia Cancer Registry. Non-communicable diseases\u2014regional situation. Saudi Arabian Ministry of Health publications; 1998."},{"key":"10.1016\/j.ijsu.2006.06.015_bib10","article-title":"Cancer incidence in five continents","author":"Parkin","year":"2002","journal-title":"IARC Sci Publ VIII"},{"key":"10.1016\/j.ijsu.2006.06.015_bib11","unstructured":"Ibrahim A. Al-Gharbia regional cancer registry. Cairo, Egypt: Ministry of Health publications."},{"key":"10.1016\/j.ijsu.2006.06.015_bib12","unstructured":"Elattar I, Zaghloul M, Omar A, Mokhtar N. Breast cancer in Egypt. Cairo: National Cancer Institute of Egypt, NCI Cairo publications."},{"issue":"6","key":"10.1016\/j.ijsu.2006.06.015_bib13","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1054\/brst.2000.0285","article-title":"Current treatment modalities of breast-cancer patients in Alexandria, Egypt","volume":"10","author":"Abdel-Fattah","year":"2001","journal-title":"Breast"},{"key":"10.1016\/j.ijsu.2006.06.015_bib14","unstructured":"Gadallah A, Neguib S. Proceedings of the Euro-Arab School of Oncology (EASO) 2006 Conference, EASO Cairo; March 2006."},{"key":"10.1016\/j.ijsu.2006.06.015_bib15","article-title":"Cancer databases in the Arab world","volume":"15","author":"El-Attar","year":"2005","journal-title":"Ethn Dis"},{"key":"10.1016\/j.ijsu.2006.06.015_bib16","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.breast.2005.07.002","article-title":"Breast screening in the emerging world: High prevalence of breast cancer in Cairo","volume":"14","author":"Boulos","year":"2005","journal-title":"Breast"},{"key":"10.1016\/j.ijsu.2006.06.015_bib17","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1097\/00002820-200208000-00003","article-title":"Breast cancer risk-factor and screening awareness among women nurses and teachers in Amman, Jordan","volume":"25","author":"Madanat","year":"2002","journal-title":"Cancer Nurs"},{"issue":"5","key":"10.1016\/j.ijsu.2006.06.015_bib18","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1097\/00008469-200310000-00003","article-title":"A comparison of population-based cancer incidence rates in Israel and Jordan","volume":"12","author":"Freedman","year":"2003","journal-title":"Eur J Cancer Prev"},{"key":"10.1016\/j.ijsu.2006.06.015_bib19","unstructured":"EMAN (Eastern Mediterranean Approach to Non-Communicable Diseases). Kuwait Cancer registry."},{"key":"10.1016\/j.ijsu.2006.06.015_bib20","first-page":"127","article-title":"Estrogen and progesterone receptor status in breast cancer in Kuwait female population","volume":"40","author":"Paszko","year":"1993","journal-title":"Neoplasma"},{"key":"10.1016\/j.ijsu.2006.06.015_bib21","first-page":"3","article-title":"Age distribution of breast cancer in Lebanon: increased percentages and age adjusted incidence rates of younger-aged groups at presentation","volume":"50","author":"El Saghir","year":"2002","journal-title":"J Med Liban"},{"issue":"9","key":"10.1016\/j.ijsu.2006.06.015_bib22","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/j.annepidem.2003.12.002","article-title":"Cancer incidence in postwar Lebanon: findings from the first national population-based registry, 1998","volume":"14","author":"Shamseddine","year":"2004","journal-title":"Ann Epidemiol"},{"key":"10.1016\/j.ijsu.2006.06.015_bib23","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1002\/1097-0142(196609)19:9<1293::AID-CNCR2820190917>3.0.CO;2-L","article-title":"Morbidity from cancer in Lebanon","volume":"19","author":"Abou-Daoud","year":"1966","journal-title":"Cancer"},{"key":"10.1016\/j.ijsu.2006.06.015_bib24","article-title":"Breast cancer in Lebanon. Increased age-adjusted incidence rates in younger-aged groups at presentation: implications for screening and for Arab-American ethnic groups","volume":"15","author":"El Saghir","year":"2005","journal-title":"Ethn Dis"},{"key":"10.1016\/j.ijsu.2006.06.015_bib25","unstructured":"Geahchan N, Taleb N. Epidemiological study of cancer in Lebanon. Presentation at IARC Mediterranean Colloquium on Epidemiology and Cancer Incidence, October 1986, Paris, France; 1986."},{"issue":"1","key":"10.1016\/j.ijsu.2006.06.015_bib26","first-page":"4","article-title":"The cancer registry at the Hotel Dieu de France Hospital","volume":"40","author":"Ghosn","year":"1992","journal-title":"J Med Liban"},{"key":"10.1016\/j.ijsu.2006.06.015_bib27","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/S1047-2797(97)00109-9","article-title":"Cancer in Lebanon: an epidemiological review of the American University of Beirut Medical Center Tumor Registry (1983\u20131994)","volume":"8","author":"Adib","year":"1998","journal-title":"Ann Epidemiol"},{"key":"10.1016\/j.ijsu.2006.06.015_bib28","first-page":"4","article-title":"Cancer in Lebanon: analysis of 10,220 cases from the American University of Beirut Medical Center","volume":"46","author":"El Saghir","year":"1998","journal-title":"J Med Liban"},{"key":"10.1016\/j.ijsu.2006.06.015_bib29","first-page":"603","article-title":"[Epidemiological descriptive approach of cancer in Morocco through the activity of the National Institute of Oncology. 1986\u20137]","volume":"78","author":"Chaouki","year":"1991","journal-title":"Bull Cancer"},{"key":"10.1016\/j.ijsu.2006.06.015_bib30","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.breast.2003.10.001","article-title":"The outcome of treatment of breast cancer in a developing country\u2014Oman","volume":"13","author":"Al-Moundhri","year":"2004","journal-title":"Breast"},{"key":"10.1016\/j.ijsu.2006.06.015_bib31","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.amjsurg.2003.11.039","article-title":"Clinical profile of breast cancer in Arab and Jewish women in the Jerusalem area","volume":"188","author":"Nissan","year":"2004","journal-title":"Am J Surg"},{"key":"10.1016\/j.ijsu.2006.06.015_bib32","doi-asserted-by":"crossref","unstructured":"Baron-Apel O. Israel cancer registry 1999. p. 91\u20135.","DOI":"10.1016\/S0248-4900(99)90294-0"},{"key":"10.1016\/j.ijsu.2006.06.015_bib33","unstructured":"Saudi Arabia National Cancer Registry. Saudi Arabia Ministry of Health publications; 1999."},{"key":"10.1016\/j.ijsu.2006.06.015_bib34","first-page":"1210","article-title":"Pattern and incidence of cancer in Northern Saudi Arabia","volume":"23","author":"El Hag","year":"2002","journal-title":"Saudi Med\u00a0J"},{"key":"10.1016\/j.ijsu.2006.06.015_bib35","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/BF02787207","article-title":"Breast cancer in the eastern province of Saudi Arabia","volume":"15","author":"Ibrahim","year":"1998","journal-title":"Med Oncol"},{"key":"10.1016\/j.ijsu.2006.06.015_bib36","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/BF02785842","article-title":"Locally advanced breast cancer in Saudi Arabia: high frequency of stage III in a young population","volume":"16","author":"Ezzat","year":"1999","journal-title":"Med Oncol"},{"key":"10.1016\/j.ijsu.2006.06.015_bib37","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s00268-004-7429-x","article-title":"Surgical management of breast cancer in Saudi Arabia before\u00a0and after outreach activities","volume":"28","author":"Bin Yousef","year":"2004","journal-title":"World J Surg"},{"key":"10.1016\/j.ijsu.2006.06.015_bib38","unstructured":"Semaan S. Breast cancer in Syria. Pan Arab Cancer Congress Proceedings, Damascus, Syria; 2003."},{"issue":"5","key":"10.1016\/j.ijsu.2006.06.015_bib39","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1097\/00008469-200210000-00014","article-title":"Neoplastic diseases in\u00a0Aleppo, Syria","volume":"11","author":"Mzayek","year":"2002","journal-title":"Eur J Cancer Prev"},{"key":"10.1016\/j.ijsu.2006.06.015_bib40","first-page":"302","article-title":"Breast cancer in Tunisia: clinical and epidemiological study","volume":"86","author":"Maalej","year":"1999","journal-title":"Bull Cancer"},{"key":"10.1016\/j.ijsu.2006.06.015_bib41","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.26719\/2001.7.6.1012","article-title":"Breast cancer in south-east Republic of Yemen","volume":"7","author":"Abdul Hamid","year":"2001","journal-title":"East Mediterr Health J"},{"key":"10.1016\/j.ijsu.2006.06.015_bib42","unstructured":"International Atomic Energy Agency. <http:\/\/www.iaea.org\/>."},{"key":"10.1016\/j.ijsu.2006.06.015_bib43","doi-asserted-by":"crossref","first-page":"74","DOI":"10.3322\/canjclin.55.2.74","article-title":"Global cancer statistics, 2002","volume":"55","author":"Parkin","year":"2005","journal-title":"CA Cancer J Clin"},{"issue":"2","key":"10.1016\/j.ijsu.2006.06.015_bib44","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.canlet.2004.11.001","article-title":"Loss of heterozygosity at the BRCA1 locus in Tunisian women with sporadic breast cancer","volume":"224","author":"Charef-Hamza","year":"2005","journal-title":"Cancer Lett"},{"issue":"1","key":"10.1016\/j.ijsu.2006.06.015_bib45","first-page":"60","article-title":"Mutation analysis of the breast cancer gene BRCA1 among breast cancer Jordanian females","volume":"25","author":"Atoum","year":"2004","journal-title":"Saudi Med J"},{"issue":"1\u20134","key":"10.1016\/j.ijsu.2006.06.015_bib46","first-page":"11","article-title":"Mutational analysis of breast\/ovarian cancer hereditary predisposition gene BRCA1 in Tunisian women","volume":"77","author":"Mestiri","year":"2000","journal-title":"Arch Inst Pasteur Tunis"},{"issue":"9","key":"10.1016\/j.ijsu.2006.06.015_bib47","first-page":"515","article-title":"Rapid detection of BRCA-1 germline mutations by the protein truncation test in Tunisian families","volume":"80","author":"Monastiri","year":"2002","journal-title":"Tunis Med"},{"issue":"3","key":"10.1016\/j.ijsu.2006.06.015_bib48","doi-asserted-by":"crossref","first-page":"430","DOI":"10.26719\/1999.5.3.430","article-title":"Breast cancer: patient characteristics and survival analysis at Salmaniya medical complex","volume":"5","author":"Fakhro","year":"1999","journal-title":"Bahrain. East Mediterr Health J"},{"issue":"Suppl. 9","key":"10.1016\/j.ijsu.2006.06.015_bib49","doi-asserted-by":"crossref","first-page":"S42","DOI":"10.1046\/j.1524-4741.9.s2.3.x","article-title":"Overview of breast health care guidelines for countries with limited resources.","volume":"2","author":"Anderson","year":"2003","journal-title":"Breast J"},{"key":"10.1016\/j.ijsu.2006.06.015_bib50","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3322\/canjclin.53.3.141","article-title":"American Cancer Society guidelines for breast cancer screening: update 2003","volume":"53","author":"Smith","year":"2003","journal-title":"CA Cancer J Clin"},{"issue":"8","key":"10.1016\/j.ijsu.2006.06.015_bib51","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1023\/A:1011609401132","article-title":"Targeted intra-operative radiotherapy (Targit): an innovative method of treatment for early breast cancer","volume":"12","author":"Vaidya","year":"2001","journal-title":"Ann Oncol"},{"issue":"6","key":"10.1016\/j.ijsu.2006.06.015_bib52","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/S0960-9776(03)00156-5","article-title":"Intraoperative radiation therapy with electrons (ELIOT) in early-stage breast cancer","volume":"12","author":"Orecchia","year":"2003","journal-title":"Breast"},{"key":"10.1016\/j.ijsu.2006.06.015_bib53","unstructured":"Veronesi U., Proceedings of European Breast Cancer Conference EBCC-5, Nice, France; March 21\u201325, 2006."}],"container-title":["International Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743919106001427?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743919106001427?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijsu.2006.06.015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:25:00Z","timestamp":1789647900000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijsu.2006.06.015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,8]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,8]]}},"alternative-id":["S1743919106001427"],"URL":"https:\/\/doi.org\/10.1016\/j.ijsu.2006.06.015","relation":{},"ISSN":["1743-9191"],"issn-type":[{"value":"1743-9191","type":"print"}],"subject":[],"published":{"date-parts":[[2007,8]]}}}