{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T15:26:15Z","timestamp":1787153175839,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Population-level data on palliative care need remain limited in many regions. Cancer mortality is commonly used as a proxy indicator of population-level palliative care demand. Gulf Cooperation Council (GCC) countries have undergone rapid demographic and epidemiological transition, highlighting the need for evidence-informed planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To examine long-term trends in cancer mortality across six GCC countries (Saudi Arabia, United Arab Emirates, Kuwait, Qatar, Bahrain, and Oman) and assess implications for palliative care planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Ecological time-trend analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>National mortality data from six GCC countries (2000\u20132022).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>Age-standardized cancer mortality rates (ICD-10 C00\u2013C97) were obtained from the World Health Organization Global Health Observatory. Trends were evaluated using annual percentage change estimates, segmented (joinpoint) regression, and models accounting for between-country variability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Data availability varied substantially across countries. Bahrain, Kuwait, and Qatar had sufficient longitudinal data and demonstrated statistically significant declines in age-standardized cancer mortality (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), with the largest reduction observed in Bahrain. Nonlinear, phase-dependent trends were identified. Countries with limited data were analyzed descriptively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Cancer mortality trends in GCC countries vary according to data completeness. Declining mortality does not necessarily indicate reduced palliative care need. Cancer mortality remains a pragmatic population-level indicator for planning in settings with limited direct measures of need. Strengthening mortality surveillance and integrating palliative care into national cancer control strategies are essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261448973","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:31:43Z","timestamp":1780392703000},"page":"1208-1213","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cancer Mortality as a Proxy for Palliative Care Need in Gulf Cooperation Council Countries: A 22-Year Population-Level Trend Analysis"],"prefix":"10.1177","volume":"29","author":[{"given":"Muhanad","family":"Alzahrani","sequence":"first","affiliation":[{"name":"Ministry of Health, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3225-0106","authenticated-orcid":false,"given":"Abdullah","family":"Alabbasi","sequence":"additional","affiliation":[{"name":"Saudi Board in Family Medicine, Ministry of Health, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Sayes","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Utah, Salt Lake City, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyad","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faris A.","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"1.World Health Organization. Global Health Estimates 2019: Deaths by Cause Age Sex by Country and by Region 2000\u20132019. Geneva: WHO; 2020. Available from: https:\/\/www.who.int\/data\/gho\/data\/themes\/mortality-and-global-health-estimates"},{"key":"e_1_3_2_3_1","unstructured":"2.World Health Organization. Palliative care [Internet]. Geneva: World Health Organization; 2023. 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Strengthening of palliative care as a component of comprehensive care throughout the life course. WHA67.19. Geneva: World Health Organization; 2014. Available from: https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA67\/A67_R19-en.pdf"},{"key":"e_1_3_2_20_1","unstructured":"19.Worldwide Hospice Palliative Care Alliance; World Health Organization. Global Atlas of Palliative Care 2nd Edition. London UK: Worldwide Hospice Palliative Care Alliance; 2020. Available from: https:\/\/www.thewhpca.org\/resources\/global-atlas-of-palliative-care-2nd-ed-2020"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007760.pub2"},{"key":"e_1_3_2_22_1","unstructured":"21.Hofmarcher T Ahmad A Lindgren P Wilking N. Cancer care in the Middle East and Africa. IHE Report 2021:9. 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