Observational studyBMC emergency medicine2025
Evaluating pain management in the Gaza Strip's conflict-affected hospitals: a prospective observational study.
Observational study in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Cancer pain and its impact on quality of life, distress, and spiritual well-being in the war-torn Gaza Strip.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPain is one of the most distressing symptoms for trauma patients and serves as a cornerstone of acute trauma care. The healthcare system in the Gaza Strip has been devastated by the violent war that erupted in October 2023, further worsening the shortages and limitations it already experienced due to repeated assaults and a prolonged siege. The war-wounded are thus prone to suffer from inadequate pain management.
methodsA prospective observational study consecutively recruited 100 war trauma victims from two tertiary hospitals in the Gaza Strip. During the first four days of hospitalization (Days 0-3), the study evaluated the patients' subjective pain experiences before and after analgesia using the numerical rating scale (NRS), and assessed pain evaluation, documentation, and management practices.
resultsMost participants were young males who underwent surgical interventions on their first day of hospitalization. None of the patients received a formal pain assessment, and nearly two-thirds of patient records lacked documentation of pain. The most frequently prescribed analgesics were diclofenac (33%), paracetamol 1 g (27%), and a combination of paracetamol 1 g with diclofenac 75 mg (18%), while opioid use was severely limited. Additionally, none of the patient records included on-demand analgesia. Pain relief was reported in 85%, 92%, 93%, and 91% following analgesia administration on admission days 0-3, respectively. The decrease in pain scores was significant across the studied days (p < 0.001), with average reductions of 4.26 points on admission day, 4.61 points on Day 1, 4.53 points on Day 2, and 4.27 points on Day 3.
conclusionsFor most patients, the mean pain intensity decreased despite incomplete pain assessments and very limited opioid use. The study highlights the urgent need for context-specific improvements in pain assessment, documentation, and access to essential analgesics in conflict settings.
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