Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8822
Halima S Hawesa, Mansour E Shanawani, Haya A Alshegri, Mahasin G Hassan, Amal I Alorainy, Nouf A Alroqaiba, Shanoo G A Sheikh
{"title":"Dietary Fat Intake and Its Influence on the Association Between Liver Fat and Brain Choline Metabolism in Young Saudi Women.","authors":"Halima S Hawesa, Mansour E Shanawani, Haya A Alshegri, Mahasin G Hassan, Amal I Alorainy, Nouf A Alroqaiba, Shanoo G A Sheikh","doi":"10.15537/1658-3175.8822","DOIUrl":"10.15537/1658-3175.8822","url":null,"abstract":"<p><strong>Objective: </strong>Fat-rich nutrition may influence the neurochemical consequences of hepatic lipid accumulation. This study examined whether percent energy from fat modifies the association between liver fat and the brain (Cho/Cr) ratio in healthy young women<b>.</b></p><p><strong>Methods: </strong>A total of 109 healthy Saudi women aged 18-25 years underwent brain magnetic resonance spectroscopy (<sup>1</sup>H-MRS) to quantify Cho/Cr ratios. Liver fat was estimated using MRI-based proton density fat fraction (PDFF), and lipid intake was assessed using a validated food frequency questionnaire. Multivariable regression models tested the interaction between liver fat and fat-derived energy intake, followed by simple slopes analysis, regression diagnostics, and false discovery rate (FDR) correction.</p><p><strong>Results: </strong>A modest but statistically significant interaction was observed between liver fat and reported fat intake in relation to the brain Cho/Cr ratio (<i>p</i> = 0.037). The association between liver fat and Cho/Cr appeared stronger at higher levels of fat consumption (+1 SD) and weaker at lower intake (-1 SD). Regression diagnostics indicated no multicollinearity or heteroscedasticity, and FDR correction supported the stability of the interaction.</p><p><strong>Conclusion: </strong>Fat intake may modify the relationship between liver fat and brain choline metabolism in young women. These findings suggest that nutritional context could play a role in liver-brain metabolic coupling, although the effect size is modest and should be interpreted with caution.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1309-1315"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8818
Abdullah W Abumadian, Mohanad I Binibrahim, Abdurrahman H Sultan, Mohammed A Addas, Hattan Y Bamagaus, Sultan K Alhaddad, Motasem O Bamabad, Bayan A Ghalimah
{"title":"The Use of Platelet-Rich Plasma for De Quervain's Tenosynovitis: <i>A Systematic Review With Limited Meta-Analysis</i>.","authors":"Abdullah W Abumadian, Mohanad I Binibrahim, Abdurrahman H Sultan, Mohammed A Addas, Hattan Y Bamagaus, Sultan K Alhaddad, Motasem O Bamabad, Bayan A Ghalimah","doi":"10.15537/1658-3175.8818","DOIUrl":"10.15537/1658-3175.8818","url":null,"abstract":"<p><strong>Introduction: </strong>De Quervain's tenosynovitis (DQT) is a painful wrist condition that impairs daily activities. Corticosteroid (CS) injections are commonly used for symptom relief, but their effects may diminish over time. Platelet-rich plasma (PRP) has emerged as a regenerative alternative that promotes tissue healing rather than merely suppressing inflammation. This systematic review and limited meta-analysis compare the efficacy and safety of PRP versus CS injections in DQT. A limited meta-analysis was chosen due to the high heterogeneity between studies (I<sup>2</sup> = 98.7%).</p><p><strong>Methodology: </strong>A comprehensive literature search identified six studies comparing PRP and CS injections. Pain and functional outcomes were assessed using the Visual Analog Scale (VAS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, and Mayo Wrist Score (MWS). Statistical significance was analyzed, with follow-up durations ranging from 2 weeks to one year. The risk of bias was evaluated using Cochrane and ROBINS-I tools.</p><p><strong>Results: </strong>Both PRP and CS significantly reduced pain; however, PRP provided superior long-term relief. The VAS scores improved in all studies, with PRP showing significantly greater reduction at 6 months (<i>p</i> < 0.001). A study also found better QuickDASH-9 scores in PRP-treated patients (<i>p</i> < 0.01). The PRP had fewer complications than CS <i>p</i>=0.026, reinforcing its safety advantage.</p><p><strong>Conclusion: </strong>The PRP and CS effectively reduce pain, but preliminary evidence suggests PRP may offer longer-lasting symptom relief than corticosteroids; however, findings are limited by small sample sizes, study heterogeneity, and low certainty of evidence. Further high-quality trials with standardized PRP protocols are warranted.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1265-1276"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8816
Lama N Alqahtani, Ahmed K Alzahrani, Razan A Almutairi, Abdulaziz M Salah, Shahad F Khan, Mohammad G Sindi, Khalid E Fassi, Abdulrahman M Alshami, Ibrahim A Hakami
{"title":"Clinical Outcomes of Decompression Versus Decompression With Instrumented Fusion for Lumbar Spinal Stenosis Secondary to Degenerative Spondylolisthesis: <i>A Systematic Review and Meta-Analysis</i>.","authors":"Lama N Alqahtani, Ahmed K Alzahrani, Razan A Almutairi, Abdulaziz M Salah, Shahad F Khan, Mohammad G Sindi, Khalid E Fassi, Abdulrahman M Alshami, Ibrahim A Hakami","doi":"10.15537/1658-3175.8816","DOIUrl":"10.15537/1658-3175.8816","url":null,"abstract":"<p><strong>Objective: </strong>To compare decompression alone with decompression with fusion in patients with degenerative lumbar spondylolisthesis.</p><p><strong>Methods: </strong>PubMed, Google Scholar, Ovid, and Web of Science databases were searched up to March 2025 for randomized controlled trials (RCTs). The primary outcomes were the Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) scores. The secondary outcomes included operative time, length of hospital stay, intraoperative blood loss, reoperation, complications, and cost. Pooled analysis was performed using a random-effects model in Review Manager following Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020. The quality of included randomized trials was evaluated using the Cochrane risk-of-bias tool.</p><p><strong>Results: </strong>Of the 4,507 studies, 5 RCTs (n = 898) were included. Both interventions improved ODI and VAS scores, with no significant differences for ODI (mean difference [MD], -3.21; 95% confidence interval [CI], -6.59 to 0.17, <i>p</i> = 0.06) or VAS leg pain (MD, -1.67; 95% CI, -8.85 to 5.51, <i>p</i> = 0.65). Decompression showed greater improvement in VAS back pain (MD, -7.48; 95% CI, -14.23 to -0.73, <i>p</i> = 0.03). Perioperative outcomes favored decompression, with a shorter operative time (95 min), shorter hospital stay (1.7 days), and lower blood loss (322 mL). Complications were more frequent with fusion, whereas reoperation rates did not differ. One study reported lower decompression costs (5,400 versus 12,200 USD).</p><p><strong>Conclusions: </strong>Both interventions significantly improved pain and disability. Decompression alone was associated with a lower perioperative morbidity and some evidence of greater back pain relief, supporting its role as a reasonable initial surgical option, with fusion reserved for patients requiring stabilization.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1246-1254"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8821
Ahmed Mansor, Hatim Tagalsir Osman Ali, Maha Ali, Arwa Abd Al Salam Ashry, Ghala Abdullah Alharbi, Khalid Albasheer, Omer Munder, Isam Mohamed Babbiker Ahmed
{"title":"Urinary Incontinence's Prevalence, Risk Factors, and Quality of Life Impact on Working Women in Saudi Arabia.","authors":"Ahmed Mansor, Hatim Tagalsir Osman Ali, Maha Ali, Arwa Abd Al Salam Ashry, Ghala Abdullah Alharbi, Khalid Albasheer, Omer Munder, Isam Mohamed Babbiker Ahmed","doi":"10.15537/1658-3175.8821","DOIUrl":"10.15537/1658-3175.8821","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the prevalence and severity of Urinary incontinence (UI) among working women in Saudi Arabia (SA), identify the associated demographic, lifestyle, medical, and obstetric risk factors, and assess its effect on quality of life and work productivity. The UI is a common underreported condition that affects women's daily functioning and life quality, particularly in the workplace.</p><p><strong>Methods: </strong>During 2025, 390 working women in SA who were at least 18 years old and from various work sectors participated in a descriptive cross-sectional survey. Data were gathered using a validated, structured questionnaire; statistical analysis was carried out using SPSS version 27.</p><p><strong>Results: </strong>Urinary incontinence prevalence was 30.3%. Significant associations were found between UI and increased age (R<sup>2</sup> = 0.160) (<i>p</i> < 0.001), obesity (mean difference = 0.20, SE = 0.06, <i>p</i> = 0.002, 95% CI [0.05, 0.35]). Parity and a history of both vaginal and cesarean deliveries were closely associated with stress UI (mean difference = 1.238, SE = 0.401, <i>p</i> = 0.016). Life quality was undesirably affected in 14.4% of women with UI, and 46.3% experienced negative workplace impacts because of UI.</p><p><strong>Conclusion: </strong>In SA, UI is a common and complex disorder. To lessen its effects and promote the health and productivity of working women, it is crucial to implement targeted workplace initiatives, public health education, and better access to care.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1300-1308"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8824
Hind A Alzahrani, Ruba Omar Mohammed Almaghrabi, Raed Alharbi, Abdulaziz Saleh Alghamdi, Mohammad A Albanghali, Hanan E Alyahyawi, Abdulmohsen M Alruwetei, Besma Garah, Mohammed Alzahrani, Samar Hassan Hjar, Sana Shaker
{"title":"Multidimensional Predictors of Disease Severity and Health Outcomes in Patients with Sickle Cell Disease: <i>A Data-Driven Clinical Insight</i>.","authors":"Hind A Alzahrani, Ruba Omar Mohammed Almaghrabi, Raed Alharbi, Abdulaziz Saleh Alghamdi, Mohammad A Albanghali, Hanan E Alyahyawi, Abdulmohsen M Alruwetei, Besma Garah, Mohammed Alzahrani, Samar Hassan Hjar, Sana Shaker","doi":"10.15537/1658-3175.8824","DOIUrl":"10.15537/1658-3175.8824","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the clinical, hematologic, and therapeutic characteristics of hospitalized adults with sickle cell disease (SCD) in the Al-Baha region and to identify factors that predict hospitalization as well as transfusion frequency.</p><p><strong>Methods: </strong>A retrospective observational analysis was conducted on 117 adults with confirmed SCD who were admitted to King Fahad Hospital-Al-Baha during 2022-2024. Demographic information, hematologic parameters, clinical features, hospitalization rate, transfusion history, and treatment protocols were collected from the electronic medical records. Statistical analyses (ANOVA, Kruskal-Wallis test, Chi-square tests, and Fisher's exact Test) were performed to compare between groups where applicable.</p><p><strong>Results: </strong>The cohort had a mean age of 30.6 years, with 63% being male. The average hemoglobin level was 8.57 g/dL, and there was an increase in hemoglobin S (76%) and a mean fetal hemoglobin (Hbf) of 6.74%. Patients were admitted and transfused an average of 5.21 and 5.91 times, respectively. Blood transfusion was significantly more common in males than in females (<i>p</i> = 0.021). Patients with 3 or more concomitant clinical symptoms had significantly higher rates of hospital admission and transfusion (<i>p</i> < 0.001). Hydroxyurea (84%) and folic acid (81%) were the most common treatments.</p><p><strong>Conclusion: </strong>Hospitalized adult SCD patients in Al-Baha present with significant anemia, frequent health care use, and substantial transfusion need. The more clinical symptoms appear simultaneously, the higher the hospitalization and transfusion rates are. These results underscore the clinical importance of symptom burden in adult SCD patients hospitalized.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1322-1333"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8827
Abdulmajeed Alotaibi, Raseel Alsallum, Reemas Alotaibi, Ali M Aldhebaib, Noha Althubaity, Oinam Gokulchandra Singh, Zyad M Almutlaq, Abdulaziz M Albaraikan, Winnie Philip, Abrar M Al-Mutairi, Mostafa Alqarras, Basma Alrowailli, Abdulrahman Alkhulaifi, Dhaifallah Ziyad Alanazi
{"title":"Investigating Medical Radiation Awareness of Saudi Arabian Cardiologists in Catheterization Labs: <i>A Survey Study</i>.","authors":"Abdulmajeed Alotaibi, Raseel Alsallum, Reemas Alotaibi, Ali M Aldhebaib, Noha Althubaity, Oinam Gokulchandra Singh, Zyad M Almutlaq, Abdulaziz M Albaraikan, Winnie Philip, Abrar M Al-Mutairi, Mostafa Alqarras, Basma Alrowailli, Abdulrahman Alkhulaifi, Dhaifallah Ziyad Alanazi","doi":"10.15537/1658-3175.8827","DOIUrl":"10.15537/1658-3175.8827","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the knowledge, attitudes, and practices of interventional cardiologists in Kingdom of Saudi Arabia (KSA) regarding occupational radiation safety. Occupational radiation exposure poses significant long-term health risks for interventional cardiologists. Understanding current safety knowledge and practices is essential for guiding improvement strategies.</p><p><strong>Methods: </strong>A multicenter, cross-sectional survey was administered across several cardiac centers in KSA. The survey evaluated radiation safety awareness, use of dosimetry monitoring, and adherence to protective measures among practicing interventional cardiologists.</p><p><strong>Results: </strong>The study identified notable gaps in radiation safety knowledge and considerable inconsistencies in dosimetry monitoring. Despite these shortcomings, participants demonstrated high compliance with fundamental protective practices, particularly the routine use of personal protective equipment.</p><p><strong>Conclusion: </strong>The findings underscore the need for continuous professional development, more stringent institutional radiation safety protocols, and stronger enforcement mechanisms. Enhancing these measures is crucial to minimizing long-term occupational risks for interventional cardiologists and ensuring alignment with international radiation safety standards.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1351-1356"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8825
Haidar A AlRidha, Nora A Alafif
{"title":"Early Initiation and Dual Patterns of Cigarette and E-Cigarette Use among Adults in the Eastern Province, Saudi Arabia: <i>A Cross-Sectional Study</i>.","authors":"Haidar A AlRidha, Nora A Alafif","doi":"10.15537/1658-3175.8825","DOIUrl":"10.15537/1658-3175.8825","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the early initiation of cigarette and e-cigarette use and the dual patterns of usage among adults in the Eastern Province of Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from December 2024 to February 2025 among adults living in the Eastern Province. An online self-administered questionnaire collected data on sociodemographic characteristics, smoking behaviors, age of initiation, dual-use patterns, and quit attempts. Convenience sampling was applied, and a total of 551 participants were included. Descriptive statistics summarized distributions of smoking behavior and initiation age. Pearson's Chi-square tests were used to examine associations between smoking status, age of initiation, and product-use categories.</p><p><strong>Results: </strong>Among the 551 participants, 29.9% were current smokers. Cigarettes were the most used product (50.7%), followed by shisha (42.2%) and e-cigarettes (34.5%). More than half of smokers (52.7%) initiated smoking between 15-20 years of age, while 8.5% initiated before age 15. Tobacco-use patterns varied, with 26% reporting cigarette-only use, 13% e-cigarette-only use, and 32% shisha-only use. Dual-use patterns included cigarette + shisha (7%), cigarette + e-cigarette (6%), and e-cigarette + shisha (5%), while 11% reported triple-product use. Quit attempts were most common among cigarette-only users (42 attempts), followed by e-cigarette-only users (22) and dual users (14).</p><p><strong>Conclusion: </strong>Early initiation and diverse tobacco-use patterns including cigarette, shisha, and e-cigarette use are common in the Eastern Province. Dual and triple-product use further highlight evolving nicotine behaviors, emphasizing the need for targeted prevention and cessation strategies.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1334-1342"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8819
Fahad S Alrashidi
{"title":"Emerging Strategies for Cardio-Renal Protection Beyond RAAS Blockade: <i>Emphasis on Non-diabetic CKD and Resistant Hypertension</i>.","authors":"Fahad S Alrashidi","doi":"10.15537/1658-3175.8819","DOIUrl":"10.15537/1658-3175.8819","url":null,"abstract":"<p><p>Non-diabetic chronic kidney disease (ND-CKD) complicated by resistant hypertension remains a high-risk phenotype even when renin-angiotensin system blockade is optimized. This review synthesizes contemporary evidence for cardio-renal protection beyond traditional renin-angiotensin-aldosterone system inhibition (RAASi), with emphasis on mechanisms, clinical trial data, and pragmatic sequencing. Sodium-glucose cotransporter 2 inhibitors provide hemodynamic and tubular benefits that translate into renal and heart failure risk reduction in many patients with ND-CKD. Non-steroidal mineralocorticoid receptor antagonism (MRA) like finerenone targets inflammatory and fibrotic signaling and may add incremental benefit when potassium is proactively managed. The GLP-1 receptor agonists offer cardiometabolic advantages with emerging kidney signals, particularly in patients with obesity and high cardiovascular risk. Modern potassium binders can preserve RAASi/MRA intensity, and device-based blood pressure strategies (including renal denervation) may be considered in carefully selected resistant hypertension. We propose a stepwise implementation framework to maximize efficacy while minimizing adverse events through structured monitoring and multidisciplinary care.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1277-1284"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8814
Aseel Aldhwaihi, Saad Alghanim
{"title":"Provider-Reported Readiness of Chronic Healthcare Services in Saudi Arabia Under the Health Sector Transformation Program.","authors":"Aseel Aldhwaihi, Saad Alghanim","doi":"10.15537/1658-3175.8814","DOIUrl":"10.15537/1658-3175.8814","url":null,"abstract":"<p><strong>Objective: </strong>To assess provider-reported readiness of chronic healthcare services in Saudi Arabia within the context of the Health Sector Transformation Program (HSTP), using a validated, context-specific assessment instrument.</p><p><strong>Methods: </strong>A national cross-sectional survey was conducted between November 2024 and February 2025 among 254 healthcare providers across 5 health regions and both public and private healthcare sectors. A 34-item instrument, informed by the Chronic Care Model (CCM) and adapted to the Saudi context, assessed 7 system readiness dimensions. Descriptive statistics, independent-samples t-tests, one-way analysis of variance, and Pearson correlation analyses were performed.</p><p><strong>Results: </strong>Overall system readiness was moderately positive. Health system organization and community resource linkages demonstrated the highest mean scores, indicating relative strengths in governance and system coordination. In contrast, clinical information systems and workforce awareness showed lower scores, reflecting gaps in digital integration and workforce engagement. Significant differences were observed across sectors and regions, with private-sector providers reporting higher readiness in several dimensions (<i>p < 0.05</i>). Strong positive correlations were identified among system readiness dimensions.</p><p><strong>Conclusion: </strong>Chronic healthcare services in Saudi Arabia demonstrate moderate system readiness, with established structural foundations but persistent gaps in operational integration. Strengthening digital health systems, workforce engagement, and community-based care integration may enhance the effective implementation of HSTP objectives and support improved chronic care delivery.</p>","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1376-1383"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saudi Medical JournalPub Date : 2026-08-01Epub Date: 2026-07-07DOI: 10.15537/1658-3175.8830
Sounira Mehri, Josef Finsterer
{"title":"The Outcome of Thrombectomy can be Improved by Shortening the Door-To-Needle and the Onset-To-Door Time.","authors":"Sounira Mehri, Josef Finsterer","doi":"10.15537/1658-3175.8830","DOIUrl":"10.15537/1658-3175.8830","url":null,"abstract":"","PeriodicalId":21453,"journal":{"name":"Saudi Medical Journal","volume":"47 8","pages":"1384-1385"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}