International Society of Paediatric Oncology (SIOP) Global Mapping Program: Analysis of healthcare centers in countries of the Latin American Society of Pediatric Oncology (SLAOP).
International Society of Pediatric Oncology (SIOP)
Latin America
health services
mapping
Journal
Pediatric blood & cancer
ISSN: 1545-5017
Titre abrégé: Pediatr Blood Cancer
Pays: United States
ID NLM: 101186624
Informations de publication
Date de publication:
12 Aug 2024
12 Aug 2024
Historique:
revised:
22
07
2024
received:
19
06
2024
accepted:
28
07
2024
medline:
12
8
2024
pubmed:
12
8
2024
entrez:
12
8
2024
Statut:
aheadofprint
Résumé
The International Society of Paediatric Oncology Society Global Mapping Program aims to describe the local pediatric oncology capacities. Here, we report the data from Latin America. A 10-question survey was distributed among chairs of pediatric oncology services. Centers were classified according to patient volume into high- (HVC; 100 or more new cases per year), medium- (MVC; 31-99 cases), and low-volume centers (LVC; 30 cases or less), respectively. National referral centers (NRC) were identified. Total 307 centers in 20 countries were identified (271 responded), and 264 responses were evaluable, accounting for 78% of the expected cases (21,359 cases per year). Seventy-seven percent of patients are treated in public centers, including additional support by civil society organizations. We found that 66% of the patients are treated in 70 centers of excellence, including 21 NRC. There was a median of one pediatric oncologist every 21 newly diagnosed patients (44 for NRC), and in 84% of the centers, nurses rotated to other services. A palliative care team was lacking in 25% of the centers. LVC with public funding have significantly lower probability of having a palliative care team or trained pediatric oncology surgeons. Psychosocial, pharmacy, and nutrition services were available in more than 93% of the centers. No radiotherapy facility was available on campus in nine of 21 NRC. Most children with cancer in Latin America are treated in public HVC. There is a scarcity of pediatric oncologists, specialized nurses and surgeons, and palliative care teams, especially in centers with public funding.
Sections du résumé
BACKGROUND
BACKGROUND
The International Society of Paediatric Oncology Society Global Mapping Program aims to describe the local pediatric oncology capacities. Here, we report the data from Latin America.
METHODS
METHODS
A 10-question survey was distributed among chairs of pediatric oncology services. Centers were classified according to patient volume into high- (HVC; 100 or more new cases per year), medium- (MVC; 31-99 cases), and low-volume centers (LVC; 30 cases or less), respectively. National referral centers (NRC) were identified.
RESULTS
RESULTS
Total 307 centers in 20 countries were identified (271 responded), and 264 responses were evaluable, accounting for 78% of the expected cases (21,359 cases per year). Seventy-seven percent of patients are treated in public centers, including additional support by civil society organizations. We found that 66% of the patients are treated in 70 centers of excellence, including 21 NRC. There was a median of one pediatric oncologist every 21 newly diagnosed patients (44 for NRC), and in 84% of the centers, nurses rotated to other services. A palliative care team was lacking in 25% of the centers. LVC with public funding have significantly lower probability of having a palliative care team or trained pediatric oncology surgeons. Psychosocial, pharmacy, and nutrition services were available in more than 93% of the centers. No radiotherapy facility was available on campus in nine of 21 NRC.
CONCLUSIONS
CONCLUSIONS
Most children with cancer in Latin America are treated in public HVC. There is a scarcity of pediatric oncologists, specialized nurses and surgeons, and palliative care teams, especially in centers with public funding.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e31262Subventions
Organisme : Fondation Sanofi Espoir
Organisme : Foundation S
Informations de copyright
© 2024 Wiley Periodicals LLC.
Références
Geel JA, Challinor J, Ranasinghe N, et al. Pediatric cancer care in Africa: SIOP Global Mapping Program report on economic and population indicators. Pediatr Blood Cancer. 2021;68:e29345.
Cappellano A, Gorostegui M, Gonzalez‐Ramella O, et al. International Society of Paediatric Oncology (SIOP) Global Mapping Programme: Latin American Society of Pediatric Oncology (SLAOP) country‐level report. Pediatr Blood Cancer. 2024;71:e30973.
Vasquez L, Fuentes‐Alabi S, Loggetto P, et al. Advances in the Global Initiative for Childhood Cancer: implementation in Latin America and the Caribbean. Rev Panam Salud Publica. 2023;47:e128.
Lam CG, Vasquez L, Loggetto P, et al. Partnering to implement the Global Initiative for Childhood Cancer in the Americas: prioritizing systems strengthening. Rev Panam Salud Publica. 2023;47:e41.
Chantada L, Gorostegui M, Lowe J, et al. SIOP pediatric oncology services Global Mapping Program: Latin American data collection. Pediatr Blood Cancer. 2024;71:e30796.
European standards of care for children with cancer. SIOP Europe; 2009. Accessed May 22, 2024. https://siope.eu/european‐research‐and‐standards/standards‐of‐care‐in‐paediatric‐oncology/
World Health Organization. CureAll framework: WHO Global Initiative for Childhood Cancer. Increasing access, advancing quality, saving lives. WHO.Accessed May 23, 2024. https://creativecommons.org/licenses/by‐nc‐sa/3.0/igo/2021
Perfiles de país del cáncer en la niñez 2021. Pan American Health Organization; 2021. Accessed May 23, 2024. https://www.paho.org/es/perfiles‐cancer‐infantil‐2021)
World Health Organization. The Global Health Observatory (medical doctors per 10,000 population). World Health Organization.
Cerda AA, Garcia LY, Rivera‐Arroyo J, Riquelme A, Teixeira JP, Jakovljevic M. Comparison of the healthcare system of Chile and Brazil: strengths, inefficiencies, and expenditures. Cost Eff Resour Alloc. 2022;20:71.
Cotlear D, Gomez‐Dantes O, Knaul F, et al. Overcoming social segregation in health care in Latin America. Lancet. 2015;385:1248‐1259.
Mills A. Health care systems in low‐ and middle‐income countries. N Engl J Med. 2014;370:552‐557.
Major A, Palese M, Ermis E, et al. Mapping pediatric oncology clinical trial collaborative groups on the global stage. JCO Glob Oncol. 2022;8:e2100266.
Martins HTG, Balmant NV, de Paula, et al. Who cares for adolescents and young adults with cancer in Brazil? J Pediatr (Rio J). 2018;94:440‐445.
Rodriguez‐Romo L, Olaya Vargas A, Gupta S, et al. Delivery of pediatric cancer care in Mexico: a national survey. J Glob Oncol. 2018;4:1‐12.
Calle MDC, Mallqui M, Beingolea L, et al. Subregional efforts to improve childhood cancer care in the Andean countries. Rev Panam Salud Publica. 2023;47:e151.
Maradiegue E, Pascual C, Vasquez L, et al. Strengthening public health policies for childhood cancer: peru's achievements through the WHO Global Initiative for Childhood Cancer. Rev Panam Salud Publica. 2023;47:e132.
Llera AS. A fresh perspective on Latin America cancer care: uncovering hidden messages in unconventional data sources. Lancet Reg Health Am. 2023;24:100559.
Zubieta Acuña CM. El papel de la sociedad civil en la mejora de los cuidados del cáncer infantil en América Latina. Rev Panam Salud Publica. 2023;47:e104.
Halton JM, Hand J, Byron P, et al. Establishing physician to patient ratios and predicting workforce needs for Canadian pediatric hematology‐oncology programs. Pediatr Blood Cancer. 2013;60:564‐569.
Graetz DE, Chen Y, Devidas M, et al. Interdisciplinary care of pediatric oncology patients in Central America and the Caribbean. Cancer. 2021;127:2579‐2586.
Pineda FG. History of pediatric neurosurgery in Latin America: the early years. Childs Nerv Syst. 2023;39:1297‐1302.
Pan American Health Organization. Policy on the health workforce 2030: strengthening human resources for health to achieve resilient health systems. Pan American Health Organization; 2023.
Sullivan CE, Weber LS, Lamas PV, et al. Expanding APHON's pediatric chemotherapy/biotherapy provider and instructor program to spanish‐speaking countries: pilot series development and evaluation. J Pediat Hemat Onc N. 2023;40:119‐132.
Morrissey L, Lurvey M, Sullivan C, et al. Disparities in the delivery of pediatric oncology nursing care by country income classification: international survey results. Pediatr Blood Cancer. 2019;66:e27663.
Pan American Health Organization. La práctica de la enfermería oncológica pediátrica en América Latina y el Caribe. Pan American Health Organization; 2022.
Elbanna M, Pynda Y, Kalinchuk O, Rosa A, Abdel‐Wahab M. Radiotherapy resources in Latin America and the Caribbean: a review of current and projected needs based on International Atomic Energy Agency data. Lancet Oncol. 2023;24:e376‐e384.
Mailhot Vega RB, Garcia Robles BE, Morris CG, et al. Analysis of the pediatric radiotherapy landscape in Mexico and a subsequent educational e‐contouring intervention. JCO Glob Oncol. 2023;9:e2200372.
Guzman CP, Cordoba MA, Godoy N, et al. Childhood cancer in Latin America: from detection to palliative care and survivorship. Cancer Epidemiol. 2021;71:101837.
McNeil MJ, Ehrlich BS, Wang H, et al. Physician perceptions of palliative care for children with cancer in Latin America. JAMA Netw Open. 2022;5:e221245.
Sneha L, Narasimhan S, Scott JX, Shuba S, Rajakumar PS, Rani A. Choice of place of the death of children with cancer during end‐of‐life care—parent's perspectives in a developing country. Indian J Palliat Care. 2023;29:407‐411.
Garcia WCG, Rivas S, Paz G, et al. Pediatric oncology palliative care programs in Central America: pathways to success. Children‐Basel. 2021;8:1031.
Knops RRG, van Dalen EC, Mulder RL, et al. The volume effect in paediatric oncology: a systematic review. Ann Oncol. 2013;24:1749‐1753.
Moreno F, Rose A, Chaplin MA, et al. Childhood liver tumors in Argentina: incidence trend and survival by treatment center. A report from the national pediatric cancer registry, ROHA network 2000–2015. Pediatr Blood Cancer. 2020;67:e28583.
Mayta‐Tristan P, Dulanto‐Pizzorni A, Miranda JJ. Low wages and brain drain: an alert from Peru. Lancet. 2008;371:1577.
Ramirez O, Aristizabal P, Piedrahita V, Desbrandes F, Bravo L, Grp VW. Childhood cancer survival gap by health insurance type in Colombia: a report from Vigicancer Surveillance System. Pediatr Blood Cancer. 2021;68:S47‐S48.
Fraser B. Addressing abandonment of childhood cancer treatment in Latin America. Lancet Child Adolesc. 2019;3:762‐763.
Balmant NV, de Souza Reis R, de Oliveira Santos M, de Camargo B, Gatta G. Rare cancers in childhood and adolescence in Brazil: first report of data from 19 population‐based cancer registries. Cancer. 2019;125:2638‐2646.
Fedorovsky JM, Cuervo LG, Luciani S. Pediatric cancer registries in Latin America: the case of Argentina's pediatric cancer registry. Rev Panam Salud Publica. 2017;41:e152.
Ramirez O, Piedrahita V, Ardila J, et al. Primary central nervous system tumors survival in children in ten Colombian cities: a VIGICANCER report. Front Oncol. 2024;13:1326788.
Bustamante LU, Acosta AC, Perico DE, Grynszpancholc E. Shortages of essential medications for children with cancer in Colombia. Lancet Oncol. 2021;22:1343‐1345.
da Silva JB Jr. A call to action: strengthening services to improve childhood cancer survival in Latin America and the Caribbean. Rev Panam Salud Publica. 2023;47:e157.