International Society of Paediatric Oncology (SIOP) Global Mapping Program: Analysis of healthcare centers in countries of the Latin American Society of Pediatric Oncology (SLAOP)
Por:
Gorostegui-Obanos M, Chantada L, Filho NPC, Gonzalez-Ramella O, Serrano B MJ, Valencia D, Sampor C, Macedo C, Ramirez O, Sardinas S, Lezcano E, Calderón P, Gamboa Y, Fu L, Gómez W, Schelotto M, Ugaz C, Lobos P, Moreno K, Palma J, Sánchez G, Moschella F, Gassant PYH, Velasquez T, Quintero K, Forteza M, Villarroel M, Moreno F, Alabi SF, Vasquez L, Lowe J, Cappellano A, Challinor J and Chantada G
Publicada:
1 nov 2024
Ahead of Print:
1 ago 2024
Resumen:
BackgroundThe 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.MethodsA 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.ResultsTotal 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.ConclusionsMost 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.
Filiaciones:
Gorostegui-Obanos M:
Pediatric Cancer Center Barcelona (PCCB), Hospital Sant Joan de Deu, Barcelona, Spain
Chantada L:
Hospital Italiano, Buenos Aires, Argentina
Filho NPC:
SOBOPE (Sociedade Brasileira de Oncologia Pediátrica), Santa Marcelina Saude - TUCCA (Associação de crianças e adolescentes com Câncer), São Paulo, Brazil
Gonzalez-Ramella O:
Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Mexico
Serrano B MJ:
Clínica Foscal, Floridablanca, Santander, Colombia
Valencia D:
Hospital Universitario de Santander, Bucaramanga, Colombia
IMAT Oncomedica AUNA, Monteria, Colombia
Sampor C:
Resonance, Inc., Memphis, USA
Macedo C:
Institute of Pediatric Oncology (IOP/GRAACC), São Paulo, Brazil
Ramirez O:
Fundación POHEMA, Cali, Colombia
Sardinas S:
Hospital del Niño Dr Ovidio Aliaga Uria, La Paz, Bolivia
Lezcano E:
Hospital Central Del Instituto de Previsión Social (IPS), Asunción, Paraguay
Calderón P:
Hospital Infantil Manuel de Jesús Rivera, Managua, Nicaragua
Gamboa Y:
Oncology Unit, National Children's Hospital, San José, Costa Rica
Fu L:
Hospital Escuela, Tegucigalpa, Honduras
Gómez W:
National Cancer Institute-INCART, Santo Domingo, Dominican Republic
Schelotto M:
Hospital Pereira Rosell, Fundación Pérez-Scremini, Montevideo, Uruguay
Ugaz C:
Instituto Nacional de Enfermedades Neoplasicas, Lima, Perú
Lobos P:
Hospital Italiano, Buenos Aires, Argentina
Moreno K:
Hospital Verdi Cevallos Balda, Portoviejo, Ecuador
Palma J:
Programa Nacional de Cáncer Infantil, Ministerio de Salud, Santiago, Chile
Sánchez G:
Hospital SOLCA, Quito, Ecuador
Moschella F:
Hospital Universitario Dr Luis Razetti, Barcelona Edo Anzoategui, Venezuela
Gassant PYH:
Nos Petits Frères et Sœurs/Hôpital Saint-Damien, Port-au-Prince, Haiti
Velasquez T:
Unidad Nacional de Oncologia Pediátrica (UNOP), Guatemala City, Guatemala
Quintero K:
Children's Hospital Dr Jose Renan Esquivel, Panama City, Panama
Forteza M:
Instituto de Oncología y Radiobiología, La Habana, Cuba
Villarroel M:
Hospital Calvo Mackenna, Santiago, Chile
Moreno F:
Instituto Nacional del Cancer, Buenos Aires, Argentina
Alabi SF:
Hospital Nacional de Niños Benjamin Bloom y Centro Medico Ayudame a Vivir, San Salvador, El Salvador
Vasquez L:
Unit of Noncommunicable Diseases, Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization/World Health Organization, Washington, District of Columbia, USA
Lowe J:
Resonance, Inc., Memphis, USA
Cappellano A:
Institute of Pediatric Oncology (IOP/GRAACC), São Paulo, Brazil
Challinor J:
University of California San Francisco, San Francisco, California, USA
Chantada G:
Pediatric Cancer Center Barcelona (PCCB), Hospital Sant Joan de Deu, Barcelona, Spain
Hospital Pereira Rosell, Fundación Pérez-Scremini, Montevideo, Uruguay
hybrid
|