1
|
Cotache-Condor C, Kantety V, Grimm A, Williamson J, Landrum KR, Schroeder K, Staton C, Majaliwa E, Tang S, Rice HE, Smith ER. Determinants of delayed childhood cancer care in low- and middle-income countries: A systematic review. Pediatr Blood Cancer 2023; 70:e30175. [PMID: 36579761 DOI: 10.1002/pbc.30175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 11/22/2022] [Accepted: 11/28/2022] [Indexed: 12/30/2022]
Abstract
Early access to care is essential to improve survival rates for childhood cancer. This study evaluates the determinants of delays in childhood cancer care in low- and middle-income countries (LMICs) through a systematic review of the literature. We proposed a novel Three-Delay framework specific to childhood cancer in LMICs by summarizing 43 determinants and 24 risk factors of delayed cancer care from 95 studies. Traditional medicine, household income, lack of transportation, rural population, parental education, and travel distance influenced most domains of our framework. Our novel framework can be used as a policy tool toward improving cancer care and outcomes for children in LMICs.
Collapse
Affiliation(s)
| | - Vinootna Kantety
- Department of Public Health, Baylor University, Waco, Texas, USA
| | - Andie Grimm
- Birmingham's Institute for Cancer Outcomes and Survivorship, University of Alabama, Birmingham, Alabama, USA
| | | | - Kelsey R Landrum
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Kristin Schroeder
- Division of Pediatric Oncology, Department of Pediatrics, Duke University, Durham, North Carolina, USA
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
| | - Catherine Staton
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
- Division of Emergency Medicine, Department of Surgery, Duke School of Medicine, Duke University, Durham, North Carolina, USA
| | - Esther Majaliwa
- Division of Pediatric Oncology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania
| | - Shenglan Tang
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
| | - Henry E Rice
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
- Division of Pediatric Surgery, Department of Surgery, Duke School of Medicine, Duke University, Durham, North Carolina, USA
| | - Emily R Smith
- Duke Global Health Institute, Duke University, Durham, North Carolina, USA
- Division of Emergency Medicine, Department of Surgery, Duke School of Medicine, Duke University, Durham, North Carolina, USA
| |
Collapse
|
3
|
Pritchard-Jones K, de C V Abib S, Esiashvili N, Kaspers GJL, Rosser J, Van Doorninck JA, Braganca JML, Hoffman RI, Rodriguez-Galindo C, Adams C, Connor SR, Abdelhafeez AH, Bouffet E, Howard SC, Challinor JM, Hessissen L, Dalvi RB, Kearns P, Chantada GL, Frazier LA, Sullivan MJ, Schulte FSM, Morrissey LK, Kozhaeva O, Luna-Fineman S, Khan MS. The threat of the COVID-19 pandemic on reversing global life-saving gains in the survival of childhood cancer: a call for collaborative action from SIOP, IPSO, PROS, WCC, CCI, St Jude Global, UICC and WHPCA. Ecancermedicalscience 2021; 15:1187. [PMID: 33777180 PMCID: PMC7987488 DOI: 10.3332/ecancer.2021.1187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Indexed: 11/22/2022] Open
Abstract
The COVID-19 pandemic poses an unprecedented health crisis in all socio-economic regions across the globe. While the pandemic has had a profound impact on access to and delivery of health care by all services, it has been particularly disruptive for the care of patients with life-threatening noncommunicable diseases (NCDs) such as the treatment of children and young people with cancer. The reduction in child mortality from preventable causes over the last 50 years has seen childhood cancer emerge as a major unmet health care need. Whilst survival rates of 85% have been achieved in high income countries, this has not yet been translated into similar outcomes for children with cancer in resource-limited settings where survival averages 30%. Launched in 2018, by the World Health Organization (WHO), the Global Initiative for Childhood Cancer (GICC) is a pivotal effort by the international community to achieve at least 60% survival for children with cancer by 2030. The WHO GICC is already making an impact in many countries but the disruption of cancer care during the COVID-19 pandemic threatens to set back this global effort to improve the outcome for children with cancer, wherever they may live. As representatives of the global community committed to fostering the goals of the GICC, we applaud the WHO response to the COVID-19 pandemic, in particular we support the WHO’s call to ensure the needs of patients with life threatening NCDs including cancer are not compromised during the pandemic. Here, as collaborative partners in the GICC, we highlight specific areas of focus that need to be addressed to ensure the immediate care of children and adolescents with cancer is not disrupted during the pandemic; and measures to sustain the development of cancer care so the long-term goals of the GICC are not lost during this global health crisis.
Collapse
Affiliation(s)
- Kathy Pritchard-Jones
- UCL Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1E, United Kingdom.,International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland
| | - Simone de C V Abib
- Division of Pediatric Surgery, Pediatric Oncology Institute (GRAACC), Federal University of São Paulo, Rua Pedro de Toledo, 572, 04039-001 São Paulo, Brazil.,International Society of Paediatric Surgical Oncology (IPSO), Tienrayseweg 10, 5961NL Horst, The Netherlands
| | - Natia Esiashvili
- Department of Radiation Oncology, Winship Cancer Institute at Emory University, 1365 Clifton Road, NE, Atlanta, GA 30322, USA.,Paediatric Radiation Oncology Society (PROS), 28 rue Laennec, F-69373 Lyon, Cedex 08, France
| | - Gertjan J L Kaspers
- Academy and Outreach, Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, NL-3584 CS Utrecht, The Netherlands.,Department of Pediatric Oncology, Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1118, 1081 HV Amsterdam, The Netherlands.,World Child Cancer (WCC), The Netherlands, P.O. Box 113, 3720 AC Bilthoven, The Netherlands
| | - Jon Rosser
- World Child Cancer (WCC) UK, 9 Maltings Place, London SE1 3JB, UK
| | - John A Van Doorninck
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Rocky Mountain Hospital for Children, 2055 High Street, #340, Denver, CO 80211, USA.,World Child Cancer (WCC) USA, 1301 Arapahoe St Suite 105, Golden, CO 80401, USA
| | - João M L Braganca
- Childhood Cancer International (CCI), Kraijenhoffstraat 137A, 1018RG Amsterdam, The Netherlands
| | - Ruth I Hoffman
- Childhood Cancer International (CCI), Kraijenhoffstraat 137A, 1018RG Amsterdam, The Netherlands
| | - Carlos Rodriguez-Galindo
- Department of Global Medicine, St Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA
| | - Cary Adams
- Union for International Cancer Control (UICC), 31-33 Avenue Giuseppe Motta, 1202 Geneva, Switzerland
| | - Stephen R Connor
- Worldwide Hospice Palliative Care Alliance (WHPCA), 10990 Rice Field Pl, Fairfax Station, VA 22039, USA
| | - Abdelhafeez H Abdelhafeez
- International Society of Paediatric Surgical Oncology (IPSO), Tienrayseweg 10, 5961NL Horst, The Netherlands.,Department of Surgery, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA
| | - Eric Bouffet
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Division of Haematology/Oncology, University of Toronto, The Hospital for Sick Children, 555 University Ave, M5G 1X8, Toronto, Canada
| | - Scott C Howard
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Department of Acute and Tertiary Care, University of Tennessee Health Science Center, Memphis, TN 38103, USA
| | - Julia M Challinor
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,School of Nursing, University of California San Francisco, 36 Rockview Dr., Santa Cruz, CA 95062, USA
| | - Laila Hessissen
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Department of Pediatric Hematology and Oncology, Children Hospital of Rabat, Mohamed V university of Rabat, Ibn Rochd avenue, Rabat 6542, Morocco
| | - Rashmi B Dalvi
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Department of Pediatrics and Pediatric Hematology Oncology, Bombay Hospital Institute of Medical sciences, street 20, New Marine lines, Mumbai 400020, India
| | - Pamela Kearns
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Institute of Cancer and Genomic Sciences, NIHR Birmingham Biomedical Research Centre, University of Birmingham, Vincent Drive, Birmingham B15 2TT, UK.,European Society for Paediatric Oncology (SIOP Europe), Clos Chapelle-aux-Champs 30, 1200 Brussels, Belgium
| | - Guillermo L Chantada
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Department of Hematology-Oncology, Hospital Pereira Rossell-Fundacion Perez-Scremini (secondary: Hospital Sant Joan De Deu), Bulevar Artigas 1556, 11600 Montevideo, Uruguay
| | - Lindsay A Frazier
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Department of Pediatric Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02115, USA
| | - Michael J Sullivan
- International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Children's Cancer Centre and Department of Paediatrics, Royal Children's Hospital and University of Melbourne, 50 Flemington Road, Parkville 3052, Melbourne, Australia.,Paediatric Oncology in Developing Countries (PODC) Committee, International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland
| | - Fiona S M Schulte
- Department of Oncology, Division of Psychosocial Oncology, University of Calgary, 2202 2 St., T2S 3C3, Calgary, Canada.,Paedatric Psycho-Oncology (PPO) Committee, International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland
| | - Lisa K Morrissey
- Nursing and Patient Services, Division of Hematology/Oncology/HSCT, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.,Nursing Committee, International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland
| | - Olga Kozhaeva
- Policy Affairs, European Society for Paediatric Oncology (SIOP Europe), Clos Chapelle-aux-Champs 30, 1200 Brussels, Belgium
| | - Sandra Luna-Fineman
- Paediatric Oncology in Developing Countries (PODC) Committee, International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Division of Hematology/Oncology/SCT, Department of Pediatrics, Children's Hospital Colorado, U Colorado, 13123 E 16th Ave, B115, Aurora, CO 80045, USA
| | - Muhammad S Khan
- Paediatric Oncology in Developing Countries (PODC) Committee, International Society of Paediatric Oncology (SIOP), Industriestrasse 25, 6312 Steinhausen, Switzerland.,Pediatric Hematology and Oncology Division, Tawam Hospital, Al Ain (Abu Dhabi), PO Box 15258, United Arab Emirates
| |
Collapse
|