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Challinor J, Davidson A, Chantada G, Kebudi R, Pritchard-Jones K. The role of International Society of Paediatric Oncology (SIOP) in advancing global childhood cancer care. Ecancermedicalscience 2024; 18:1678. [PMID: 38439802 PMCID: PMC10911668 DOI: 10.3332/ecancer.2024.1678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Indexed: 03/06/2024] Open
Abstract
The Société Internationale d'Oncologie Pédiatrique [International Society of Paediatric Oncology] (SIOP), founded in 1969, aims to improve the lives of children and adolescents with cancer through global collaboration, education, training, research and advocacy. The annual congress provides the opportunity to share late-breaking research, clinical experiences and debate, with experts worldwide. SIOP's six Continental Branches represent their constituent members in North America, Oceania, Latin America, Africa, Europe and Asia and bring best practices and recent research findings of value to their specific patient populations. In 1990, the SIOP Board of Directors addressed the formerly predominantly European/North American society transforming into a global association by establishing a scholarship program to bring low- and middle-income country (LMIC) paediatric oncologists and nurses to SIOP meetings. A major achievement was SIOP's acceptance as a World Health Organisation (WHO) non-state actor in official relations in 2018, joining 220 non-governmental organisations, international business associations and philanthropic foundations with this privilege. SIOP supports advocacy with WHO member states and civil society to highlight the specific needs of cancer in this age-group through key programs especially supporting the WHO Global Initiative for Childhood Cancer. Sustained improvement in childhood cancer outcomes has paralleled the integration of research with care; thus, SIOP launched a Programme for Advancing Research Capacity for funding selected clinical trial groups in LMICs. SIOP supports south-south partnerships, and the principles elegantly expressed in SIOP Africa's checklist for co-branding projects, that include the prioritisation of local needs, cultivation of local expertise and commitment to equitable partnerships. SIOP now counts approximately 3,000 members from over 128 countries; 39% are from more than 60 LMICs. SIOP members have multidisciplinary expertise on all aspects of childhood cancer care working in collaboration with key stakeholders including governments, civil society organisations and funders to improve the lives of children/adolescents with cancer everywhere in all ways.
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Affiliation(s)
- Julia Challinor
- School of Nursing, University of California San Francisco, 2 Koret Way, San Francisco, CA 94143, USA
- https://orcid.org/0000-0002-5008-8501
| | - Alan Davidson
- Pediatric Hematology-Oncology Service, Red Cross War Memorial Children’s Hospital, University of Cape Town, Rondebosch, Cape Town 7700, South Africa
- https://orcid.org/0000-0002-4646-4332
| | - Guillermo Chantada
- Department of Pediatric Oncology, Hospital Sant Joan de Deu, Pg de Sant Joan de Déu, 2, Esplugues de Llobregat, 08950 Barcelona, Spain
- Departamento de Montevideo, Fundación Perez Scremini, Bv Gral Artigas 1556, Montevideo 11600, Uruguay
- https://orcid.org/0000-0002-9375-9336
| | - Rejin Kebudi
- Division of Pediatric Hematology-Oncology, Department of Clinical Oncology, Oncology Institute, Topkapı, Turgut Özal Millet Cd No:118, 34093 Fatih/Istanbul, Turkey
- Division of Pediatric Hematology-Oncology, Department of Preventive Oncology, Oncology Institute, Topkapı, Turgut Özal Millet Cd No:118, 34093 Fatih/Istanbul, Turkey
- https://orcid.org/0000-0003-4344-8174
| | - Kathy Pritchard-Jones
- University College London Great Ormond Street Institute of Child Health, 30 Guilford St, WC1N 1EH London, UK
- https://orcid.org/0000-0002-2384-9475
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van Heerden J, Lisa Christine I, Downing J, Davidson A, Hessissen L, Schoeman J, Ladas EJ, Abdelhafeez H, Georgia Odongo Arao S, Fentie AM, Kamal S, Parkes J, Naiker T, Ludick A, Balagadde-Kambugu J, Geel J. Current status of African pediatric oncology education efforts aligned with the Global Initiative for Childhood Cancer. Pediatr Hematol Oncol 2023; 40:224-241. [PMID: 36083006 DOI: 10.1080/08880018.2022.2117882] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 08/01/2022] [Accepted: 08/20/2022] [Indexed: 10/14/2022]
Abstract
Education of the pediatric oncology workforce is an important pillar of the World Health Organization CureAll technical package. This is not only limited to healthcare workers, but all stakeholders in the childhood cancer management process. It includes governmental structures, academic institutions, parents and communities. This review evaluated the current educational and advocacy training resources available to the childhood cancer community, the contribution of SIOP Africa in the continental educational needs and evaluated future needs to improve the management of pediatric malignancies in reaching the Global Initiative for Childhood Cancer goals. Childhood cancer, unlike adult cancers, has not been prioritized in African cancer control plans nor the teaching and advocacy surrounding pediatric oncology. The availability of formal training programs for pediatric oncologists, pediatric surgeons and radiotherapy specialists are limited to particular countries. In pharmacy and nutritional services, the exposure to pediatric oncology is limited while training in advocacy doesn't exist. Many nonacademic stakeholders are creating the opportunities in Africa to gain experience and train in these various fields, but formal training programs should still be advocated for. LEARNING POINTSThe African continent has various resources to increase the capacity of childhood cancer care stakeholders to increase their knowledge.African pediatric oncology teams rely on a multitude of international sources for training while developing their own.There is a greater need for formal, standardized cancer training especially for pediatric surgeons, radio-oncologists and nurses.Greater inclusion of pathologists, pediatric oncology pharmacists and dieticians into multidisciplinary care and childhood cancer training should be facilitated and resourced.Successful advocacy programs and tool kits exist in parts of Africa, but the training in advocacy is still underdeveloped.
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Affiliation(s)
- Jaques van Heerden
- Pediatric Hematology and Oncology, Department of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
- Pediatric Hematology and Oncology, Department of Pediatrics, Antwerp University Hospital, Antwerp, Belgium
- Department of Pediatric Oncology, Uganda Cancer Institute, Kampala, Uganda
| | - Irumba Lisa Christine
- Advocacy and Research Officer, Palliative Care Association of Uganda, Kampala, Uganda
| | - Julia Downing
- International Children's Palliative Care Network, Bristol, UK
- Palliative care Education and Research Consortium, Kampala, Uganda
| | - Alan Davidson
- Pediatric Hematology-Oncology Service, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa
| | - Laila Hessissen
- Pediatric Oncology Department, Children's Hospital, University Mohammed V, Rabat, Morocco
| | - Judy Schoeman
- Department of Pediatrics and Child Health, Stellenbosch University, Stellenbosch, South Africa
| | - Elena J Ladas
- Division of Pediatric Hematology, Oncology and Stem Cell Transplant, Columbia University Irving Medical Center, New York, New York, USA
| | - Hafeez Abdelhafeez
- Department of Surgery, St. Jude Children Research Hospital, Memphis, Tennessee, USA
| | | | - Atalay Mulu Fentie
- Tikur Anbessa Specialized Hospital, School of Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia
| | - Sherif Kamal
- Pharmacy Manager, Children's Hospital, Cairo, Egypt
| | - Jeannette Parkes
- Department of Radiation Oncology, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
| | - Thurandrie Naiker
- Department of Radiation Oncology, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
| | - Adri Ludick
- Program Development Manager, Childhood Cancer Foundation South Africa (CHOC) National Office, Johannesburg, South Africa
| | | | - Jennifer Geel
- University of the Witwatersrand, Division of Pediatric Hematology-Oncology, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa
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Li LB, Wang LY, Chen DM, Liu YX, Zhang YH, Song WX, Shen XB, Fang SQ, Ma ZY. A systematic analysis of the global and regional burden of colon and rectum cancer and the difference between early- and late-onset CRC from 1990 to 2019. Front Oncol 2023; 13:1102673. [PMID: 36874104 PMCID: PMC9975717 DOI: 10.3389/fonc.2023.1102673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Accepted: 01/26/2023] [Indexed: 02/17/2023] Open
Abstract
The burden of colorectal cancer (CRC) varies substantially across different geographical locations. However, there was no further quantitative analysis of regional social development and the disease burden of CRC. In addition, the incidence of early- and late-onset CRC has increased rapidly in developed and developing regions. The main purpose of this study was to investigate the trends in CRC burden across different regions, in addition to the epidemiological differences between early and late-onset CRC and their risk factors. In this study, estimated annual percentage change (EAPC) was employed to quantify trends in age-standardized incidence rate (ASIR), mortality rate, and disability-adjusted life-years. Restricted cubic spline models were fitted to quantitatively analyze the relationship between trends in ASIR and Human Development Index (HDI). In addition, the epidemiological characteristics of early- and late-onset CRC were investigated using analyses stratified by age groups and regions. Specifically, meat consumption and antibiotic use were included to explore the differences in the risk factors for early- and late-onset CRC. The quantitative analysis showed that the ASIR of CRC was exponentially and positively correlated with the 2019 HDI in different regions. In addition, the growing trend of ASIR in recent years varied substantially across HDI regions. Specifically, the ASIR of CRC showed a significant increase in developing countries, while it remained stable or decreased in developed countries. Moreover, a linear correlation was found between the ASIR of CRC and meat consumption in different regions, especially in developing countries. Furthermore, a similar correlation was found between the ASIR and antibiotic use in all age groups, with different correlation coefficients for early-onset and late-onset CRC. It is worth mentioning that the early onset of CRC could be attributable to the unrestrained use of antibiotics among young people in developed countries. In summary, for better prevention and control of CRC, governments should pay attention to advocate self-testing and hospital visits among all age groups, especially among young people at high risk of CRC, and strictly control meat consumption and the usage of antibiotics.
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Affiliation(s)
- Liu-Bo Li
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Li-Yu Wang
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Da-Ming Chen
- Shanghai Information Center for Life Sciences, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China
| | - Ying-Xia Liu
- Shanghai Information Center for Life Sciences, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China
| | - Yuan-Hui Zhang
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Wei-Xiang Song
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Xu-Bo Shen
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Sheng-Quan Fang
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Zheng-Yuan Ma
- Shanghai Information Center for Life Sciences, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China
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Lombe D, M'ule BC, Msadabwe SC, Chanda E. Gynecological radiation oncology in sub-Saharan Africa: status, problems and considerations for the future. Int J Gynecol Cancer 2022; 32:451-456. [DOI: 10.1136/ijgc-2021-002461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 12/16/2021] [Indexed: 11/04/2022] Open
Abstract
Gynecological malignancies in Africa form a significant part of the burden of disease. The high prevalence of HIV in some countries creates a heightened risk for development of human papilloma virus related cancers such as cervical, vulval and vaginal cancers. Radiotherapy is an important modality of treatment for cancer and in Africa compensates for the lack of adequate surgical services for a large proportion of cancers as well as being a cornerstone of treatment for locally advanced cancers and palliation. In this review we look at the status of radiotherapy services in sub-Saharan Africa and critical factors that influence its delivery with a focus on gynecological malignancies. This unveils that radiotherapy for gynecological cancers in sub-Saharan Africa is a significant example of the need for a holistic development approach across different sectors of the economy and different disciplines of medicine. The complexity of its management continues to expose the underdevelopment of health and financial systems and the lack of universal health coverage and social systems as we continue to see unnecessary morbidity and mortality due to the lack of organization. More systematic and scientifically robust investigations tailored to the various sub-Saharan Africa countries need to be conducted to elicit disruptive local solutions to the status quo.
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