Artigo Produção Nacional Revisado por pares

Improving childhood cancer care in Latin America and the Caribbean: a PAHO Childhood Cancer Working Group position statement

2017; Elsevier BV; Volume: 18; Issue: 6 Linguagem: Inglês

10.1016/s1470-2045(17)30325-x

ISSN

1474-5488

Autores

Avram Denburg, Cristóbal Cuadrado, Cheryl Alexis, Federico Antillón‐Klussmann, José Carlos Barrantes Zamora, Curt Bodkyn, Myriam Campbell Bull, Gustavo Dufort y Álvarez, Latoya Gooding, Tezer Kutluk, Silvana Luciani, Jessyca Karina Manner Marcillo, Sandro José Martins, Monika L. Metzger, Anyul Milena Vera, Florencia Moreno, Jabibi Noguera, Armando Peña Hernandez, Karina Quintero Delgado, Michelle-Ann Richards-Dawson, Marcelo Scopinaro, Jaime Shalkow Klincovstein, Corrine Sinquee-Brown, Amaranto Suárez, Julie Torode, C. FERNANDEZ, Roberto Vásquez, Sumit Gupta,

Tópico(s)

Global Cancer Incidence and Screening

Resumo

Most children with cancer live and die in low-income and middle-income countries (LMICs). Medical and health system advances have brought cure to more than 80% of children with cancer in high-income countries (HICs), 1 Ellison LF Pogany L Mery LS Childhood and adolescent cancer survival: a period analysis of data from the Canadian Cancer Registry. Eur J Cancer. 2007; 43: 1967-1975 Summary Full Text Full Text PDF PubMed Scopus (61) Google Scholar but such advances have eluded children in most LMICs, where inequities can yield cure percentages anywhere from 5% to 60%. 2 Rodriguez-Galindo C Friedrich P Alcasabas P et al. Toward the cure of all children with cancer through collaborative efforts: pediatric oncology as a global challenge. J Clin Oncol. 2016; 33: 3065-3073 Crossref Scopus (231) Google Scholar Multiple factors contribute to the inadequate care of childhood cancers in LMICs, including resource scarcity, health system fragility, limited provider awareness, and absence of political attention. 3 Gupta S Rivera-Luna R Ribeiro R Howard S Pediatric oncology as the next global child health priority: the need for national childhood cancer strategies in low- and middle-income countries. PLoS Med. 2014; 11: e1001656 Crossref PubMed Scopus (83) Google Scholar These conditions are abetted by a lack of sustained political attention to childhood cancer at the international level. Despite a growing global burden of non-communicable diseases (NCDs), calls by global health governance institutions to address NCDs have largely failed to address the plight of children with cancer in LMICs.

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