Baseline status of paediatric oncology care in ten low-income or mid-income countries receiving My Child Matters support: a descriptive study.

2.50
Hdl Handle:
http://hdl.handle.net/10541/58682
Title:
Baseline status of paediatric oncology care in ten low-income or mid-income countries receiving My Child Matters support: a descriptive study.
Authors:
Ribeiro, Raul C; Steliarova-Foucher, Eva; Magrath, Ian; Lemerle, Jean; Eden, Tim O B; Forget, Caty; Mortara, Isabel; Tabah-Fisch, Isabelle; Divino, Jose Julio; Miklavec, Thomas; Howard, Scott C; Cavalli, Franco
Abstract:
BACKGROUND: Childhood-cancer survival is dismal in most low-income countries, but initiatives for treating paediatric cancer have substantially improved care in some of these countries. The My Child Matters programme was launched to fund projects aimed at controlling paediatric cancer in low-income and mid-income countries. We aimed to assess baseline status of paediatric cancer care in ten countries that were receiving support (Bangladesh, Egypt, Honduras, Morocco, the Philippines, Senegal, Tanzania, Ukraine, Venezuela, and Vietnam). METHODS: Between Sept 5, 2005, and May 26, 2006, qualitative face-to-face interviews with clinicians, hospital managers, health officials, and other health-care professionals were done by a multidisciplinary public-health research company as a field survey. Estimates of expected numbers of patients with paediatric cancer from population-based data were used to project the number of current and future patients for comparison with survey-based data. 5-year survival was postulated on the basis of the findings of the interviews. Data from the field survey were statistically compared with demographic, health, and socioeconomic data from global health organisations. The main outcomes were to assess baseline status of paediatric cancer care in the countries and postulated 5-year survival. FINDINGS: The baseline status of paediatric oncology care varied substantially between the surveyed countries. The number of patients reportedly receiving medical care (obtained from survey data) differed markedly from that predicted by population-based incidence data. Management of paediatric cancer and access to care were poor or deficient (ie, nonexistent, unavailable, or inconsistent access for most children with cancer) in seven of the ten countries surveyed, and accurate baseline data on incidence and outcome were very sparse. Postulated 5-year survival were: 5-10% in Bangladesh, the Philippines, Senegal, Tanzania, and Vietnam; 30% in Morocco; and 40-60% in Egypt, Honduras, Ukraine, and Venezuela. Postulated 5-year survival was directly proportional to several health indicators (per capita annual total health-care expenditure [Pearson's r(2)=0.760, p=0.001], per capita gross domestic product [r(2)=0.603, p=0.008], per capita gross national income [r(2)=0.572, p=0.011], number of physicians [r(2)=0.560, p=0.013] and nurses [r(2)=0.506, p=0.032] per 1000 population, and most significantly, annual government health-care expenditure per capita [r(2)=0.882, p<0.0001]). INTERPRETATION: Detailed surveys can provide useful data for baseline assessment of the status of paediatric oncology, but cannot substitute for national cancer registration. Alliances between public, private, and international agencies might rapidly improve the outcome of children with cancer in these countries.
Affiliation:
Department of Oncology and International Outreach Program, St Jude Children's Research Hospital, Memphis, TN 38105, USA. raul.ribeiro@stjude.org
Citation:
Baseline status of paediatric oncology care in ten low-income or mid-income countries receiving My Child Matters support: a descriptive study. 2008, 9 (8):721-9 Lancet Oncol.
Journal:
The Lancet Oncology
Issue Date:
Aug-2008
URI:
http://hdl.handle.net/10541/58682
DOI:
10.1016/S1470-2045(08)70194-3
PubMed ID:
18672210
Type:
Article
Language:
en
ISSN:
1474-5488
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorRibeiro, Raul C-
dc.contributor.authorSteliarova-Foucher, Eva-
dc.contributor.authorMagrath, Ian-
dc.contributor.authorLemerle, Jean-
dc.contributor.authorEden, Tim O B-
dc.contributor.authorForget, Caty-
dc.contributor.authorMortara, Isabel-
dc.contributor.authorTabah-Fisch, Isabelle-
dc.contributor.authorDivino, Jose Julio-
dc.contributor.authorMiklavec, Thomas-
dc.contributor.authorHoward, Scott C-
dc.contributor.authorCavalli, Franco-
dc.date.accessioned2009-04-01T23:06:47Z-
dc.date.available2009-04-01T23:06:47Z-
dc.date.issued2008-08-
dc.identifier.citationBaseline status of paediatric oncology care in ten low-income or mid-income countries receiving My Child Matters support: a descriptive study. 2008, 9 (8):721-9 Lancet Oncol.en
dc.identifier.issn1474-5488-
dc.identifier.pmid18672210-
dc.identifier.doi10.1016/S1470-2045(08)70194-3-
dc.identifier.urihttp://hdl.handle.net/10541/58682-
dc.description.abstractBACKGROUND: Childhood-cancer survival is dismal in most low-income countries, but initiatives for treating paediatric cancer have substantially improved care in some of these countries. The My Child Matters programme was launched to fund projects aimed at controlling paediatric cancer in low-income and mid-income countries. We aimed to assess baseline status of paediatric cancer care in ten countries that were receiving support (Bangladesh, Egypt, Honduras, Morocco, the Philippines, Senegal, Tanzania, Ukraine, Venezuela, and Vietnam). METHODS: Between Sept 5, 2005, and May 26, 2006, qualitative face-to-face interviews with clinicians, hospital managers, health officials, and other health-care professionals were done by a multidisciplinary public-health research company as a field survey. Estimates of expected numbers of patients with paediatric cancer from population-based data were used to project the number of current and future patients for comparison with survey-based data. 5-year survival was postulated on the basis of the findings of the interviews. Data from the field survey were statistically compared with demographic, health, and socioeconomic data from global health organisations. The main outcomes were to assess baseline status of paediatric cancer care in the countries and postulated 5-year survival. FINDINGS: The baseline status of paediatric oncology care varied substantially between the surveyed countries. The number of patients reportedly receiving medical care (obtained from survey data) differed markedly from that predicted by population-based incidence data. Management of paediatric cancer and access to care were poor or deficient (ie, nonexistent, unavailable, or inconsistent access for most children with cancer) in seven of the ten countries surveyed, and accurate baseline data on incidence and outcome were very sparse. Postulated 5-year survival were: 5-10% in Bangladesh, the Philippines, Senegal, Tanzania, and Vietnam; 30% in Morocco; and 40-60% in Egypt, Honduras, Ukraine, and Venezuela. Postulated 5-year survival was directly proportional to several health indicators (per capita annual total health-care expenditure [Pearson's r(2)=0.760, p=0.001], per capita gross domestic product [r(2)=0.603, p=0.008], per capita gross national income [r(2)=0.572, p=0.011], number of physicians [r(2)=0.560, p=0.013] and nurses [r(2)=0.506, p=0.032] per 1000 population, and most significantly, annual government health-care expenditure per capita [r(2)=0.882, p<0.0001]). INTERPRETATION: Detailed surveys can provide useful data for baseline assessment of the status of paediatric oncology, but cannot substitute for national cancer registration. Alliances between public, private, and international agencies might rapidly improve the outcome of children with cancer in these countries.en
dc.language.isoenen
dc.subjectPaediatric Oncologyen
dc.subjectPaediatric Cancer Careen
dc.subjectChildhood Canceren
dc.subjectLow-Incomeen
dc.subjectCancer Therapyen
dc.subject.meshChild-
dc.subject.meshChild Health Services-
dc.subject.meshChild Welfare-
dc.subject.meshChild, Preschool-
dc.subject.meshCross-Sectional Studies-
dc.subject.meshDeveloping Countries-
dc.subject.meshFemale-
dc.subject.meshFinancial Support-
dc.subject.meshHealth Care Surveys-
dc.subject.meshHealth Expenditures-
dc.subject.meshHumans-
dc.subject.meshIncome-
dc.subject.meshInfant-
dc.subject.meshMale-
dc.subject.meshMedical Oncology-
dc.subject.meshNeoplasms-
dc.subject.meshPediatrics-
dc.subject.meshProgram Evaluation-
dc.subject.meshRisk Assessment-
dc.subject.meshSocioeconomic Factors-
dc.subject.meshSurvival Analysis-
dc.titleBaseline status of paediatric oncology care in ten low-income or mid-income countries receiving My Child Matters support: a descriptive study.en
dc.typeArticleen
dc.contributor.departmentDepartment of Oncology and International Outreach Program, St Jude Children's Research Hospital, Memphis, TN 38105, USA. raul.ribeiro@stjude.orgen
dc.identifier.journalThe Lancet Oncologyen

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