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The problem of treatment abandonment in children from developing countries with cancer.

dc.contributor.authorArora, Ramandeep Singh
dc.contributor.authorEden, Tim O B
dc.contributor.authorPizer, Barry
dc.date.accessioned2009-06-19T14:00:29Z
dc.date.available2009-06-19T14:00:29Z
dc.date.issued2007-12
dc.identifier.citationThe problem of treatment abandonment in children from developing countries with cancer. 2007, 49 (7):941-6 Pediatr Blood Canceren
dc.identifier.issn1545-5009
dc.identifier.pmid17252565
dc.identifier.doi10.1002/pbc.21127
dc.identifier.urihttp://hdl.handle.net/10541/71020
dc.description.abstractBACKGROUND: There is an inequality gap between the outcome of childhood cancer in resource, rich and limited countries. Abandonment of treatment is one of the reasons for this. PROCEDURE: We searched the medical literature for evidence on abandonment, its causes, and any preventative interventions. RESULTS: Abandonment is a very real problem all across the developing world. Cancers associated with poorer prognosis seem to have higher abandonment rates. It is also related to the socio-economic and educational status of parents, travel time to treatment centers, and affordable, locally available treatment. CONCLUSIONS: Twinning between institutions, which includes several preventative interventions, has clearly been shown to work.
dc.language.isoenen
dc.subjectChildhood Canceren
dc.subjectAbandonmenten
dc.subjectPediatricsen
dc.subject.meshChild
dc.subject.meshContinuity of Patient Care
dc.subject.meshDeveloping Countries
dc.subject.meshHealthcare Disparities
dc.subject.meshHumans
dc.subject.meshInternational Cooperation
dc.subject.meshMedically Underserved Area
dc.subject.meshNeoplasms
dc.subject.meshOutcome and Process Assessment (Health Care)
dc.subject.meshPoverty
dc.subject.meshPrognosis
dc.subject.meshRefusal to Treat
dc.subject.meshSocioeconomic Factors
dc.subject.meshWithholding Treatment
dc.titleThe problem of treatment abandonment in children from developing countries with cancer.en
dc.typeArticleen
dc.contributor.departmentRoyal Manchester Children's Hospital, Manchester, United Kingdom. reemaraman@doctors.org.uken
dc.identifier.journalPediatric Blood & Canceren
html.description.abstractBACKGROUND: There is an inequality gap between the outcome of childhood cancer in resource, rich and limited countries. Abandonment of treatment is one of the reasons for this. PROCEDURE: We searched the medical literature for evidence on abandonment, its causes, and any preventative interventions. RESULTS: Abandonment is a very real problem all across the developing world. Cancers associated with poorer prognosis seem to have higher abandonment rates. It is also related to the socio-economic and educational status of parents, travel time to treatment centers, and affordable, locally available treatment. CONCLUSIONS: Twinning between institutions, which includes several preventative interventions, has clearly been shown to work.


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