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Dublin Core
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Title
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2020 Developing World List
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Citation List Month
Developing World 2020 List
URL Address
<a href="http://doi.org/10.1016/j.canep.2020.101837" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.canep.2020.101837</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Childhood cancer in Latin America: from detection to palliative care and survivorship
Publisher
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Cancer Epidemiology
Date
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2020
Subject
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pediatrics; cancer; pediatric palliative care; Latin America; survivorship
Creator
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Guzman C Pc; Cordoba M A; Godoy N; Castaño A; Ribeiro K B; Moreno F; de Vries E
Description
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BACKGROUND: Treatment options for childhood cancer have improved substantially, although in many low- and middle-income countries survival is lagging behind. Integral childhood cancer care involves the whole spectrum from detection and diagnosis to palliative and survivorship care. METHODS: Based on a literature review and expert opinions, we summarized current practice and recommendations on the following aspects of childhood cancer in Latin America: diagnostic processes and time to diagnosis, stage at diagnosis, treatments and complications, survivorship programs and palliative care and end-of-life services. RESULTS: Latin America is a huge and heterogeneous continent. Identified barriers show similar problems between countries, both logistically (time and distance to centers, treatment interruptions) and financially (cost of care, cost of absence from work). Governmental actions in several countries improved the survival of children with cancer, but difficulties persist in timely diagnosis and providing adequate treatment to all childhood cancer patients in institutions with complete infrastructure. Treatment abandonment is still common, although the situation is improving. Cancer care in the region has mostly focused on acute treatment of the disease and has not adequately considered palliative and end-of-life care and monitoring of survivors. CONCLUSIONS: Decentralizing diagnostic activities and centralizing specialized treatment will remain necessary; measures to facilitate logistics and costs of transportation of the child and caretakers should be implemented. Twinning actions with specialized centers in high income countries for help in diagnosis, treatment and education of professionals and family members have been shown to work. Palliative and end-of-life care as well as childhood cancer survivorship plans are needed.
Identifier
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<a href="http://doi.org/10.1016/j.canep.2020.101837" target="_blank" rel="noreferrer noopener">10.1016/j.canep.2020.101837</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Cancer
Cancer Epidemiology
Castaño A
Cordoba M A
de Vries E
Developing World 2020 List
Godoy N
Guzman C Pc
Latin America
Moreno F
Pediatric Palliative Care
Pediatrics
Ribeiro K B
Survivorship