Delivery of Pediatric Cancer Care in Mexico: A National Survey
| Autor: | Alfonso Reyes-López, Aracely Lopez-Facundo, Carlo Cicero-Oneto, Alberto Olaya Vargas, Maria de los Angeles del Campo-Martinez, Rafael Pineiro-Retif, Jaime Shalkow-Klincovstein, Juan Manuel Mejía-Aranguré, Kelly Brennan, Oscar Gonzalez-Ramella, Isidoro Tejocote, Christopher M. Booth, Lourdes Vega-Vega, Laura Rodriguez-Romo, Sumit Gupta |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Palliative care MEDLINE Nationwide survey lcsh:RC254-282 03 medical and health sciences 0302 clinical medicine Educational support Interquartile range Neoplasms Surveys and Questionnaires Original Reports medicine Humans 030212 general & internal medicine Child Mexico Response rate (survey) Case volume business.industry lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Pediatric cancer Oncology 030220 oncology & carcinogenesis Emergency medicine Female business |
| Zdroj: | Journal of Global Oncology Journal of Global Oncology, Vol 4, Pp 1-12 (2018) |
| ISSN: | 2378-9506 |
| DOI: | 10.1200/jgo.17.00238 |
| Popis: | Purpose Limited data describe the delivery of pediatric cancer care in Mexico. We report a nationwide survey of pediatric cancer units. Methods An electronic survey was distributed to 74 pediatric cancer units in Mexico to describe case volumes; organization of care; and availability of medical/surgical specialists, supportive care, complex therapies, and diagnostic services. Centers were classified as low (< 30 new patients/year), medium (30 to 59/year) and high (≥ 60/year). Results Sixty-two centers completed the survey (response rate, 84%). The median annual new case volume per center was 50 (interquartile range [IQR], 23 to 81). Thirty-four percent (n = 21), 26% (n = 16), and 40% (n = 25) of units were low-, medium-, and high-volume centers, respectively. Treatment units reported a median of two pediatric oncologists (IQR, 2) and one pediatric hematologist (IQR, 1 to 2). Availability of medical and surgical subspecialists varied by center size, with substantially more specialist support at higher-volume centers ( P < .01). Multidisciplinary tumor boards are available at 29% (six of 21), 56% (nine of 16), and 76% (19 of 25) of low- to high-volume centers, respectively ( P = .005). Radiation and palliative care services are available at 42% (n = 26) and 63% (n = 36) of all centers, which did not vary by center volume. Educational support for hospitalized children and school reintegration programs are available at 56% (n = 36) and 58% (n = 36) of centers, respectively. One third (38% [n = 23]) of centers reported that at least one half of patients were lost to follow-up during the transition from pediatric to adult programs. Conclusion A large variation exists in annual case volumes across Mexican pediatric cancer centers. Additional efforts to increase access to multidisciplinary, supportive, and palliative care across all pediatric cancer units in Mexico are required. |
| Databáze: | OpenAIRE |
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