Developing country twinning programmes in paediatric oncology

Brabin, Bernard; Wit, Jan M.; Broadhead, Robin L.; Schulpen, T. W. J.; Heymans, H. S. A.

doi:10.1016/s0140-6736(05)76670-8

Cited by 3 publications

(2 citation statements)

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“…There are several successful models. A "twining" program in pediatric oncology was successfully initiated between two developed nations (Switzerland and Italy) and one developing nation (Nicaragua) to help bridge "the gap between resources and their avail-ability where they are most needed" (47). Another model involves training programs for family doctors in Egypt conducted by British and United States universities coupled with the provision of 460 mobile clinics (48).…”

Section: Costs and Consequencesmentioning

confidence: 99%

The Health of the World’s Children: What Goes Around, Comes Around

Milne

2000

Drug Information J

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Section: Costs and Consequencesmentioning

confidence: 99%

The Health of the World’s Children: What Goes Around, Comes Around

Milne

2000

Drug Information J

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“…Children with cancer in these countries have no or little access to effective therapy, and the geographic inequality of pediatric oncology around the world has triggered the development of twinning programs between institutions in high-and low-income countries. [1][2][3] Significant reduction in mortality rates have been achieved through twinning in childhood lymphoblastic leukaemias, and ongoing experiences are in place in South America, in Africa or in Asia. [4][5][6] Incidence and survival rates in children with brain tumors in many low-income countries are largely speculative.…”

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confidence: 99%

Closing the survival gap: Implementation of medulloblastoma protocols in a low‐income country through a twinning program

Qaddoumi

Musharbash

Elayyan

et al. 2007

Intl Journal of Cancer

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Successful twinning initiatives have been reported in childhood leukemia. Pediatric neuro-oncology requires a complex multidisciplinary approach and the feasibility of similar twinning programs is unknown. Twinning between King Hussein Cancer Center in Amman and the Hospital for Sick Children in Toronto started with e-mail communications, and subsequently included monthly videoconferences and exchanges between institutions. The outcome of 35 newly diagnosed medulloblastoma patients (22 highrisk and 13 average-risk) treated during this period is reported. The 3-year overall survival for average risk and high-risk patients was 100 and 81%, respectively. This experience suggests that twinning may facilitate the implementation of multidisciplinary neurooncology programs in low-income countries. Videoconferencing allows interactive exchanges with a significant learning impact. ' 2007 Wiley-Liss, Inc.

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Supplementation of a Successful Pediatric Neuro-oncology Telemedicine-Based Twinning Program by E-Mails

Qaddoumi

Bouffet

2009

Telemedicine and e-Health

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There is a growing gap between developing and developed countries in the availability of treatment for pediatric subspecialties. Twinning and telemedicine are effective ways to improve the quality of healthcare in developing countries. We evaluated the impact of e-mail exchanges on the development of a neuro-oncology twinning program between the King Hussein Cancer Center (KHCC), Amman, Jordan, and the Hospital for Sick Children, Toronto, Canada. We conducted a retrospective review of all e-mail communications between KHCC and the Hospital for Sick Children from August 2003 to December 2005 for subject, attachments, and responses. Over a period of 29 months, 356 e-mail exchanges (average, 12.3/month) occurred. Subjects discussed were specific consults (88), videoconferencing (65), general neuro-oncological questions (54), personal (45), exchange visits related (44), research projects related (28), articles or treatment guidelines (21), and Web site translation (11). Our study suggests that e-mails promote effective communication between twinning partners and enable discussion of complex cases, organization of teleconferences and workshops, aid other research activities, and further personal relationships between partners. Use of e-mail in telemedicine can be especially useful to improve the quality of care for children with cancer in developing countries.

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Developing country twinning programmes in paediatric oncology

Cited by 3 publications

References 1 publication

The Health of the World’s Children: What Goes Around, Comes Around

The Health of the World’s Children: What Goes Around, Comes Around

Closing the survival gap: Implementation of medulloblastoma protocols in a low‐income country through a twinning program

Supplementation of a Successful Pediatric Neuro-oncology Telemedicine-Based Twinning Program by E-Mails

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