Radiotherapy resources in Latin America and the Caribbean: a review of current and projected needs based on International Atomic Energy Agency data

Elbanna, May; Pynda, Yaroslav; Kalinchuk, Oleksandr; Rosa, Arthur; Abdel-Wahab, May

doi:10.1016/s1470-2045(23)00299-1

The Lancet Oncology

2023

DOI: 10.1016/s1470-2045(23)00299-1

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Radiotherapy resources in Latin America and the Caribbean: a review of current and projected needs based on International Atomic Energy Agency data

May Elbanna,

Yaroslav Pynda,

Oleksandr Kalinchuk

et al.

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Cited by 2 publications

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International Society of Paediatric Oncology (SIOP) Global Mapping Program: Analysis of healthcare centers in countries of the Latin American Society of Pediatric Oncology (SLAOP)

Gorostegui‐Obanos,

Chantada,

Filho

et al. 2024

Pediatric Blood & Cancer

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BackgroundThe International Society of Paediatric Oncology Society Global Mapping Program aims to describe the local pediatric oncology capacities. Here, we report the data from Latin America.MethodsA 10‐question survey was distributed among chairs of pediatric oncology services. Centers were classified according to patient volume into high‐ (HVC; 100 or more new cases per year), medium‐ (MVC; 31–99 cases), and low‐volume centers (LVC; 30 cases or less), respectively. National referral centers (NRC) were identified.ResultsTotal 307 centers in 20 countries were identified (271 responded), and 264 responses were evaluable, accounting for 78% of the expected cases (21,359 cases per year). Seventy‐seven percent of patients are treated in public centers, including additional support by civil society organizations. We found that 66% of the patients are treated in 70 centers of excellence, including 21 NRC. There was a median of one pediatric oncologist every 21 newly diagnosed patients (44 for NRC), and in 84% of the centers, nurses rotated to other services. A palliative care team was lacking in 25% of the centers. LVC with public funding have significantly lower probability of having a palliative care team or trained pediatric oncology surgeons. Psychosocial, pharmacy, and nutrition services were available in more than 93% of the centers. No radiotherapy facility was available on campus in nine of 21 NRC.ConclusionsMost children with cancer in Latin America are treated in public HVC. There is a scarcity of pediatric oncologists, specialized nurses and surgeons, and palliative care teams, especially in centers with public funding.

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International Society of Paediatric Oncology (SIOP) Global Mapping Program: Analysis of healthcare centers in countries of the Latin American Society of Pediatric Oncology (SLAOP)

Gorostegui‐Obanos,

Chantada,

Filho

et al. 2024

Pediatric Blood & Cancer

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Gauging radiotherapy resources in South America and the Caribbean

Alleyne-Mike

2023

The Lancet Oncology

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Radiotherapy resources in Latin America and the Caribbean: a review of current and projected needs based on International Atomic Energy Agency data

Cited by 2 publications

References 33 publications

International Society of Paediatric Oncology (SIOP) Global Mapping Program: Analysis of healthcare centers in countries of the Latin American Society of Pediatric Oncology (SLAOP)

International Society of Paediatric Oncology (SIOP) Global Mapping Program: Analysis of healthcare centers in countries of the Latin American Society of Pediatric Oncology (SLAOP)

Gauging radiotherapy resources in South America and the Caribbean

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