Mostrando 1 - 5 Resultados de 5 Para Buscar 'Rodriguez-Galindo, C', tiempo de consulta: 0.43s Limitar resultados
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artículo
Exploring treatment decision-making at diagnosis for children with advanced cancer in low- and middle-income countries
Publicado por
Salek, M, Porter, AS, Maradiege, E, Dolendo, MCJ, Figueredo, D, Geriga, F, Gunasekera, S, Kizyma, R, Nguyen, HTK, Nzamu, I, Raza, MR, Rustamova, K, Sari, NM, Rodriguez-Galindo, C, Graetz, D, Bhakta, N, Kaye, EC, Wise, PH, Hunleth, JM, Friedrich, P, Force, L, Baker, JN
Publicado 2024 Enlace
Purpose: Global childhood cancer survival outcomes correlate with regional contextual factors, yet upfront treatment decision-making for children with advanced or poor prognosis cancer in low- and middle-income countries (LMICs) is not well understood. This study aimed to (1) characterize the landscape of contextual factors that shape physician decision-making at diagnosis for these children in LMICs and (2) describe physician rationales for if/when to offer treatment with non-curative intent, including how they define “poor prognosis” during treatment decision-making. Methods: An international panel of pediatric oncologists practicing in LMICs participated in two focus groups structured for the collaborative generation of factors influencing treatment decision-making, including consideration of non-curative treatment pathways at diagnosis. Thematic analysis of qualitative data was c...
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2
artículo
Resilient health care in global pediatric oncology during the COVID-19 pandemic
Publicado por
Graetz, DE, Sniderman, E, Villegas, CA, Kaye, EC, Ragab, I, Laptsevich, A, Maliti, B, Naidu, G, Huang, H, Gassant, PY, Nunes Silva, L, Arce, D, Montoya Vasquez, J, Arora, RS, Alcasabas, AP, Rusmawatiningtyas, D, Raza, MR, Velasco, P, Kambugu, J, Vinitsky, A, Rodriguez-Galindo, C, Agulnik, A, Moreira DC, COVIMPACT Study Group
Publicado 2021 Enlace
Background: In the face of unprecedented challenges because of coronavirus disease 2019, interdisciplinary pediatric oncology teams have developed strategies to continue providing high-quality cancer care. This study explored factors contributing to health care resilience as perceived by childhood cancer providers in all resource level settings. Methods: This qualitative study consisted of 19 focus groups conducted in 16 countries in 8 languages. Seven factors have been previously defined as important for resilient health care including: 1) in situ practical experience, 2) system design, 3) exposure to diverse views on the patient's situation, 4) protocols and checklists, 5) teamwork, 6) workarounds, and 7) trade-offs. Rapid turn-around analysis focused on these factors. Results: All factors of health care resilience were relevant to groups representing all resource settings. Focus ...
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3
artículo
Development of the pediatric neuro-oncology services assessment aid: An assessment tool for pediatric neuro-oncology service delivery capacity
Publicado por
Rajagopal, R, Coronado, RD, Hamid, SA, Martin, del, Campo, RN, Boop, F, Bag, A, Reséndiz, AEB, Vasudeva, Bhat, K, Campos, D, Chang, K, Cirt, R, Rahmartani, LD, Foo, JC, Hoveyan, J, Lucas, JT,, Jr, Ngcana, T, Ul, Ain, R, Omran, N, Osorio, DS, Qureshi, BM, Sabin, ND, Schandorf, E, Bankah, P, Dadzie, M-A, Gbadamos, H, Sharafeldin, H, Somathilaka, M, Yang, P, Jean-Jacques, YA, Zhang, A, Salman, Z, Gonzalez, M, Friedrich, P, Rodriguez-Galindo, C, Qaddoumi, I, Moreira, DC
Publicado 2024 Enlace
Background. To enhance the quality of care available for children with central nervous system (CNS) tumors across the world, a systematic evaluation of capacity is needed to identify gaps and prioritize interventions.To that end, we created the pediatric neuro-oncology (PNO) resource assessment aid (PANORAMA) tool. Methods. The development of PANORAMA encompassed 3 phases: operationalization, consensus building, and piloting. PANORAMA aimed to capture the elements of the PNO care continuum through domains with weighted assessments reflecting their importance. Responses were ordinally scored to reflect the level of satisfaction. PANORAMA was revised based on feedback at various phases to improve its relevance, usability, and clarity. Results. The operationalization phase identified 14 domains by using 252 questions.The consensus phase involved 15 experts (6 pediatric oncologists, 3 radiat...
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4
artículo
Fortalecimiento de las políticas de salud pública contra el cáncer infantil: logros de Perú en el marco de la Iniciativa Mundial de la OMS contra el Cáncer Infantil
Publicado por
Maradiegue, E, Pascual, C, Vasquez, L, Maza, I, Ugaz, C, Montoya, J, Zapata, A, García, H, Chavez, S, Ordoñez, K, Rossi, J, Diaz, R, Morales, R, Trigoso, V, Ames, R, Celis, E, Barzola, I, Torres, L, Cosme, M, Tarrillo, F, Rojas, N, Santillan, C, Quispe, Y, Palacios, V, Godoy, V, Tello, M, Tarco, D, Wachtel, A, Malaver, E, Diaz, E, Goyburu, M, Perez, V, Talavera, I, Baca, ME, Maza M, Saldaña, L, Holguin, A, Jarquin, M, Loggetto, P, Metzger, M, Friedrich, P, Lam, C, Rodriguez-Galindo, C
Publicado 2023 Enlace
Objective. To report the progress in Peru, since June 2019, in the implementation of the World Health Organization Global Initiative for Childhood Cancer using the CureAll framework, which can be replicated in low- and middle-income countries. Methods. A mixed method was used of participatory and documentary evaluation. The participatory evaluation included stakeholders from various government institutions, nonprofit organizations, and international partners. The documentary aspect consisted of a review of data on the regulatory environment, national projects, and interventions implemented. The Ministry of Health engaged more than 150 participants to form working committees, which have developed policy and regulatory documents to strengthen care services. Results. Achievements include a decrease in the national treatment abandonment rate from 18.6% to 8.5%, the approval of the Childhood ...
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5
artículo
Model for regional collaboration: Successful strategy to implement a pediatric early warning system in 36 pediatric oncology centers in Latin America
Publicado por
Agulnik, A, Gonzalez-Ruiz, A, Muniz-Talavera, H, Carrillo, AK, Cárdenas, A, Puerto-Torres, MF, Garza, M, Conde, T, Soberanis-Vasquez, DJ, Méndez-Aceituno, A, Acuña-Aguirre, C, Alfonso, Y, Álvarez-Arellano, SY, Argüello Vargas, D, Batista, R, Blasco Arriaga, EE, Chávez Rios, M, Cuencio Rodríguez, ME, Fing Soto, EA, Gómez-García, W, Guillén Villatoro, RH, Gutiérrez Rivera, MDL, Herrera Almanza, M, Jimenez Antolinez, YV, Juárez Tobias, MS, López Facundo, NA, Martínez Soria, RA, Miller, K, Miralda, S, Morales, R, Negroe Ocampo, N, Osuna, A, Pascual Morales, C, Pérez Fermin, CK, Pérez Alvarado, CM, Pineda, E, Andrés Portilla, C, Rios López, LE, Rivera, J, Sagaón Olivares, AS, Saguay Tacuri, MC, Salas-Mendoza, BT, Solano Picado, I, Soto Chávez, V, Tejocote Romero, I, Tatay, D, Teixeira Costa, J, Villanueva, E, Villegas Pacheco, M, McKay, VR, Metzger, ML, Friedrich, P, Rodriguez-Galindo, C
Publicado 2022 Enlace
Background: Pediatric early warning systems (PEWS) aid in the early identification of deterioration in hospitalized children with cancer however, they are under-used in resource-limited settings. The authors use the knowledge-to-action framework to describe the implementation strategy for Proyecto Escala de Valoracion de Alerta Temprana (EVAT), a multicenter quality-improvement collaborative, to scale-up PEWS in pediatric oncology centers in Latin America. Methods: Proyecto EVAT mentored participating centers through an adaptable implementation strategy to: (1) monitor clinical deterioration in children with cancer, (2) contextually adapt PEWS, (3) assess barriers to using PEWS, (4) pilot and implement PEWS, (5) monitor the use of PEWS, (6) evaluate outcomes, and (7) sustain PEWS. The implementation outcomes assessed included the quality of PEWS use, the time required for implementation,...
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