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

• Autores: Gorostegui-Obanos, M, Chantada, L, Filho, NPC, Gonzalez-Ramella, O, Serrano, B, MJ, Valencia, D, Sampor, C, Macedo, C, Ramirez, O, Sardinas, S, Lezcano, E, Calderón, P, Gamboa, Y, Fu, L, Gómez, W, Schelotto, M, Ugaz, C, Lobos, P, Moreno, K, Palma, J, Sánchez, G, Moschella, F, Gassant, PYH, Velasquez, T, Quintero, K, Forteza, M, Villarroel, M, Moreno, F, Alabi, SF, Vasquez, L, Lowe, J, Cappellano, A, Challinor, J, Chantada, GL
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Instituto Nacional de Enfermedades Neoplásicas
• Repositorio: INEN-Institucional
• Lenguaje: inglés
• OAI Identifier: oai:repositorio.inen.sld.pe:20.500.14703/373
• Enlace del recurso: https: //doi.org/10.1002/pbc.31262; https://hdl.handle.net/20.500.14703/373
• Nivel de acceso: acceso abierto
• Materia: health services; International Society of Pediatric Oncology (SIOP); Latin America; mapping; https://purl.org/pe-repo/ocde/ford#3.02.21

Background: The 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. Methods: A 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. Results: Total 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. Conclusions: Most 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.