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The problem of treatment abandonment in children from developing countries with cancer
Ramandeep Singh Arora1, Tim Eden, Barry Pizer
1Royal Manchester Children's Hospital, Manchester, United Kingdom. reemaraman@doctors.org.uk
Background:
There is an inequality gap between the outcome of childhood cancer in resource, rich and limited countries. Abandonment of treatment is one of the reasons for this.
Procedure:
We searched the medical literature for evidence on abandonment, its causes, and any preventative interventions.
Results:
Abandonment is a very real problem all across the developing world. Cancers associated with poorer prognosis seem to have higher abandonment rates. It is also related to the socio-economic and educational status of parents, travel time to treatment centers, and affordable, locally available treatment.
Conclusions:
Twinning between institutions, which includes several preventative interventions, has clearly been shown to work.
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