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MECC regional initiative in pediatric palliative care: Middle Eastern course on pain management
Michael Silbermann1, Salma Al-Hadad, Shamvil Ashraf
1Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa, Israel. cancer@mecc-research.com
Insights
Pediatric palliative care in the Middle East is underdeveloped, with late cancer diagnoses often limiting treatment to palliation. Enhancing public awareness and healthcare provider training are crucial for improving pediatric cancer care.
Area of Science:
- Pediatric Oncology
- Palliative Care
- Middle Eastern Healthcare
Background:
- Pediatric hematology oncology departments are functional in major Middle Eastern medical centers.
- Opioids like morphine, oxycodone, and fentanyl are generally available across the region.
- Pediatric palliative care services are nascent and require further development and recognition.
Purpose of the Study:
- To highlight the current state of pediatric palliative care in the Middle East.
- To identify challenges in late-stage cancer diagnosis and the need for palliative interventions.
- To propose strategies for improving pediatric cancer care through enhanced services and training.
Main Methods:
- Review of existing pediatric hematology oncology services in the Middle East.
- Assessment of opioid availability for pain management.
- Analysis of the status of pediatric palliative care services.
Main Results:
- Late-stage diagnosis (Stage III/IV) is common in some Middle Eastern countries, necessitating palliative care.
- Significant need exists for developing hospital-based and community-based palliative and supportive care.
- Training for healthcare providers in pharmacological and non-pharmacological palliative treatment modalities is essential.
Conclusions:
- Pediatric palliative care in the Middle East faces significant challenges, including late diagnosis and underdeveloped services.
- Increased public awareness and improved healthcare provider training are vital for advancing pediatric cancer care.
- Developing comprehensive palliative and supportive care services is a priority for the region.
Abstract:
In all the major medical centers throughout the Middle East, there is a functioning pediatric hematology oncology department. In almost all countries, opioids such as morphine, oxycodone, and fentanyl are available. Pediatric palliative care services are still in their infancy and await further recognition and development. Unfortunately, there are still countries in the Middle East where children with cancer are diagnosed when the disease is already at stage III or IV, when the only option left is palliation. To decrease the incidence of late presentation, more effort is needed concerning public awareness, and concomitantly, an urgent need to develop hospital-based and community-based palliative and supportive care services. The initial step in this direction would involve more training of health care providers: Pediatricians, Pediatric Oncologists, Oncology Nurses, and Social Workers with updated pharmacological and nonpharmacological modalities of treatment.
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Assessment:
