Global pediatric radiation therapy in resource-limited settings

Clayton B Hess1,2, Jeannette Parkes3, Geert O Janssens4

  • 1Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.

Insights

Childhood cancer disproportionately impacts low-income nations. Improving pediatric radiotherapy access, quality, education, and research is crucial to address global disparities in cancer care.

Area of Science:

  • Global Health
  • Pediatric Oncology
  • Radiation Oncology

Background:

  • Childhood cancer presents a significant global health burden, with higher morbidity and mortality in low- and middle-income countries (LMICs).
  • Disparities in access to quality pediatric cancer care, particularly radiotherapy, persist even within high-income countries.
  • Past efforts in improving pediatric radiotherapy in LMICs have faced challenges in clinical practice, education, and research.

Purpose of the Study:

  • To summarize the global burden of childhood cancer and highlight disparities in care.
  • To review successes and challenges in pediatric radiotherapy, education, and research in LMICs.
  • To outline the specific aims of the Pediatric Radiation Oncology Society Taskforce in Low- and Middle-Income Countries.

Main Methods:

  • Literature review and synthesis of existing data on childhood cancer burden.
  • Analysis of current challenges and past successes in pediatric radiotherapy in LMICs.
  • Presentation of the strategic aims developed by the Pediatric Radiation Oncology Society Taskforce.

Main Results:

  • Childhood cancer disproportionately affects LMICs and underserved communities.
  • Significant challenges remain in providing adequate pediatric radiotherapy, education, and research in these regions.
  • The Pediatric Radiation Oncology Society Taskforce has established clear objectives to improve pediatric radiotherapy access and quality.

Conclusions:

  • There is a critical need to raise awareness of global disparities in childhood cancer care.
  • Targeted interventions are required to enhance radiotherapy access, quality, and education for children with cancer in LMICs.
  • Developing setting-specific treatment standards is essential when first-world standards are not feasible.