Pediatric Hodgkin Lymphoma in Low- and Middle-Income Countries (LMICs). A Narrative Review

Maria Luisa Moleti1, Anna Maria Testi1, Salma Al-Hadad2

  • 1Department of Translational and Precision Medicine, Sapienza, University of Rome, Rome, Italy.

Insights

Pediatric Hodgkin lymphoma (HL) treatment outcomes are excellent in high-income nations but lag in low- and middle-income countries (LMICs) due to resource scarcity. This review examines HL management and outcomes in LMICs, highlighting critical challenges.

Area of Science:

  • Pediatric Oncology
  • Hematology
  • Global Health

Background:

  • Pediatric Hodgkin lymphoma (HL) has a >90% cure rate in high-income countries.
  • Outcomes for pediatric HL, especially advanced stages, are significantly poorer in low- and middle-income countries (LMICs).
  • Socio-economic factors and limited resources in LMICs impede effective treatment and patient outcomes.

Purpose of the Study:

  • To review current literature on pediatric Hodgkin lymphoma management and outcomes in LMICs.
  • To identify and discuss critical challenges impacting pediatric HL treatment in resource-limited settings.
  • To provide an overview of the current state of pediatric HL care in LMICs.

Main Methods:

  • Narrative review of existing literature.
  • Synthesis of reported data on pediatric Hodgkin lymphoma management.
  • Analysis of factors affecting treatment and outcomes in LMICs.

Main Results:

  • Significant disparities exist in pediatric HL treatment success rates between high-income countries and LMICs.
  • Limited data is available on pediatric HL management and outcomes specifically within LMICs.
  • Resource scarcity and socio-economic challenges are major determinants of poor outcomes in LMICs.

Conclusions:

  • Improving pediatric Hodgkin lymphoma outcomes in LMICs requires addressing resource limitations and socio-economic barriers.
  • Further research and data collection are crucial to better understand and improve pediatric HL care in LMICs.
  • Tailored strategies are needed to enhance treatment efficacy and patient survival for pediatric HL in resource-constrained environments.