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Using Research Capacity Enhancement to Develop and Implement National Standard-of-Care Treatment Protocols in

Mohiba A Khowaja1, Alia Ahmad2, Sadaf Altaf3

  • 1Pakistan Society of Pediatric Oncology (PSPO), Karachi, Pakistan.

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|March 13, 2025
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Summary
This summary is machine-generated.

The Pakistan Society of Pediatric Oncology (PSPO) successfully implemented national standard-of-care (SOC) protocols for childhood cancer, improving research infrastructure in Pakistan. This initiative demonstrates feasibility for low-resource settings.

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Area of Science:

  • Oncology
  • Clinical Research
  • Public Health

Background:

  • Clinical research methodology is vital for improving pediatric cancer outcomes.
  • The World Health Organization's Global Initiative for Childhood Cancer (GICC) aims to improve childhood cancer care globally.
  • Pakistan faces challenges in pediatric cancer treatment due to resource limitations.

Purpose of the Study:

  • To describe the strategy for developing and implementing national standard-of-care (SOC) protocols for pediatric cancer in Pakistan.
  • To establish a centralized research and data management support system.
  • To lay the foundation for future advancements in pediatric cancer care within Pakistan.

Main Methods:

  • A central Pakistan Society of Pediatric Oncology (PSPO) office provided support for protocol development and data management.
  • Multi-institutional teams developed SOC protocols based on international evidence and local data for six GICC-targeted diagnoses.
  • RedCap software was used for case report forms and databases, with comprehensive training and ongoing data quality maintenance through audits and analyses.

Main Results:

  • Protocol development and implementation were completed within 26 months.
  • Each protocol is active in at least seven centers, with nearly 2,000 patients enrolled.
  • Interim analysis of Acute Lymphoblastic Leukemia (ALL) data indicated 85% data accuracy.

Conclusions:

  • Implementing multi-institutional treatment protocols is feasible in low- and middle-income countries with limited resources.
  • Building research infrastructure and capacity is achievable through collaborative efforts.
  • The PSPO's approach provides a scalable model for improving pediatric cancer care in resource-constrained settings.