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Clinical Profile of Pediatric Oncology Patients Treated by Radiotherapy: A Retrospective Audit from a Tertiary Cancer
Sanjay Kini B1, Aashish Papneja1, Vasudeva Bhat K2,3
1Department of Community Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Insights
This study highlights the crucial role of radiotherapy in treating pediatric cancers in South India. Radiotherapy is an integral part of multimodal cancer therapy for children, demonstrating its continued importance in patient treatment.
Area of Science:
- Pediatric Oncology
- Radiation Oncology
- Cancer Epidemiology
Background:
- Increasing incidence of pediatric cancers in India necessitates multimodal treatment approaches.
- Radiotherapy is a key component of pediatric cancer therapy.
- Limited data exists on the profile of pediatric cancer patients receiving radiotherapy in South India.
Purpose of the Study:
- To describe the profile of pediatric cancer patients who underwent radiotherapy in South India.
- To understand the sociodemographic and diagnostic characteristics of these patients.
- To assess the treatment intent and outcomes in this population.
Main Methods:
- A record-based retrospective study was conducted at a tertiary care hospital in South India.
- Data abstraction form collected sociodemographic details, primary and confirmed diagnoses, radiotherapy site, and patient status.
- Chi-square or Fisher's exact tests analyzed associations between patient status and influencing factors.
Main Results:
- The largest proportion of cases (30.4%) were in the 10-14 years age group.
- Hematolymphoid malignancies accounted for 48 cases, while solid tumors were diagnosed in 67 cases.
- A significant majority (95.6%) of patients received radiotherapy with curative intent.
Conclusions:
- Radiotherapy is an essential component of cancer-directed therapy for children.
- The findings underscore the continued integral role of radiotherapy in pediatric cancer treatment within the studied population.
- Further research can inform optimized radiotherapy strategies for pediatric cancer patients in the region.
Introduction:
With the increase in the number of pediatric cancers in India, there is a need for a multimodal approach involving various disciplines of therapy in which radiotherapy is one of the important areas of treatment. As there is a paucity of studies in South India about the profile of pediatric cancer patients who have undergone radiotherapy the present study was undertaken.
Methods:
A record-based retrospective study was conducted at the department of pediatric hematology-oncology and radiotherapy at a tertiary care hospital in South India using a data abstraction form which consisted of sociodemographic details of study participants, primary diagnosis, confirmed diagnosis, site of radiotherapy, current status of the patient, etc. Chi-square test or Fisher's exact test was used to find out significant association between current status of study participants and various determinants influencing it.
Results:
Highest proportion, n = 35 (30.4%), of cases were in the age group of 10 to 14 years. Among them, 48 children were primarily diagnosed to have hematolymphoid malignancy while 67(%) had solid tumor. Majority of the patients, n = 110 (95.6%), were treated on curative intent.
Conclusion:
Radiotherapy remains an important modality of cancer-directed therapy in children with cancer. Radiotherapy still forms an integral part of cancer-directed treatment in children with cancer as demonstrated in our population.
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