Timing Matters: Optimizing Oncology Involvement in Pediatric Neuro-Oncology Pathways in Saudi Arabia

Area of Science:

• Pediatric Oncology
• Neurosurgery
• Healthcare Coordination

Background:

• Effective care coordination between pediatric neurosurgery and oncology is vital for optimal outcomes in pediatric central nervous system (CNS) tumors.
• Current practices often delay oncological involvement until after surgery, leading to treatment delays and redundant procedures.

Purpose of the Study:

• To investigate current care coordination practices and identify barriers in pediatric neuro-oncology.
• To explore opportunities for optimizing care pathways for pediatric CNS tumors.

Main Methods:

• A cross-sectional survey was distributed to neurosurgeons and pediatric oncologists in Saudi Arabia.
• The survey assessed the timing of oncological input, neuroimaging, cerebrospinal fluid (CSF) cytology collection, and views on care coordination.

Main Results:

• Only 29% of participants reported presurgical oncology involvement; 58% involved oncologists post-pathology.
• Significant variability existed in neuroimaging protocols, with delayed spinal MRI common.
• Lack of multidisciplinary tumor boards and perceived lack of necessity for early oncology input were key barriers.

Conclusions:

• Pediatric neuro-oncology coordination practices exhibit considerable heterogeneity.
• Implementing early oncology consultations, standardized imaging, and integrated care discussions can address critical care delivery gaps.