为所有患有癌症的儿童提供科学和健康服务
Catherine G Lam1,2, Scott C Howard2,3,4, Eric Bouffet4,5
1Departments of Global Pediatric Medicine and Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA. catherine.lam@stjude.org.
概括
与高收入国家相比,中低收入国家 (LMIC) 的儿童癌症存活率明显较低. 全球伙伴关系可以改善LMIC儿童癌症的结果,以满足世界卫生组织的要求
科学领域:
- 儿童瘤学
- 全球健康
- 癌症流行病学
背景情况:
- 每年全球约有429,000名儿童和青少年 (0-19岁) 被诊断出患有癌症.
- 生存率存在显著差异:高收入国家 (HIC) 超过80%,中低收入国家 (LMIC) 低于30%.
- 通过多学科护理,研究,仿制药和风险分层来实现高生存率.
研究的目的:
- 突出HIC和LMIC之间的儿童癌症生存差距.
- 提出改善LMIC儿童癌症结果的策略.
- 支持世界卫生组织在2030年实现60%的全球生存目标.
主要方法:
- 在HIC和LMIC中对儿童癌症生存率的比较分析.
- 对在医疗保健中心实施的成功治疗和护理策略进行审查.
- 鉴定最不发达国家的主要挑战,包括诊断延迟和放弃治疗.
主要成果:
- 在儿童癌症的5年生存率中,HIC (> 80%) 和LMIC (< 30%) 之间存在明显的对比.
- 在HIC建立的多学科护理和研究模式有助于更好的结果.
- 儿童癌症患者生存率面临重大障碍.
结论:
- 全球合作伙伴关系对于改善LMIC儿童癌症护理至关重要.
- 适应当地资源和解决系统性问题至关重要.
- 到2030年实现世卫组织的60%生存目标需要国际集中努力.
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