A5019194593- Childhood Cancer Survivors' Quality of Life
- Acute Lymphoblastic Leukemia research
- Ethics and Legal Issues in Pediatric Healthcare
- Lymphoma Diagnosis and Treatment
- Palliative Care and End-of-Life Issues
- COVID-19 and healthcare impacts
- Health Systems, Economic Evaluations, Quality of Life
- Global Cancer Incidence and Screening
- Family Support in Illness
- Adolescent and Pediatric Healthcare
- Sarcoma Diagnosis and Treatment
- Advances in Oncology and Radiotherapy
- Cancer Risks and Factors
- Pharmaceutical studies and practices
- Economic and Financial Impacts of Cancer
- CNS Lymphoma Diagnosis and Treatment
- Lung Cancer Treatments and Mutations
- COVID-19 and Mental Health
- Child and Adolescent Health
- Neutropenia and Cancer Infections
- Viral gastroenteritis research and epidemiology
- Renal and related cancers
- Global Health and Surgery
- Global Maternal and Child Health
- Healthcare cost, quality, practices
Max Super Speciality Hospital
2015-2024
Max Healthcare
2015-2024
Pallium India
2024
Kamuzu Central Hospital
2023
Kamuzu University of Health Sciences
2023
CanKids KidsCan
2016-2022
Malabar Cancer Centre
2022
Cancer Institute (WIA)
2022
Pain Relief and Palliative Care Society
2022
Kalawati Saran Children's Hospital
2022
There is an inequality gap between the outcome of childhood cancer in resource, rich and limited countries. Abandonment treatment one reasons for this.We searched medical literature evidence on abandonment, its causes, any preventative interventions.Abandonment a very real problem all across developing world. Cancers associated with poorer prognosis seem to have higher abandonment rates. It also related socio-economic educational status parents, travel time centers, affordable, locally...
Around 25% of all tumors in those 0–14 years age and 9% 15–24 involve the CNS. They are most common cause cancer-related deaths both groups. In adults 25–84 age, proportion CNS is 2%; 5-year overall survival 10%–15%; survivors have considerable morbidity. Comprehensive up-to-date population-based incidence data on these lacking. We present rates for primary based derived from high-quality national cancer registration system England. A total 54,336 malignant, benign, uncertain behavior were...
Background Understanding and addressing treatment abandonment (TxA) is crucial for bridging the pediatric cancer survival gap between high-income (HIC) low-and middle-income countries (LMC). In childhood cancer, TxA defined as failure to start or complete curative therapy known be a complex phenomenon. With rising interest on causes consequences of in LMC, this study aimed establish lay-of-the-land regarding determinants globally, perform promote comparative research, raise awareness...
Background Treatment abandonment (TxA) is recognized as a leading cause of treatment failure for children with cancer in low-and-middle-income countries (LMC). However, its global frequency and burden have remained elusive due to lack data. This study aimed obtain an estimate using survey population Methods Childhood clinicians (medical oncologists, surgeons, radiation therapists), nurses, social workers, psychologists involved care were approached through online February-May 2012. Incidence...
Abstract BACKGROUND: It is believed that gonadal and extragonadal germ cell tumors (GCTs) arise from primordial cells may have similar etiopathogenesis. Unlike testicular GCTs, there has been limited comprehensive population‐based analysis of ovarian GCTs. METHODS: All malignant GCTs all central nervous system (CNS) with benign uncertain behavior were registered in England the age group 0 to 84 years 1979 2003 included current study. Incidence rates calculated adjusted world standard...
Abstract Many children with cancer in low‐ and middle‐income countries are treated hospitals lacking key infrastructure, including diagnostic capabilities, imaging modalities, treatment components, supportive care, personnel. Childhood regimens adapted to local conditions provide an opportunity cure as many possible the available resources, while working improve services care. This paper from Adapted Treatment Regimens Working Group of Pediatric Oncology Developing Countries committee...
Wilms tumour is one of the commonest childhood solid tumours which has an excellent outlook in developed world with 5-year overall survival exceeding 90%. There little information from Sudan regarding tumour.Records patients diagnosed and treated at Institute Nuclear Medicine, Molecular Biology Oncology (INMO) University Gezira May 1999 to June 2007 were reviewed.Thirty-seven children presented a mean age 4.1 years (range 2 months-13 years). The male female ratio was 0.9-1. Abdominal...
The outcome of childhood acute lymphoblastic leukemia in India has been inferior to more than 80% cure rates developed nations. This study was done analyze the over 4 decades. There a gradual improvement survival up >70% some centers along with decline relapse and mortality. However, these results cannot be generalized entire nation. is crying need address treatment abandonment, take quality improvement, educational financial initiatives; cooperative research into risk factors disease...
The Paediatric Oncology in Developing Countries (PODC) committee of International Society (SIOP) has 10 working groups that provide a forum for individuals to engage, network, and implement improvements the care children with cancer low- middle-income countries. development adapted guidelines (medulloblastoma, retinoblastoma, Wilms tumor, neuroblastoma, Burkitt lymphoma, supportive care), advocacy awareness (on hospital detention essential drugs), education training, global mapping...
Abstract Bone tumours comprise 0.2% of cancers overall but 5.7% in 15–24 year olds. To explore the relationship with adolescence we have analysed age‐incidence patterns bone a large national dataset. Data on incident cases 0–84 olds England, 1979–2003, were extracted from cancer registration data. Incidence rates per million person‐years by 5‐year age‐group, sex, morphology and primary site calculated adjusted to world standard population. Nine thousand one hundred forty‐six identified...
Abstract Background The Collaborative Wilms Tumour (WT) Africa Project has implemented an adapted WT treatment guideline in sub‐Saharan as a multi‐centre prospective clinical trial. A retrospective, baseline evaluation of end‐of‐treatment outcome was performed for 2‐year period prior to the introduction this guideline. collaborative project aims reduce both abandonment and death during less than 10% improving survival. Procedure All participating centres obtained local Institutional Research...
Limited access to essential medicines (EMs) for treating chronic diseases is a major challenge in low-income and middle-income countries. Although India the largest manufacturer of generic medicines, there paucity information on availability, price affordability anti-neoplastic EMs, which this study evaluates.Using modified WHO/Health Action International methodology, data were collected availability 33 strength-specific EMs 4 non-cancer EMs. Seven 'survey anchor' hospitals (4 public 3...
Background The coronavirus disease 2019 (COVID‐19) pandemic led the Indian government to announce a nationwide lockdown on March 23, 2020. This study aimed explore impact of accessibility care for children with cancer and view strategies adopted by hospitals service delivery. Methods Weekly average childhood (≤18 years) patient registrations during pre‐lockdown period (January 1 2020) were compared post‐lockdown (March 24 May 31, 2020). effect scheduled treatment was investigated period. A...
Treatment of children with cancer on clinical trials, often in the context national and international co-operative groups, is one cornerstones pediatric oncology treatment has been shown to improve outcomes cancer. While enrolling prospective multi-centre trials become norm high-income countries, it remained an exception low middle-income countries until recently. In this article, we briefly review global landscape groups then discuss Indian scenario including more recent developments...
Background Despite increasing global attention to non-communicable diseases (NCDs) and their incorporation into universal health coverage (UHC), the factors that determine whether how NCDs are prioritized in national agendas integrated systems remain poorly understood. Childhood cancer is a leading cause of death children aged 0–14 years worldwide. We investigated political, social, economic influence system priority-setting on childhood care range low- middle-income countries (LMIC)....
Cure rates for children with cancer in India lag behind that of high-income countries. Various disease, treatment and socio-economic related factors contribute to this gap including barriers timely access diagnostic therapeutic care. This study investigated accessing care from symptom onset beginning treatment, perspectives caregivers India.Semi-structured in-depth interviews were conducted (< 18 years) diagnosed seven tertiary hospitals across New Delhi Hyderabad. Purposive sampling...