Arora Ramandeep Singh, Eden Tim, Pizer Barry
Royal Manchester Children's Hospital, Manchester, United Kingdom.
Pediatr Blood Cancer. 2007 Dec;49(7):941-6. doi: 10.1002/pbc.21127.
There is an inequality gap between the outcome of childhood cancer in resource, rich and limited countries. Abandonment of treatment is one of the reasons for this.
We searched the medical literature for evidence on abandonment, its causes, and any preventative interventions.
Abandonment is a very real problem all across the developing world. Cancers associated with poorer prognosis seem to have higher abandonment rates. It is also related to the socio-economic and educational status of parents, travel time to treatment centers, and affordable, locally available treatment.
Twinning between institutions, which includes several preventative interventions, has clearly been shown to work.
资源丰富国家和资源有限国家儿童癌症的治疗结果存在不平等差距。放弃治疗是造成这种情况的原因之一。
我们检索了医学文献，以寻找关于放弃治疗、其原因以及任何预防干预措施的证据。
在整个发展中世界，放弃治疗是一个非常现实的问题。预后较差的癌症似乎放弃治疗的比例更高。它还与父母的社会经济和教育状况、前往治疗中心的时间以及可负担得起的当地可用治疗有关。
机构间结对，包括多项预防干预措施，已被明确证明是有效的。
