Silbermann Michael, Al-Hadad Salma, Ashraf Shamvil, Hessissen Laila, Madani Abdellah, Noun Peter, Khayat Claudia, Al-Rimawi Hala, Kebudi Rejin, Yaniv Isaac
Technion-Israel Institute of Technology, Middle East Cancer Consortium, Haifa, Israel.
J Pediatr Hematol Oncol. 2012 Mar;34 Suppl 1:S1-11. doi: 10.1097/MPH.0b013e318249aa98.
In all the major medical centers throughout the Middle East, there is a functioning pediatric hematology oncology department. In almost all countries, opioids such as morphine, oxycodone, and fentanyl are available. Pediatric palliative care services are still in their infancy and await further recognition and development. Unfortunately, there are still countries in the Middle East where children with cancer are diagnosed when the disease is already at stage III or IV, when the only option left is palliation. To decrease the incidence of late presentation, more effort is needed concerning public awareness, and concomitantly, an urgent need to develop hospital-based and community-based palliative and supportive care services. The initial step in this direction would involve more training of health care providers: Pediatricians, Pediatric Oncologists, Oncology Nurses, and Social Workers with updated pharmacological and nonpharmacological modalities of treatment.
在中东地区所有主要的医疗中心，都设有运作中的儿科血液肿瘤科室。几乎在所有国家，吗啡、羟考酮和芬太尼等阿片类药物都有供应。儿科姑息治疗服务仍处于起步阶段，有待进一步认可和发展。不幸的是，中东仍有一些国家，癌症患儿在疾病已处于III期或IV期时才被诊断出来，此时唯一的选择就是姑息治疗。为了降低晚期就诊的发生率，需要在提高公众意识方面付出更多努力，同时，迫切需要发展以医院和社区为基础的姑息和支持性护理服务。朝着这个方向迈出的第一步将包括对医疗保健提供者进行更多培训：儿科医生、儿科肿瘤学家、肿瘤护士和社会工作者，培训内容为更新的药物和非药物治疗方式。
