Samudio Angélica, Figueredo Diego, Lassaletta Alvaro, Zelada Ofelia, Peris Aníbal, Bogado Yinde Luis, Relyea George, Pérez Antonio, Madero Luis, Ribeiro Raul, Masera Giuseppe, Caniza Miguela A
*Hospital de Clínicas, Facultad de Medicina, Universidad Nacional de Asunción, Asunción, Paraguay †Hospital Niño Jesús, Madrid, Spain ‡School of Public Health, The University of Memphis §Department of Oncology ∥International Outreach Program #Department of Infectious Diseases, St. Jude Children's Research Hospital **Department of Pediatrics, University of Tennessee Health Science Center, College of Medicine, Memphis, TN ¶Department of Pediatrics, Center of Biostatistics, University of Milan-Bicocca, San Gerardo Hospital, Monza, Italy.
J Pediatr Hematol Oncol. 2015 Jul;37(5):383-90. doi: 10.1097/MPH.0000000000000338.
In Paraguay, cancer is among the leading causes of death among children. We report challenges and solutions for building the country's first pediatric cancer center at the National University School of Medicine (PCC-SM) and describe the outcomes of the National Network for Pediatric Cancer. We found that children with acute lymphoblastic leukemia treated between 2008 and 2012 had higher 3-year survival rates and lower treatment abandonment rates than did children treated between 2000 and 2007 before the network was established. This improvement directly coincided with the increased treatment capacity of the PCC-SM. Herein, we describe the role of local, national, and international contributors in improving the health care at Paraguay's PCC-SM and discuss how expediting access to specialized cancer diagnosis and care and implementing a system for referral and follow-up visits can improve cancer outcomes in other low-resource countries.
在巴拉圭，癌症是儿童主要死因之一。我们报告了在国立大学医学院建立该国首个儿科癌症中心（PCC-SM）所面临的挑战及解决方案，并描述了国家儿科癌症网络的成果。我们发现，2008年至2012年接受治疗的急性淋巴细胞白血病患儿，其3年生存率高于2000年至2007年网络建立之前接受治疗的患儿，且治疗放弃率更低。这一改善与PCC-SM治疗能力的提升直接相关。在此，我们描述了地方、国家和国际各方贡献者在改善巴拉圭PCC-SM医疗保健方面的作用，并讨论加快获得专业癌症诊断和治疗以及实施转诊和随访制度如何能改善其他资源匮乏国家的癌症治疗结果。
