Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.
Department of Radiation Oncology, Massachusetts General Hospital, Harvard University, Boston, Massachusetts.
Pediatr Blood Cancer. 2021 May;68 Suppl 2:e28299. doi: 10.1002/pbc.28299. Epub 2020 Aug 2.
This report provides a summary of the global burden of childhood cancer morbidity and mortality, which disproportionately affects low- and middle-income countries as well as low- and middle-income communities within high-income countries. We review past successes and current challenges to improving clinical pediatric radiotherapy, education, and research in these regions. The Pediatric Radiation Oncology Society Taskforce in Low- and Middle-Income Countries recently outlined specific aims: (a) to increase access and quality of radiotherapy for children and adolescents afflicted with cancer; (b) to enumerate, engage, and educate a global community of providers of childhood and adolescent radiotherapy; and (c) to create evidence establishing the outcomes of setting-specific treatment standards of care when first-world standards are not achievable. This report will improve awareness of these disparities and promote attempts to correct them.
本报告概述了全球儿童癌症发病率和死亡率负担,这在低收入和中等收入国家以及高收入国家中的低收入和中等收入社区中不成比例地存在。我们回顾了在这些地区改善临床儿科放射治疗、教育和研究方面的过去的成功和当前的挑战。儿科放射肿瘤学会在低收入和中等收入国家的工作组最近概述了具体目标:(a) 增加患有癌症的儿童和青少年接受放射治疗的机会和质量;(b) 确定、联系和教育全球范围内提供儿童和青少年放射治疗的人员;(c) 制定证据,确定在无法实现第一世界标准的情况下,特定治疗标准的护理结果。本报告将提高对这些差异的认识,并促进纠正这些差异的努力。