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神经外科在推动全球儿童中枢神经系统肿瘤治疗方面的作用。

The role of neurosurgery in advancing pediatric CNS tumor care worldwide.

作者信息

Roach Jordan T, Baticulon Ronnie E, Campos Danny A, Andrews Jared M, Qaddoumi Ibrahim, Boop Frederick A, Moreira Daniel C

机构信息

College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.

Graduate School of Biomedical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

出版信息

Brain Spine. 2023 May 1;3:101748. doi: 10.1016/j.bas.2023.101748. eCollection 2023.

Abstract

INTRODUCTION

There is substantial inequity in survival outcomes for pediatric brain tumor patients residing in high-income countries (HICs) compared to low- and middle-income countries (LMICs). To address disparities in pediatric cancer survival, the World Health Organization (WHO) established the Global Initiative for Childhood Cancer (GICC) to expand quality care for children with cancer.

RESEARCH QUESTION

To provide an overview of pediatric neurosurgical capacity and detail the burden of neurosurgical diseases impacting children.

MATERIAL AND METHODS

A narrative review of the current context of global pediatric neurosurgical capacity as it relates to neurooncology and other diseases relevant to children.

RESULTS

In this article, we provide an overview of pediatric neurosurgical capacity and detail the burden of neurosurgical diseases impacting children. We highlight concerted advocacy and legislative efforts aimed at addressing unmet neurosurgical needs in children. Finally, we discuss the potential implications of advocacy efforts on treating pediatric CNS tumors and outline strategies to improve global outcomes for children with brain tumors worldwide in the context of the WHO GICC.

DISCUSSION AND CONCLUSION

With both global pediatric oncology and neurosurgical initiatives converging on the treatment of pediatric brain tumors, significant strides toward decreasing the burden of pediatric neurosurgical diseases will hopefully be made.

摘要

引言

与低收入和中等收入国家(LMICs)相比,高收入国家(HICs)的小儿脑肿瘤患者在生存结果方面存在严重的不平等。为了解决小儿癌症生存方面的差异,世界卫生组织(WHO)发起了全球儿童癌症倡议(GICC),以扩大对癌症儿童的优质护理。

研究问题

概述小儿神经外科能力,并详细说明影响儿童的神经外科疾病负担。

材料与方法

对全球小儿神经外科能力的现状进行叙述性综述,内容涉及神经肿瘤学以及与儿童相关的其他疾病。

结果

在本文中,我们概述了小儿神经外科能力,并详细说明了影响儿童的神经外科疾病负担。我们强调了旨在满足儿童未得到满足的神经外科需求的协调一致的宣传和立法努力。最后,我们讨论了宣传努力对治疗小儿中枢神经系统肿瘤的潜在影响,并在世卫组织全球儿童癌症倡议的背景下概述了改善全球脑肿瘤儿童治疗效果的策略。

讨论与结论

随着全球小儿肿瘤学和神经外科倡议都聚焦于小儿脑肿瘤的治疗,有望在减轻小儿神经外科疾病负担方面取得重大进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f94/10293316/93f3aed4450c/gr1.jpg

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