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尼日利亚儿科放射肿瘤学的现状。

The Landscape of Pediatric Radiation Oncology in Nigeria.

机构信息

NSIA-LUTH Cancer Centre, Lagos University Teaching Hospital, Lagos, Nigeria.

Hematology & Oncology Unit, Department of Pediatrics, College of Medicine University of Lagos, Lagos, Nigeria.

出版信息

JCO Glob Oncol. 2024 Jan;10:e2300219. doi: 10.1200/GO.23.00219.

DOI:10.1200/GO.23.00219
PMID:38207247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10793986/
Abstract

Radiation therapy (RT) is an essential part of the multidisciplinary treatment of pediatric cancer. Over the past five decades, significant advances have been made in the delivery of RT, with better dose delivery to disease targets while minimizing exposure to nearby organs at risk. These advances have led to improved treatment outcomes, increased survival, and reduced treatment-related toxicities. Advanced treatment techniques, however, require significant investment in infrastructural and personnel resources. This review documents what is currently available regarding expertise and infrastructure for pediatric radiation oncology practice in Nigeria. It was performed to serve as a foundation for the creation and design of tailored solutions (initiatives and policies) to increase pediatric radiation availability, accessibility, and equity in Nigeria and ultimately improve pediatric cancer treatment outcomes in the region.

摘要

放射治疗(RT)是儿科癌症多学科治疗的重要组成部分。在过去的五十年中,放射治疗的实施取得了重大进展,在向疾病靶区更好地输送剂量的同时,最大限度地减少了对附近危险器官的暴露。这些进展带来了更好的治疗结果、更高的生存率和更低的治疗相关毒性。然而,先进的治疗技术需要在基础设施和人员资源方面进行大量投资。本综述记录了尼日利亚儿科肿瘤放射治疗实践方面目前可获得的专业知识和基础设施情况。其目的是为制定和设计增加尼日利亚儿科放射治疗可及性、公平性的解决方案(举措和政策)奠定基础,最终改善该地区儿科癌症的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb91/10793986/cc8ce0d7dc98/go-10-e2300219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb91/10793986/41f65495237e/go-10-e2300219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb91/10793986/cc8ce0d7dc98/go-10-e2300219-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb91/10793986/41f65495237e/go-10-e2300219-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb91/10793986/cc8ce0d7dc98/go-10-e2300219-g002.jpg

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本文引用的文献

1
Radiotherapy services in low resource settings: The situation in Nigeria.资源匮乏地区的放射治疗服务:尼日利亚的情况。
SAGE Open Med. 2023 Feb 7;11:20503121231153758. doi: 10.1177/20503121231153758. eCollection 2023.
2
Radiotherapy resources in Africa: an International Atomic Energy Agency update and analysis of projected needs.非洲放射治疗资源:国际原子能机构的最新情况和对预计需求的分析。
Lancet Oncol. 2021 Sep;22(9):e391-e399. doi: 10.1016/S1470-2045(21)00351-X.
3
Emerging Use of Public-Private Partnerships in Public Radiotherapy Facilities in Nigeria.
尼日利亚公共放疗设施公私合作的新应用。
JCO Glob Oncol. 2021 Aug;7:1260-1269. doi: 10.1200/GO.21.00066.
4
Advances in radiotherapy technology for pediatric cancer patients and roles of medical physicists: COG and SIOP Europe perspectives.儿科癌症患者放射治疗技术的进展和医学物理学家的作用:COG 和 SIOP 欧洲观点。
Pediatr Blood Cancer. 2021 May;68 Suppl 2(Suppl 2):e28344. doi: 10.1002/pbc.28344.
5
The Practice of Paediatric Radiation Oncology in Low- and Middle-income Countries: Outcomes of an International Atomic Energy Agency Study.《低、中收入国家儿科放射肿瘤学实践:国际原子能机构研究结果》。
Clin Oncol (R Coll Radiol). 2021 Apr;33(4):e211-e220. doi: 10.1016/j.clon.2020.11.004. Epub 2020 Nov 26.
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Global pediatric radiation therapy in resource-limited settings.全球资源有限环境下的儿科放射治疗。
Pediatr Blood Cancer. 2021 May;68 Suppl 2:e28299. doi: 10.1002/pbc.28299. Epub 2020 Aug 2.
7
Cost and cost-effectiveness of childhood cancer treatment in low-income and middle-income countries: a systematic review.低收入和中等收入国家儿童癌症治疗的成本及成本效益:一项系统评价
BMJ Glob Health. 2019 Oct 31;4(5):e001825. doi: 10.1136/bmjgh-2019-001825. eCollection 2019.
8
Public Awareness and Perceptions of Radiotherapy and Their Influence on the Use of Radiotherapy in Dar es Salaam, Tanzania.坦桑尼亚达累斯萨拉姆市公众对放射治疗的认知、看法及其对放射治疗使用情况的影响
J Glob Oncol. 2019 Nov;5:1-10. doi: 10.1200/JGO.19.00175.
9
Radiotherapy treatment in cancer control and its important role in Africa.放射治疗在癌症控制中的作用及其在非洲的重要地位。
Ecancermedicalscience. 2019 Jul 25;13:942. doi: 10.3332/ecancer.2019.942. eCollection 2019.
10
The global burden of childhood and adolescent cancer in 2017: an analysis of the Global Burden of Disease Study 2017.2017 年全球儿童和青少年癌症负担:基于 2017 年全球疾病负担研究的分析。
Lancet Oncol. 2019 Sep;20(9):1211-1225. doi: 10.1016/S1470-2045(19)30339-0. Epub 2019 Jul 29.