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通过多学科教育与合作提升低收入和中等收入国家的儿科神经肿瘤学能力:一项混合方法分析

Building pediatric neuro-oncology capacity in LMICs through multidisciplinary education and collaboration: a mixed-methods analysis.

作者信息

Berg Fair, Bryan Gemma, Andujar Allyson, Graetz Dylan E, Rodríguez-Galindo Carlos, Qaddoumi Ibrahim, Moreira Daniel C

机构信息

Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, USA.

Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.

出版信息

Neurooncol Adv. 2025 Jul 19;7(1):vdaf153. doi: 10.1093/noajnl/vdaf153. eCollection 2025 Jan-Dec.

DOI:10.1093/noajnl/vdaf153
PMID:40746953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12311929/
Abstract

BACKGROUND

The St. Jude Global Academy's Neuro-Oncology Training Seminar (NOTS) is a course in pediatric neuro-oncology (PNO), which was created for physicians from low- and middle-income countries. This study reports on the impact of the NOTS.

METHODS

The NOTS has been imparted in 2018, 2022, and 2023. Data on course participants were prospectively collected, and a survey evaluating course impact was completed by graduates and analyzed quantitatively and qualitatively.

RESULTS

Overall, participants from 38 institutions from 29 countries have participated in the NOTS. Furthermore, 205 individuals participated, including 70 pediatric oncologists, 45 neurosurgeons, 22 radiation oncologists, 21 pathologists, 17 radiologists, 7 pediatric neurologists, and 23 other specialties. Survey responses from 76 participants were collected. Of the 47% of respondents who did not have multidisciplinary tumor boards (MDTB) before the NOTS, 55% of those institutions created them influenced by their participation in the NOTS. In addition, 79% of respondents stated that multidisciplinary communication improved after the course. Qualitative analysis identified seven key themes related to the impact of the NOTS course and elucidated the impact of the NOTS on multidisciplinary engagement, institutional practice, and patient care. More specifically, respondents described improvements to interpersonal working, co-ordination of care, clinical management, and decision-making. The NOTS participants have continued to be engaged through the Global Alliance in Pediatric Neuro-Oncology (GAPNO).

CONCLUSIONS

A multidisciplinary course on the care of pediatric CNS tumor for resource-limited settings has increased PNO expertise and improved multidisciplinary care. It has galvanized a community of practice to further expand capacity building.

摘要

背景

圣裘德全球学院的神经肿瘤学培训研讨会(NOTS)是一门针对低收入和中等收入国家医生的儿科神经肿瘤学课程。本研究报告了该研讨会的影响。

方法

NOTS分别于2018年、2022年和2023年举办。前瞻性收集了课程参与者的数据,并由毕业生完成了一项评估课程影响的调查,并进行了定量和定性分析。

结果

总体而言,来自29个国家38个机构的参与者参加了NOTS。此外,共有205人参与,其中包括70名儿科肿瘤学家、45名神经外科医生、22名放射肿瘤学家、21名病理学家、17名放射科医生、7名儿科神经科医生和23名其他专业人员。收集了76名参与者的调查回复。在NOTS之前没有多学科肿瘤委员会(MDTB)的受访者中,有47%,其中55%的机构在参与NOTS后受到影响而设立了该委员会。此外,79%的受访者表示课程结束后多学科沟通有所改善。定性分析确定了与NOTS课程影响相关的七个关键主题,并阐明了NOTS对多学科参与、机构实践和患者护理的影响。更具体地说,受访者描述了人际合作、护理协调、临床管理和决策方面的改善。NOTS参与者通过全球儿科神经肿瘤学联盟(GAPNO)继续保持参与。

结论

一门针对资源有限环境下儿科中枢神经系统肿瘤护理的多学科课程提高了儿科神经肿瘤学专业知识水平,改善了多学科护理。它激发了一个实践社区,以进一步扩大能力建设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e806/12311929/882e1e46ca26/vdaf153_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e806/12311929/bddda7dc1e47/vdaf153_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e806/12311929/882e1e46ca26/vdaf153_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e806/12311929/bddda7dc1e47/vdaf153_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e806/12311929/882e1e46ca26/vdaf153_fig2.jpg

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The St. Jude Global Academy: A Multifaceted Education Program to Expand Pediatric Oncology Workforce Capacity.圣裘德全球学院:一项拓展儿科肿瘤学劳动力能力的多方面教育计划。
Pediatr Blood Cancer. 2025 Mar;72(3):e31499. doi: 10.1002/pbc.31499. Epub 2025 Jan 5.
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Development of the pediatric neuro-oncology services assessment aid: An assessment tool for pediatric neuro-oncology service delivery capacity.
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