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Building the ecosystem for pediatric neuro-oncology care in Pakistan: Results of a 7-year long twinning program between Canada and Pakistan.
Mushtaq, Naureen; Mustansir, Fatima; Minhas, Khurram; Usman, Sadia; Qureshi, Bilal Mazhar; Mubarak, Fatima; Bari, Ehsan; Enam, Syed Ather; Laghari, Altaf Ali; Javed, Gohar; Shamim, Shahzad; Darbar, Aneela; Abbasi, Ahmed Nadeem; Kirmani, Salman; Resham, Shahazadi; Bilal, Afia; Hamid, Syed Ahmer; Zia, Nida; Shaheen, Najma; Wali, Rabia; Ghafoor, Tariq; Imam, Uzma; Maaz, Ata Ur Rehman; Khan, Sara; Laperriere, Normand; Desbrandes, Francois; Dirks, Peter; Drake, James; Huang, Annie; Tabori, Uri; Hawkins, Cynthia; Bartels, Ute; Ramaswamy, Vijay; Bouffet, Eric.
Afiliación
  • Mushtaq N; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Mustansir F; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Minhas K; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Usman S; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Qureshi BM; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Mubarak F; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Bari E; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Enam SA; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Laghari AA; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Javed G; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Shamim S; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Darbar A; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Abbasi AN; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Kirmani S; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Resham S; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Bilal A; Division of Pediatric Oncology, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Hamid SA; Indus Children Cancer Hospital, Karachi, Pakistan.
  • Zia N; Indus Children Cancer Hospital, Karachi, Pakistan.
  • Shaheen N; Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan.
  • Wali R; Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan.
  • Ghafoor T; Combined Military Hospital, Rawalpindi, Pakistan.
  • Imam U; National Institute of Child Health, Karachi, Pakistan.
  • Maaz AUR; Sidra Hospital, Doha, Qatar.
  • Khan S; The Hospital for Sick Children, Toronto, Canada.
  • Laperriere N; Princess Margaret Cancer Centre, Toronto, Canada.
  • Desbrandes F; MCM Program Sanofi Espoir Aventis Foundation, Paris, France.
  • Dirks P; The Hospital for Sick Children, Toronto, Canada.
  • Drake J; The Hospital for Sick Children, Toronto, Canada.
  • Huang A; The Hospital for Sick Children, Toronto, Canada.
  • Tabori U; The Hospital for Sick Children, Toronto, Canada.
  • Hawkins C; The Hospital for Sick Children, Toronto, Canada.
  • Bartels U; The Hospital for Sick Children, Toronto, Canada.
  • Ramaswamy V; The Hospital for Sick Children, Toronto, Canada.
  • Bouffet E; The Hospital for Sick Children, Toronto, Canada.
Pediatr Blood Cancer ; 69(9): e29726, 2022 09.
Article en En | MEDLINE | ID: mdl-35484912
BACKGROUND: Low- and middle-income countries sustain the majority of pediatric cancer burden, with significantly poorer survival rates compared to high-income countries. Collaboration between institutions in low- and middle-income countries and high-income countries is one of the ways to improve cancer outcomes. METHODS: Patient characteristics and effects of a pediatric neuro-oncology twinning program between the Hospital for Sick Children in Toronto, Canada and several hospitals in Karachi, Pakistan over 7 years are described in this article. RESULTS: A total of 460 patients were included in the study. The most common primary central nervous system tumors were low-grade gliomas (26.7%), followed by medulloblastomas (18%), high-grade gliomas (15%), ependymomas (11%), and craniopharyngiomas (11.7%). Changes to the proposed management plans were made in consultation with expert physicians from the Hospital for Sick Children in Toronto, Canada. On average, 24% of the discussed cases required a change in the original management plan over the course of the twinning program. However, a decreasing trend in change in management plans was observed, from 36% during the first 3.5 years to 16% in the last 3 years. This program also led to the launch of a national pediatric neuro-oncology telemedicine program in Pakistan. CONCLUSIONS: Multidisciplinary and collaborative efforts by experts from across the world have aided in the correct diagnosis and treatment of children with brain tumors and helped establish local treatment protocols. This experience may be a model for other low- and middle-income countries that are planning on creating similar programs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Neoplasias Cerebelosas / Meduloblastoma Tipo de estudio: Guideline / Prognostic_studies Límite: Child / Humans País/Región como asunto: America do norte / Asia Idioma: En Revista: Pediatr Blood Cancer Asunto de la revista: HEMATOLOGIA / NEOPLASIAS / PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Neoplasias Cerebelosas / Meduloblastoma Tipo de estudio: Guideline / Prognostic_studies Límite: Child / Humans País/Región como asunto: America do norte / Asia Idioma: En Revista: Pediatr Blood Cancer Asunto de la revista: HEMATOLOGIA / NEOPLASIAS / PEDIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Estados Unidos