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Capacity building for pediatric neuro-oncology in Pakistan- a project by my child matters program of Foundation S.
Mushtaq, Naureen; Qureshi, Bilal Mazhar; Javed, Gohar; Sheikh, Nabeel Ashfaque; Bakhshi, Saqib Kamran; Laghari, Altaf Ali; Enam, Syed Ather; Anwar, Shayan Sirat Maheen; Hilal, Kiran; Kabir, Arsalan; Ahmad, Alia; Goraya, Amber; Mistry, Anum Salman; Rashid, Aqeela; Maaz, Ata Ur Rehman; Munawar, Muhammad Atif; Khan, Atiq Ahmed; Bashir, Farrah; Hashmi, Hina; Saeed, Kamran; Khandwala, Kumail; Rehman, Lal; Dewan, Michael C; Khan, Muhammad Saghir; Karim, Muneeb Uddin; Shaheen, Najma; Zia, Nida; Yasmeen, Nuzhat; Mahmood, Raheela; Memon, Riaz Ahmed Raja; Kirmani, Salman; Resham, Shahzadi; Kadri, Shazia; Riaz, Shazia; Hamid, Syed Ahmer; Ghafoor, Tariq; Imam, Uzma; Mushtaq, Yaseen Rauf; Rana, Zulfiqar Ali; Bouffet, Eric; Minhas, Khurram.
Afiliación
  • Mushtaq N; Peadiatric Oncology Section, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Qureshi BM; Radiation Oncology Section, Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Javed G; Neurosurgery Section, Department of Surgery, Aga Khan University, Karachi, Pakistan.
  • Sheikh NA; Medical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Karachi, Pakistan.
  • Bakhshi SK; Neurosurgery Section, Department of Surgery, Aga Khan University, Karachi, Pakistan.
  • Laghari AA; Neurosurgery Section, Department of Surgery, Aga Khan University, Karachi, Pakistan.
  • Enam SA; Neurosurgery Section, Department of Surgery, Aga Khan University, Karachi, Pakistan.
  • Anwar SSM; Aga Khan University, Karachi, Pakistan.
  • Hilal K; Department of Radiology, Aga Khan University, Karachi, Pakistan.
  • Kabir A; Department of Oncology, Aga Khan University, Karachi, Pakistan.
  • Ahmad A; Department of Pediatric Oncology, Children's Hospital and Institute of Child Health, Lahore, Pakistan.
  • Goraya A; Department of Radiology Children's Hospital and Institute of Child Health, Lahore, Pakistan.
  • Mistry AS; Aga Khan University, Karachi, Pakistan.
  • Rashid A; Department of Pediatric Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
  • Maaz AUR; Sidra Medicine, Doha, Qatar.
  • Munawar MA; Department of Radiation Oncology, Northwest General Hospital and Research Center, Peshawar, Pakistan.
  • Khan AA; Department of Neurosurgery, Ruth K. M. Pfau Civil Hospital, Karachi, Pakistan.
  • Bashir F; Aga Khan University, Karachi, Pakistan.
  • Hashmi H; Jinnah Postgraduate Medical Centre, Aga Khan University, Karachi, Pakistan.
  • Saeed K; Jinnah Postgraduate Medical Centre, Aga Khan University, Karachi, Pakistan.
  • Khandwala K; Aga Khan University, Karachi, Pakistan.
  • Rehman L; Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
  • Dewan MC; Vanderbilt University Medical Center, Nashville, TN, United States.
  • Khan MS; Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Madinah, Saudi Arabia.
  • Karim MU; Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
  • Shaheen N; Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
  • Zia N; Indus Hospital & Health Network, Karachi, Pakistan.
  • Yasmeen N; Pakistan Institute of Medical Sciences, Islamabad, Pakistan.
  • Mahmood R; Atomic Energy Medical Centre, Aga Khan University, Karachi, Pakistan.
  • Memon RAR; Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
  • Kirmani S; Aga Khan University, Karachi, Pakistan.
  • Resham S; Aga Khan University, Karachi, Pakistan.
  • Kadri S; Jinnah Medical College and Teaching Hospital, Peshawar, Pakistan.
  • Riaz S; Children's Hospital and Institute of Child Health, Lahore, Pakistan.
  • Hamid SA; Indus Hospital & Health Network, Karachi, Pakistan.
  • Ghafoor T; Combined Military Hospital, Rawalpindi, Pakistan.
  • Imam U; Child Aid Association, National Institute of Child Health, Karachi, Pakistan.
  • Mushtaq YR; Neurosurgery Department, Patel Hospital, Karachi, Pakistan.
  • Rana ZA; Children's Hospital & The Institute of Child Health Multan, Multan, Pakistan.
  • Bouffet E; The Hospital for Sick Children (SickKids), Toronto, ON, Canada.
  • Minhas K; Aga Khan University, Karachi, Pakistan.
Front Oncol ; 14: 1325167, 2024.
Article en En | MEDLINE | ID: mdl-38487721
ABSTRACT

Introduction:

Initiated in June 2019, this collaborative effort involved 15 public and private sector hospitals in Pakistan. The primary objective was to enhance the capacity for pediatric neuro-oncology (PNO) care, supported by a My Child Matters/Foundation S grant.

Methods:

We aimed to establish and operate Multidisciplinary Tumor Boards (MTBs) on a national scale, covering 76% of the population (185.7 million people). In response to the COVID-19 pandemic, MTBs transitioned to videoconferencing. Fifteen hospitals with essential infrastructure participated, holding monthly sessions addressing diagnostic and treatment challenges. Patient cases were anonymized for confidentiality. Educational initiatives, originally planned as in-person events, shifted to a virtual format, enabling continued implementation and collaboration despite pandemic constraints.

Results:

A total of 124 meetings were conducted, addressing 545 cases. To augment knowledge, awareness, and expertise, over 40 longitudinal lectures were organized for healthcare professionals engaged in PNO care. Additionally, two symposia with international collaborators and keynote speakers were also held to raise national awareness. The project achieved significant milestones, including the development of standardized national treatment protocols for low-grade glioma, medulloblastoma, and high-grade glioma. Further protocols are currently under development. Notably, Pakistan's first pediatric neuro-oncology fellowship program was launched, producing two graduates and increasing the number of trained pediatric neuro-oncologists in the country to three.

Discussion:

The initiative exemplifies the potential for capacity building in PNO within low-middle income countries. Success is attributed to intra-national twinning programs, emphasizing collaborative efforts. Efforts are underway to establish a national case registry for PNO, ensuring a comprehensive and organized approach to monitoring and managing cases. This collaborative initiative, supported by the My Child Matters/Foundation S grant, showcases the success of capacity building in pediatric neuro-oncology in low-middle income countries. The establishment of treatment protocols, fellowship programs, and regional tumor boards highlights the potential for sustainable improvements in PNO care.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Oncol Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Oncol Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Suiza