Pediatric oncology services in Colombia
Abstract
Background: In low-income countries, a child diagnosed with cancer has an 80% chance of dying, while in high-income countries more than 80% survive the disease. In Colombia, a middle-income country, the government issued new legislation that promotes the generation of comprehensive care units; nevertheless, seven years after its expedition, no institution has been recognized as such by the Ministry of Health.
Objective: To characterize the current offer of oncological services for cancer care in children and to identify the institutions that could be constituted in Units of Comprehensive Care of Childhood Cancer in Colombia.Methods: descriptive study of secondary source, it was consulted the Special Register of Health Providers of the Ministry of Health and Social Protection, in order to identify the institutions that had enabled hospitalization services of medium or high complexity, chemotherapy, specialized consultation, emergencies, oncological surgery, radiotherapy or nuclear medicine. The information is reported in absolute frequencies.
Results: Seventy one institutions have hematology-oncology consultation, 39 institutions have chemotherapy and hospitalization services of medium or high complexity, and 18 have radiotherapy enabled. Only nine of the institutions include all the services that are necessary for comprehensive care.
Conclusion: Colombia has a sufficient supply of services for the care of children with cancer. Only a minority are in institutions that have the capacity to guarantee the integrality of the attention.
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References
GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC [Internet]. IARC - International Agency for Research on Cancer. 2013. Available from: http://globocan.iarc.fr.
Riveiro RC, Chantada GL, Arora RS, Antillon F, Kruger M, Barr RD. Pediatric oncology in country with limited resources. In: Pizzo PA, Poplack DC, editors. Principles and Practices of Pediatric Oncology. Seventh edition. Ed. Philadelphia: Wolters Kluwer; 2016. pp 1256-1266.
Pritchard-Jones K, Pieters R, Reaman GH, Hjorth L, Downie P, Calaminus G, et al. Sustaining innovation and improvement in the treatment of childhood cancer: lessons from high-income countries. Lancet Oncol. 2013; 14: e95–103.
Arora RS, Challinor JM, Howard SC, and Israels T. Improving Care for Children With Cancer in Low- and Middle-Income Countries—A SIOP PODC Initiative. Pediatr Blood Cancer. 2016;63:387–391.
Piñeros M, Gamboa O, Suarez A. Mortalidad por cáncer infantil en Colombia durante 1985 a 2008. Rev Panamericana Salud Publica. 2011;30 (1):15-21.
Pardo C, Cendales R. Incidencia, mortalidad y prevalencia de Cáncer en Colombia. 2007-2011. Bogotá, Instituto Nacional de Cancerología, 2015.
Allemani C, Weir HK, Carreira H, Harewood R, Spika D, Wang X-S, et al. Global surveillance of cancer survival 1995–2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2). Lancet. 2015;385(9972):977-1010.
Ribeiro RC, Pui CH. Saving the children--improving childhood cancer treatment in developing countries. New Engl J Med. 2005; 352(21):2158-60.
Rodriguez-Galindo C, Friedrich P, Alcasabas P, Antiñon F, Branavali S, Castillo L, et al. Toward the cure of all children with cancer through collaborative efforts: Pediatric oncology as a global challenge. J Clin Oncol. 2015; 33: 3065-73.
Vera AM, Pardo C, Duarte MC, Suárez A. Análisis de la mortalidad por leucemia aguda pediátrica en el Instituto Nacional de Cancerología. Biomédica. 2012;32:355-64.
Suárez A, Guzmán C, Villa B, Gamboa. Abandono del tratamiento: una causa de muerte evitable en el niño con cáncer. Rev Colomb Cancerol. 2011;15(1):22-29.
Ministerio de Salud y Protección Social. Ley 1388 de 2010. “Por el derecho a la vida de los niños con cáncer en Colombia. Bogotá: Ministerio de Salud y Protección Social; 2010.
Ministerio de Salud y Protección Social. Resolución 1477 de 2016. “Por la cual se define el procedimiento, los estándares y los criterios para la habilitación de las Unidades Funcionales para la Atención Integral de Cáncer del Adulto "UFCA" y de las Unidades de Atención de Cáncer Infantil "UACAI" y se dictan otras disposiciones. Bogotá: Ministerio de Salud y Protección Social;2016.
Hord J, Crouch G, Hale G, Mueller B, Rogers Z, Shearer P, et al. Standards for pediatric cancer centers. Pediatrics. 2014;134(2):410-4.
American Academy of Pediatric: Organizational principles to guide and define the child health care system and/or improve the health of all children. Pediatrics. 2014;134;410.
Campbell M. Desarrollo de la oncología pediátrica en Chile. Rev. Ped. Elec. 2005; 2(2):1-4.
Estándares europeos de atención a niños con cáncer. Varsovia 14 de octubre 2009. Disponible en: http://www.epaac.eu/from_heidi_wiki/Spanish.pdf. Consultado junio 26 del 2017.
Ministerio de Salud y Protección Social. Resolución 2003. Por la cual se definen los procedimientos y condiciones de inscripción de los prestadores de servicios de salud y de habilitación de servicios de salud. Bogotá: Ministerio de Salud y Protección Social; 2014
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