ArticleNeuro-oncology2013
Management of children with brain tumors in Paraguay.
Article in Neuro-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 42 citations in OpenAlex.
- Neurosurgical management of paediatric central nervous system tumours in low, middle and high-income countries: a multi-centre, international, cross-sectional study.Neurosurgical review · 2026Article
- Barriers to care to pediatric brain tumors in low- and middle-income countries: A proposal for a critical framework.Surgical neurology international · 2026Review
- Unlocking delays: revealing barriers to early diagnosis of childhood central nervous system tumors in an upper-middle-income country.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Pediatric neuro-oncology in Latin America and the Caribbean: a gap to be filled.Frontiers in oncology · 2024Article
- Pediatric cancer mortality: Analyzing early deaths and fatalities in a resource-limited tertiary care context.PloS one · 2024Article
- Resources for the practice of pediatric neuro-oncology in Mexico: a cross-sectional evaluation.Frontiers in oncology · 2024Article
- Resection cavity auto-contouring for patients with pediatric medulloblastoma using only CT information.Journal of applied clinical medical physics · 2023Article
- The Greatest Healthcare Disparity: Addressing Inequities in the Treatment of Childhood Central Nervous System Tumors in Low- and Middle-Income Countries.Advances and technical standards in neurosurgery · 2023Article
- Letter regarding Louis et al: The 2021 WHO Classification of Tumors of the Central Nervous System: A summary.Neuro-oncology · 2021Article
- Improving Pediatric Neuro-Oncology Survival Disparities in the United States-Mexico Border Region: A Cross-Border Initiative Between San Diego, California, and Tijuana, Mexico.JCO global oncology · 2020Article
- Assessment of Retinoblastoma Capacity in the Middle East, North Africa, and West Asia Region.JCO global oncology · 2020Article
- Bridging the Gap in Access to Care for Children With CNS Tumors Worldwide.JCO global oncology · 2020Article
- The Latin American Brain Tumor Board teleconference: results of a web-based survey to evaluate participant experience utilizing this resource.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Article
- Video-Teleconferencing in Pediatric Neuro-Oncology: Ten Years of Experience.Journal of global oncology · 2018Article
- Nursing's Potential to Address the Growing Cancer Burden in Low- and Middle-Income Countries.Journal of global oncology · 2016Article
- Challenges and opportunities to advance pediatric neuro-oncology care in the developing world.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015Review
- Development of the pediatric neuro-oncology services assessment aid: An assessment tool for pediatric neuro-oncology service delivery capacity.Neuro-oncology advancesArticle
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCure rates among children with brain tumors differ between low-income and high-income countries. To evaluate causes of these differences, we analyzed aspects of care provided to pediatric neuro-oncology patients in a low middle-income South American country.
methodsThree methods were used to evaluate treatment of children with brain tumors in Paraguay: (1) a quantitative needs assessment questionnaire for local treating physicians, (2) site visits to assess 3 tertiary care centers in Asunción and a satellite clinic in an underdeveloped area, and (3) interviews with health care workers from relevant disciplines to determine their perceptions of available resources. Treatment failure was defined as abandonment of therapy, relapse, or death.
resultsAll 3 tertiary care facilities have access to chemotherapy and pediatric oncologists but lack training and tools for neuropathology and optimal neurosurgery. The 2 public hospitals also lack access to appropriate radiological tests and timely radiotherapy. These results demonstrate disparities in Paraguay, with rates of treatment failure ranging from 37% to 83% among the 3 facilities.
conclusionsNational and center-specific deficiencies in resources to manage pediatric brain tumors contribute to poor outcomes in Paraguay and suggest that both national and center-specific interventions are warranted to improve care. Disparities in Paraguay reflect different levels of governmental and philanthropic support, program development, and socio-economic status of patients and families, which must be considered when developing targeted strategies to improve management. Effective targeted interventions can serve as a model to develop pediatric brain tumor programs in other low- and middle-income countries.
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