Evidence map›Paper›PMID 37384858›Full record

ArticleJCO global oncology2023

Analysis of the Pediatric Radiotherapy Landscape in Mexico and a Subsequent Educational e-Contouring Intervention.

Raymond B Mailhot Vega, Beatriz E Garcia Robles, Christopher G Morris, Kara Buss, Ulises Mejia, Adela Poitevin, Maria Fatima Chilaca Rosas, Heynar Perez Villanueva, Jesus Armando Felix Leyva, Daniel J Indelicato and 1 more

Abstract read
In one paragraph

Article in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Strengthening the Pediatric Radiation Oncology Workforce Through Digital Learning: A Capacity-Building Pilot from Pakistan.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  2. Enhancing IMRT/VMAT Competencies in LMICs globally within radiation physicists through remote training.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Raymond B Mailhot VegaDepartment of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL.ORCID 0000-0003-0616-034X
Beatriz E Garcia RoblesHospital Infantil Teleton de Oncología, Santiago de Querétaro, México.
Christopher G MorrisDepartment of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL.
Kara BussDepartment of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL.
Ulises MejiaInstituto Nacional de Cancerología, Hospital Infantil de México, Ciudad de México, México.
Adela PoitevinHospital Medica Sur, Ciudad de México, México.ORCID 0000-0001-7841-2652
Maria Fatima Chilaca RosasHospital de Oncología de Centro Médico Siglo XXI, Ciudad de México, México.
Heynar Perez VillanuevaHospital Infantil de México Federico Gómez, Santiago de Querétaro, México.
Jesus Armando Felix LeyvaOncología Consultorio, León, México.
Daniel J IndelicatoDepartment of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL.ORCID 0000-0001-5765-1873
Dolores De la MataCentro Médico ABC, Ciudad de México, México.ORCID 0000-0002-9371-383X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMexico and Central America have the highest childhood cancer incidence in the West. Pediatric-specific oncology knowledge contributes to the disparity. We sought to (1) determine the self-identified treatment patterns and needs of Mexican pediatric radiation oncologists and (2) pilot a workshop to improve contouring accuracy. MATERIALS AND

methodsPartnering with local experts and the Sociedad Mexicana de Radioterapeutas (SOMERA), a 35-question survey was designed to ascertain pediatric radiotherapy capacity and distributed through the SOMERA listserv. The most challenging malignancies were selected for workshop. Participants received precontouring and postcontouring homework to assess improvement per the Dice metric. The Wilcoxon sign-rank test was used for comparative statistics.

resultsNinety-four radiation oncologists attempted and 79 completed the survey. Forty-four (76%) felt comfortable treating a pediatric patient, and 36 (62%) were familiar with national protocols for pediatric treatment. Most had access to nutrition, rehabilitation, endocrinology, and anesthesia; 14% had access to fertility services and 27% to neurocognitive support; 11% noted no support, and only one respondent had child-life support. The postsurvey contouring workshop was conducted for high-grade glioma, medulloblastoma, and Hodgkin lymphoma. Significant improvements were seen in all target volumes.

conclusionWe present the first national survey of Mexico's pediatric radiotherapy capacity and Latin American e-contouring educational intervention with preworkshop and postworkshop Dice metrics, noting statistically significant improvement in all target volumes. Participation improved compared with prior experience through SOMERA partnership and Continuing Medical Education incentivization.

Indexed as

Radiation OncologyChildHumansMedical OncologyMexico

Identifiers

PMID37384858
PMCPMC10497300

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.