Child's Nervous System

, Volume 35, Issue 4, pp 591–592 | Cite as

A single well-equipped pediatric oncology center may improve the results in low-/middle-income countries

  • Mohamed S. ZaghloulEmail author
Letter to the Editor

Dear Editor:

Elhassan et al. [1] in a well-written manuscript explicitly described the pattern, treatments, and long-term outcome of pediatric CNS tumors in a single academic institution in Sudan, one of the low-/middle-income countries (LMIC). It is clear from the facilities mentioned by the authors that, though of the efforts to maximal utilization, it is still much lacking and not fulfilling the standard of care in the Western centers. The diagnosis time is expected to be shorter in developed than developing countries mainly due to the presence of well-implemented strategies to establish medical awareness of parents and healthcare professionals that reduced much the time elapsed to detect CNS tumors in children. Diagnostic resources should be widely expanded in the country and efficiently used together with the reliable efficient referral system. Elhassan et al. [1] reported a modest clinical outcome compared to high-income countries (HIC) and even many of African and LMIC who own...


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Conflict of interest



  1. 1.
    Elhassan MA, Mohamedani AA, Osman HH, Yousif NO, Elhaj NM, Qaddoumi I (2019) Patterns, treatment, and outcomes of pediatric central nervous system tumors in Sudan: a single institution experience. Childs Nerv Syst.
  2. 2.
    Stefan C, Bray F, Ferlay J, Liu B, Maxwell Parkin D (2017) Cancer of childhood in sub-Saharan Africa. Ecancermedicalscience 11:755CrossRefGoogle Scholar
  3. 3.
    Gilli IO, Joaquim AF, Tedeschi H, Aguiar S, Morcillo AM, Ghizoni E (2019) Factors affecting diagnosis of primary pediatric central nervous system neoplasias in a developing country. Childs Nerv Syst 35(1):91–96. CrossRefGoogle Scholar
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    Bishr MK, Zaghloul MS (2018) Radiation therapy availability in Africa and Latin America: two models of low and middle income countries. Int J Radiat Oncol Biol Phys 102(3):490–498. CrossRefGoogle Scholar
  5. 5.
    Zaghloul MS (2016 Feb) Single pediatric neuro-oncology center may make difference in low/middle-income countries. Childs Nerv Syst 32(2):241–242. CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Radiation Oncology Department, National Cancer InstituteCairo University and Children’s Cancer HospitalCairoEgypt

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