The Role of Twinning Programs and Telemedicine in Pediatric Oncology
Childhood cancer survival rates in highly developed countries have risen remarkably over the past 50 years from <10 % to over 80 %. This has been achieved as a result of early and precise diagnosis, effective and targeted treatment, and adequate supportive care. This contrasts with the situation in low- and middle-income countries (LMICs) where overall survival rates are <20 %. In order to address this gross inequity and improve chances of survival of children with cancer, a number of twinning programs, linking pediatric oncology units in resource-rich countries with units in countries with limited resources, have been established.
KeywordsPediatric Oncology Internet Connection Pediatric Oncology Group Telemedicine Application Online Service Provider
We would like to thank the following for their contribution to the project “La Mascota”: Fondazione CARIPLO, Comitato Maria Letizia Verga, Fondazione Tettamanti, Fondazione Zegna, AMCA (Bellinzona, Switzerland), CONANCA and MAPANICA (Nicaragua), the HMJR “La Mascota” Hospital (Managua), St. Jude Children’s Research Hospital (SJCRH, Memphis, USA), and the Pediatric Oncology Group of Ontario (POGO).
- 1.Wilimas JA, Ribeiro RC. Pediatric hematology-oncology outreach for developing countries. Hematol Oncol Clin North Am. 2001;15(4):775–87, x.Google Scholar
- 3.Magrath I, et al. Pediatric oncology in less developed countries. In: Pizzo PA, Poplack DG, editors. Principles and practice of pediatric oncology. Philadelphia, PA: Lippincott; 1993. p. 1225–51.Google Scholar
- 7.Masera G, Baez F, Biondi A, et al. Bridging the childhood cancer mortality gap between economically developed and low income countries: lessons from the MISPHO experience. In: Tannenberg S, Cavalli F, Pannuti F, editors. Cancer in developing countries. The great challenge for oncology in the 21st century. Muenchen: Zuckschwerdt; 2004. p. 42–60.Google Scholar
- 9.The Montevideo Document. SIOP News. 1997;17:32.Google Scholar
- 14.SIOP. 43rd Congress of the International Society of Paediatric Oncology (SIOP) 2011, Auckland, New Zealand, 28th–30th October 2011. Abstracts Pediatr Blood Cancer. 2011;57(5):705–897. doi: 10.1002/pbc.23299.
- 18.Edefonti A, Montini G, Castellon M; for the Nicaraguan Network of Pediatric Nephrology—NINEPEN. Comprehensive cooperative project for children with renal disease in Nicaragua. Clin Nephrol. 2010;74 Suppl. 1:S119–25.Google Scholar
- 20.Howard SC, Marinoni M, Castillo L, Bonilla M, Tognoni G, Luna-Fineman S, Antillon F, Valsecchi MG, Pui CH, Ribeiro RC, Sala A, Barr RD, Masera G, MISPHO Consortium Writing Committee. Improving outcomes for children with cancer in low-income countries in Latin America: a report on the recent meetings of the Monza International School of Pediatric Hematology/Oncology (MISPHO)-Part I. Pediatr Blood Cancer. 2007;48(3):364–9.PubMedCrossRefGoogle Scholar
- 21.Howard SC, Ortiz R, Baez LF, Cabanas R, Barrantes J, Fu L, Peña A, Samudio A, Vizcaino M, Rodríguez-Galindo C, Barr RD, Conter V, Biondi A, Masera G, MISPHO Consortium Writing Committee. Protocol-based treatment for children with cancer in low income countries in Latin America: a report on the recent meetings of the Monza International School of Pediatric Hematology/Oncology (MISPHO)—part I. Pediatr Blood Cancer. 2007;48(4):486–90.PubMedCrossRefGoogle Scholar
- 22.Valsecchi MG, Tognoni G, Bonilla M, Moreno N, Baez F, Pacheco C, Hernandez AP, Antillon-Klussmann F, Machin S, Cabanas R, Navarrete M, Nieves R, De Lorenzo P, Masera G, Monza’s International School of Paediatric Hematology-Oncology. Clinical epidemiology of childhood cancer in Central America and Caribbean countries. Ann Oncol. 2004;15(4):680–5.PubMedCrossRefGoogle Scholar
- 24.Antillon F, Baez FL, Barr R, Barrantes Zamorra JC, Carrasco LF, Moreno B, Bonilla MM, Tognoni G, Valsecch MG, Howard S, Ribeiro RC, Masera G. AMOR: a proposed cooperative effort to improve outcomes of childhood cancer in Central America. Pediatr Blood Cancer. 2005;45(2):107–10.PubMedCrossRefGoogle Scholar
- 25.Quintana Y, Nambayan A, Ribeiro R, et al. Cure4Kids—building online learning and collaboration networks. AMIA Annu Symp Proc. 2003;2003:978.Google Scholar
- 28.Mostert S, Sitaresmi M, Gundy C. PK020 influence of socioeconomic status on childhood acute lymphoblastic leukaemia treatment in Indonesia [abstract]. Pediatr Blood Cancer. 2006;47:489.Google Scholar
- 33.World Health Organization, Telemedicine: opportunities and developments in member states; report on the Second Survey on eHealth, 2010 (Global Observatory for eHealth Series 2). Available from http://www.who.int/goe/publications/goe_telemedicine_2010.pdf
- 34.ITU. Measuring the information society; 2012. Available from http://www.itu.int/ITU-D/ict/publications/idi/material/2012/MIS2012_without_Annex_4.pdf
- 36.Bellina L, Missoni E. M-learning: mobile phones’ appropriateness and potential for the training of laboratory technicians in limited-resource settings. Health Technol. 2011;1:93–97Google Scholar