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Capacity building for pediatric neuro-oncology in Pakistan- a project by my child matters program of Foundation S
被引:3
|作者:
Mushtaq, Naureen
[1
]
Qureshi, Bilal Mazhar
[2
]
Javed, Gohar
[3
]
Sheikh, Nabeel Ashfaque
[4
]
Bakhshi, Saqib Kamran
[3
]
Laghari, Altaf Ali
[3
]
Enam, Syed Ather
[3
]
Anwar, Shayan Sirat Maheen
[5
]
Hilal, Kiran
[6
]
Kabir, Arsalan
[7
]
Ahmad, Alia
[8
]
Goraya, Amber
[9
]
Mistry, Anum Salman
[5
]
Rashid, Aqeela
[10
]
Maaz, Ata Ur Rehman
[11
]
Munawar, Muhammad Atif
[12
]
Khan, Atiq Ahmed
[13
]
Bashir, Farrah
[5
]
Hashmi, Hina
[14
]
Saeed, Kamran
[14
]
Khandwala, Kumail
[5
]
Rehman, Lal
[15
]
Dewan, Michael C.
[16
]
Khan, Muhammad Saghir
[17
]
Karim, Muneeb uddin
[18
]
Shaheen, Najma
[18
]
Zia, Nida
[19
]
Yasmeen, Nuzhat
[15
]
Mahmood, Raheela
[20
]
Memon, Riaz Ahmed Raja
[21
]
Kirmani, Salman
[5
]
Resham, Shahzadi
[5
]
Kadri, Shazia
[22
]
Riaz, Shazia
[23
]
Hamid, Syed Ahmer
[19
]
Ghafoor, Tariq
[24
]
Imam, Uzma
[25
]
Mushtaq, Yaseen Rauf
[26
]
Rana, Zulfiqar Ali
[27
]
Bouffet, Eric
[28
]
Minhas, Khurram
[5
]
机构:
[1] Aga Khan Univ, Dept Oncol, Sect Pediat Oncol, Karachi, Pakistan
[2] Aga Khan Univ, Dept Oncol, Radiat Oncol Sect, Karachi, Pakistan
[3] Aga Khan Univ, Dept Surg, Neurosurg Sect, Karachi, Pakistan
[4] Shaukat Khanum Mem Canc Hosp & Res Ctr, Med Oncol, Karachi, Pakistan
[5] Aga Khan Univ, Karachi, Pakistan
[6] Aga Khan Univ, Dept Radiol, Karachi, Pakistan
[7] Aga Khan Univ, Dept Oncol, Karachi, Pakistan
[8] Childrens Hosp & Inst Child Hlth, Dept Pediat Oncol, Lahore, Pakistan
[9] Childrens Hosp & Inst Child Hlth, Dept Radiol, Lahore, Pakistan
[10] Shaukat Khanum Mem Canc Hosp & Res Ctr, Dept Pediat Oncol, Lahore, Pakistan
[11] Sidra Med, Doha, Qatar
[12] Northwest Gen Hosp & Res Ctr, Radiat Oncol Dept, Peshawar, Pakistan
[13] Ruth KM Pfau Civil Hosp, Dept Neurosurg, Karachi, Pakistan
[14] Aga Khan Univ, Jinnah Postgrad Med Ctr, Karachi, Pakistan
[15] Pakistan Inst Med Sci, Islamabad, Pakistan
[16] Vanderbilt Univ, Med Ctr, Nashville, TN USA
[17] King Faisal Specialist Hosp & Res Ctr, Dept Pediat, Madinah, Saudi Arabia
[18] Shaukat Khanum Mem Canc Hosp & Res Ctr, Lahore, Pakistan
[19] Indus Hosp & Hlth Network, Karachi, Pakistan
[20] Aga Khan Univ, Atom Energy Med Ctr, Karachi, Pakistan
[21] Liaquat Univ Med & Hlth Sci, Jamshoro, Pakistan
[22] Jinnah Med Coll & Teaching Hosp, Peshawar, Pakistan
[23] Childrens Hosp & Inst Child Hlth, Lahore, Pakistan
[24] Combined Mil Hosp, Rawalpindi, Pakistan
[25] Natl Inst Child Hlth, Child Aid Assoc, Karachi, Pakistan
[26] Patel Hosp, Neurosurg Dept, Karachi, Pakistan
[27] Childrens Hosp & Inst Child Hlth, Multan, Pakistan
[28] Hosp Sick Children SickKids, Toronto, ON, Canada
来源:
关键词:
pediatric neuro-oncology;
capacity-building;
multidisciplinary tumor boards;
treatment protocols;
fellowship program;
low-middle income countries;
collaborative initiative;
D O I:
10.3389/fonc.2024.1325167
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
Introduction Initiated in June 2019, this collaborative effort involved 15 public and private sector hospitals in Pakistan. The primary objective was to enhance the capacity for pediatric neuro-oncology (PNO) care, supported by a My Child Matters/Foundation S grant.Methods We aimed to establish and operate Multidisciplinary Tumor Boards (MTBs) on a national scale, covering 76% of the population (185.7 million people). In response to the COVID-19 pandemic, MTBs transitioned to videoconferencing. Fifteen hospitals with essential infrastructure participated, holding monthly sessions addressing diagnostic and treatment challenges. Patient cases were anonymized for confidentiality. Educational initiatives, originally planned as in-person events, shifted to a virtual format, enabling continued implementation and collaboration despite pandemic constraints.Results A total of 124 meetings were conducted, addressing 545 cases. To augment knowledge, awareness, and expertise, over 40 longitudinal lectures were organized for healthcare professionals engaged in PNO care. Additionally, two symposia with international collaborators and keynote speakers were also held to raise national awareness. The project achieved significant milestones, including the development of standardized national treatment protocols for low-grade glioma, medulloblastoma, and high-grade glioma. Further protocols are currently under development. Notably, Pakistan's first pediatric neuro-oncology fellowship program was launched, producing two graduates and increasing the number of trained pediatric neuro-oncologists in the country to three.Discussion The initiative exemplifies the potential for capacity building in PNO within low-middle income countries. Success is attributed to intra-national twinning programs, emphasizing collaborative efforts. Efforts are underway to establish a national case registry for PNO, ensuring a comprehensive and organized approach to monitoring and managing cases. This collaborative initiative, supported by the My Child Matters/Foundation S grant, showcases the success of capacity building in pediatric neuro-oncology in low-middle income countries. The establishment of treatment protocols, fellowship programs, and regional tumor boards highlights the potential for sustainable improvements in PNO care.
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