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
FRONTIERS IN ONCOLOGY | 2024年 / 14卷
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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  • [1] Capacity Building for Pediatric Neuro-Oncology in Pakistan- A Project by My Child Matters Programme
    Mushtaq, N.
    Qureshi, B. M.
    Minhas, K.
    Javed, G.
    Mubarak, F.
    Kirmani, S.
    Resham, S.
    Mustansir, F.
    Mistry, A.
    Hamid, S.
    Imam, U.
    Rehman, L.
    Rana, Z.
    Saghir, M.
    Darbar, A.
    Memon, R.
    Ghafoor, T.
    Arif, A.
    Shaheen, N.
    Ahmad, A.
    Riaz, S.
    Maaz, A. U.
    Rauf, Y.
    Khan, A.
    Bouffet, E.
    [J]. PEDIATRIC BLOOD & CANCER, 2021, 68 : S300 - S301
  • [2] Using The My Child Matters Grant for Training and Capacity Building in Pediatric Oncology Units Across Pakistan
    Raza, M.
    Farooq, W.
    Maqsood, S.
    Ahmed, B.
    Ashraf, M. Shamvil
    [J]. PEDIATRIC BLOOD & CANCER, 2021, 68 : S386 - S386
  • [3] THE CHALLENGES OF BUILDING AND SUSTAINING A PEDIATRIC NEURO-ONCOLOGY PROGRAM IN A DEVELOPING COUNTRY
    Qaddoumi, Ibrahim
    [J]. NEURO-ONCOLOGY, 2009, 11 (06) : 900 - 900
  • [4] BUILDING PEDIATRIC NEURO-ONCOLOGY CAPACITY IN LMICS THROUGH MULTIDISCIPLINARY EDUCATION AND COLLABORATION
    Moreira, Daniel
    Andujar, Allyson
    Qaddoumi, Ibrahim
    [J]. NEURO-ONCOLOGY, 2024, 26
  • [5] Building the ecosystem for pediatric neuro-oncology care in Pakistan: Results of a 7-year long twinning program between Canada and Pakistan
    Mushtaq, Naureen
    Mustansir, Fatima
    Minhas, Khurram
    Usman, Sadia
    Qureshi, Bilal Mazhar
    Mubarak, Fatima
    Bari, Ehsan
    Enam, Syed Ather
    Laghari, Altaf Ali
    Javed, Gohar
    Shamim, Shahzad
    Darbar, Aneela
    Abbasi, Ahmed Nadeem
    Kirmani, Salman
    Resham, Shahazadi
    Bilal, Afia
    Hamid, Syed Ahmer
    Zia, Nida
    Shaheen, Najma
    Wali, Rabia
    Ghafoor, Tariq
    Imam, Uzma
    Maaz, Ata Ur Rehman
    Khan, Sara
    Laperriere, Normand
    Desbrandes, Francois
    Dirks, Peter
    Drake, James
    Huang, Annie
    Tabori, Uri
    Hawkins, Cynthia
    Bartels, Ute
    Ramaswamy, Vijay
    Bouffet, Eric
    [J]. PEDIATRIC BLOOD & CANCER, 2022, 69 (09)
  • [6] IMPACT OF THE MY CHILD MATTERS GRANT ON HOLISTIC CARE IN PEDIATRIC ONCOLOGY UNITS IN PAKISTAN
    Raza, Muhammad Rafie
    Farooq, Wasfa
    Khan, Bashir Ahmed
    Baig, Natasha
    Ashraf, Muhammad Shamvil
    [J]. PEDIATRIC BLOOD & CANCER, 2022, 69 : S439 - S440
  • [7] BUILDING A MODEL PEDIATRIC NEURO-ONCOLOGY PROGRAM IN SUB-SAHARAN AFRICA AND ITS IMPACT
    Katasi, Victoria Mwebe
    Munube, Deo
    Namazzi, Ruth
    Nabaggala, Cathy
    Israel, Luutu
    Ssekabunga, Julie
    Ssenyonga, Peter
    Mwesigye, Angelina Kakooza
    Chintagumpala, Murali
    Muwonge, Peter Wasswa
    Akullo, Ann
    Nakirulu, Annet
    Kasirye, Phillip
    Naitala, Ronald
    Piloya, Theresa
    [J]. NEURO-ONCOLOGY, 2023, 25
  • [8] Integrating Palliative Care in a Pediatric Oncology Approach. A Project of the Franco-African Group of Pediatric Oncology (GFAOP) Supported by the my Child Matters Program
    Edan, C.
    Atteby, J. J. Y.
    Heissessen, L.
    Moreira, C.
    Doucot, M. S.
    Thinlot, C.
    Aubier, F.
    Viallard, M. L.
    Poulain, P.
    Lacheteau, A. Gagnepain
    Patte, C.
    [J]. PEDIATRIC BLOOD & CANCER, 2019, 66 : S640 - S640
  • [9] Evaluation of pediatric oncology care in ten countries taking part in the my child matters program
    Cavalli, Franco
    Eden, Tim O. B.
    Lemerle, Jean
    Magrath, Ian
    Sancho-Garnier, Helene
    Steliarova-Foucher, Eva
    Mortara, Isabel
    Forget, Catherine
    Tabah-Fisch, Isabelle
    Thaxter, Geoffrey
    Harford, Joe
    Miklavec, Thomas
    Divino, Jose Julio
    Ribeiro, Raul C.
    [J]. PEDIATRIC BLOOD & CANCER, 2007, 49 (04) : 525 - 525
  • [10] Building a Neuro-Oncology Program and Epidemiological Profiling of Pediatric Brain Tumors in a Tertiary Cancer Care Center in India
    Nair, Manjusha
    Raghavan, Rajeev Kavalakara
    Prahladan, Anil
    Mathews, Anita
    Parukkutty, Kusumakumary
    [J]. MIDDLE EAST JOURNAL OF CANCER, 2018, 9 (03) : 228 - 234