Childhood Cancer Survivorship Care in Limited Resource Settings: A Narrative Review and Strategies to Promote Global Health Equity.

Journal: JCO global oncology

Volume: 11

Issue: 

Year of Publication: 2025

Affiliated Institutions:  Seattle Children's Hospital/University of Washington, Department of Pediatrics, Seattle, WA. Hospital Sant Joan de Déu Pediatric Cancer Center, Department of Oncology, Barcelona, Spain. Baylor Children's Foundation Malawi, Texas Children's Hospital Global Hematology Oncology Pediatric Excellence, Kamuzu Central Hospital, Lilongwe, Malawi. Muhimbili University of Health and Allied Sciences, Department of Paediatrics, Dar es Salaam, Tanzania. University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam, Department of Pediatrics, Ho Chi Minh City, Vietnam. Vientiane Capital Children's Hospital, Department of Hematology-Oncology, Vientiane, Lao PDR. CanKids KidsCan-The National Society for Change for Childhood Cancer in India, New Delhi, India. Faculty of Health Sciences, Department of Nursing, Karamanoglu Mehmetbey University, Karaman, Turkey. Duke University, Durham, NC. OneHealth by AXA, Lagos State, Nigeria. Oncopediatric National Program, National Cancer Institute, Health Ministry, Buenos Aires, Argentina. Unit of Noncommunicable Diseases, Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization/World Health Organization, Washington, DC.

Abstract summary 

The WHO Global Initiative for Childhood Cancer, prompted by the marked inequity of survival across the globe, aims to increase survival rates in low- and middle-income countries to 60% by 2030. In tandem with this effort, implementing survivorship-focused care is crucial to mitigate late effects and prevent early mortality beyond the 5-year survival end point. The observed burden of secondary malignancies, cardiovascular disease, and other chronic health conditions in adult survivors of childhood cancer in high-income countries provides guidance to generate evidence in limited-resource settings. The implementation of risk stratification tools, population health management, and development of contextually relevant health care delivery models, within the current landscape of survivorship care in Latin America, Africa, and Asia as examples, are vital to continue the momentum to ensure equitable care and quality of life for all survivors of childhood cancer. This narrative review informed by expert opinion serves as a call to action for survivors, advocacy groups, health professionals, health systems, governments, and global organizations to look beyond the 5-year survival benchmark.

Authors & Co-authors:  Noyd David H DH Izurieta-Pacheco Ana Carolina AC Mzikamanda Rizine R Nakiddu Nana N An Dao Thi Thanh DTT Souvanlasy Bounpalisone B Bhalla Ritu R Kumar Chandan C Bagai Poonam P Semerci Remziye R Arpaci Tuba T Schroeder Kristin K Oyewusi Adekemi A Moreno Florencia F Vásquez Liliana L Fuentes-Alabí Soad S

Study Outcome 

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Statistics
Citations : 
Authors :  16
Identifiers
Doi : 10.1200/GO-24-00274
SSN : 2687-8941
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Narrative Study
Study Approach
Country of Study
Mali
Publication Country
United States