Delivery of radiation therapy in resource-limited settings: A pilot quality assessment study.
Pediatr Blood Cancer
; 64(8)2017 Aug.
Article
in En
| MEDLINE
| ID: mdl-28224700
ABSTRACT
Progress has been made in resource-limited countries in treating acute lymphoblastic leukemia, but advances in solid malignancies have been slower. Multidisciplinary care coordination is challenging, assessing adherence to guidelines through quality improvement initiatives is essential. We characterized deviations from guidelines in the delivery of radiation in a middle-income country program as a pilot for evaluating adequacy of local control and as surrogate for integration of multidisciplinary care. One-third of patients for whom it was indicated did not receive radiation. Of the patients who received radiation, 95% had a deviation. This study underscores the importance of quality assessment in resource-limited settings.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Quality Assurance, Health Care
/
Radiotherapy
/
Guideline Adherence
/
Delivery of Health Care
/
Neoplasms
Type of study:
Observational_studies
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
Language:
En
Journal:
Pediatr Blood Cancer
Journal subject:
HEMATOLOGIA
/
NEOPLASIAS
/
PEDIATRIA
Year:
2017
Type:
Article