Supportive medical care for children with acute lymphoblastic leukemia in low- and middle-income countries.
Expert Rev Hematol
; 8(5): 613-26, 2015 Oct.
Article
in En
| MEDLINE
| ID: mdl-26013005
ABSTRACT
In the last two decades, remarkable progress in the treatment of children with acute lymphoblastic leukemia has been achieved in many low- and middle-income countries (LMIC), but survival rates remain significantly lower than those in high-income countries. Inadequate supportive care and consequent excess mortality from toxicity are important causes of treatment failure for children with acute lymphoblastic leukemia in LMIC. This article summarizes practical supportive care recommendations for healthcare providers practicing in LMIC, starting with core approaches in oncology nursing care, management of tumor lysis syndrome and mediastinal masses, nutritional support, use of blood products for anemia and thrombocytopenia, and palliative care. Prevention and treatment of infectious diseases are described in a parallel paper.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Palliative Care
/
Nutrition Therapy
/
Developing Countries
/
Precursor Cell Lymphoblastic Leukemia-Lymphoma
/
Nursing Care
Type of study:
Guideline
Aspects:
Determinantes_sociais_saude
Limits:
Child
/
Child, preschool
/
Humans
Language:
En
Journal:
Expert Rev Hematol
Journal subject:
HEMATOLOGIA
Year:
2015
Document type:
Article
Affiliation country:
Canada