The problem of treatment abandonment in children from developing countries with cancer

Arora, Ramandeep Singh; Eden, Tim; Pizer, Barry

doi:10.1002/pbc.21127

Cited by 202 publications

(227 citation statements)

References 15 publications

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“…If possible free medical treatment and social support including money for travel should be given to impoverished families. Poor families frequently abandon treatments because of financial and social constraints and efforts to reduce this improve outcomes [19][20][21].…”

Section: Treatmentmentioning

confidence: 99%

The management of children with Kaposi sarcoma in resource limited settings

Molyneux

Davidson

Orem

et al. 2012

Pediatric Blood & Cancer

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Kaposi sarcoma (KS) is common where HIV infection is endemic. Antiretroviral therapy (ART) has reduced the incidence in well‐resourced settings but in some parts of the world access to ART is delayed. These recommendations are for use where only minimal requirements for treatment are available. Consensus was sought for the management of childhood HIV‐associated KS in this setting. There are no randomised controlled studies of chemotherapy for KS in children and these recommendations have drawn on consensus of a group of experts and published reports from studies in adults. Pediatr Blood Cancer 2013; 60: 538–542. © 2012 Wiley Periodicals, Inc.

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Section: Treatmentmentioning

confidence: 99%

The management of children with Kaposi sarcoma in resource limited settings

Molyneux

Davidson

Orem

et al. 2012

Pediatric Blood & Cancer

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“…Utilization of such practices seems to be more common in the lower socio-economic strata, or where access to other forms of treatment is difficult [7,8]. Faith healing practices may be resorted to by those expecting a miracle cure for conditions like cancers, where effective treatment might not be available through the regular treatment modalities [9]. People might also seek help from faith healers for conditions like infertility, which might make them feel embarrassed to discuss in a medical setting.…”

Section: Who Goes To Faith Healers and Why?mentioning

confidence: 99%

Ethical Issues Relating to Faith Healing Practices in South Asia: A Medical Perspective

Sarkar¹

2014

J Clinic Res Bioeth

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Despite growing access to modern medicine, faith healing practices still continue to be prevalent in South Asia. Faith healing practices include a wide range of activities like performing elaborate rituals, recommending amulets, suggestion for wearing specific rings, branding with rods, chaining in temples, exorcism of jinn and ghosts, animal sacrifices and others. In this paper, faith healing practices are evaluated on the principles of medical ethics using specific examples. The principle of autonomy, beneficence, non-maleficence and justice are explored. The authors draw inference that while some practices may be unacceptable and should be curtailed, the overall institution of faith healing might be useful for some people.

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“…Despite much effort-which include patient-centred counselling, 2 fee coverage, 3 attentiveness to nutritional status, 4 social support, 5 infrastructure develop ments, 6 gradual adaptation of treatment regimens with decreased toxicity, 7,8 and collabor ative partnerships 9 -the rates of treatment completion remain low, with reported abandonment rates of 40-50%. [10][11][12][13] I recently visited a twinning site in sub-Saharan Africa on the day of a patient's treatment completion. Treatment completion in this region is all too rare and seemingly cherished as a gift, quite timely as we enter the holiday season.…”

Section: Meaghann Shaw Weavermentioning

confidence: 99%