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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2015, Number 2

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An Med Asoc Med Hosp ABC 2015; 60 (2)

Childhood cancer in a medically uninsured program in Mexico. Epidemiologic considerations

Rivera-Luna R, Cárdenas-Cardos R, Olaya-Vargas A, Shalkow-Klincovstein J, Pérez-García M, Pérez-González OA, Díaz-Jiménez V, Amador-Zarco JJ, Melchor VY

Language: Spanish
References: 32
Page: 91-97
PDF size: 238.61 Kb.


ABSTRACT

Background: This study comprises those children with cancer registered in the National Council for the Prevention and Treatment of Childhood and Adolescent Cancer. This National Council offers a free comprehensive medical coverage in 55 accredited institutions by the National Center for diseases of children and adolescents. Only children without any government medical insurance qualify for this program. All patients were treated with the same protocols for each of their diseases nationwide. Methods: The data analyzed were from 2007 to 2012 in children with the pathology diagnosis of cancer from 0 to 18 years old. The parameters studied included age, gender, site of registration-hospital, prevalence, incidence, overall survival, mortality and rate of abandonment. Results: A total of 14,178 children with newly diagnosed cancer were studied, the mean age was 4.9 years. Males predominated in 55.5%. The incidence rate in 2012 was 156.9/million/year. The most common was leukemia with a prevalence of 49.8% and an incidence of 78.1/million/year (2012). The overall survival was of 68% nation leukemia with a prevalence of 49.8% and an incidence of 78.1/million/year (2012). The overall survival was of 68% nation wide. The mortality rate was 5.3/100,000 in 2012. However a higher proportion was observed among the group from 15 to 18 years with a rate of 8.6. Only 4.7% of these children abandon treatment and/or follow-up. Conclusion: A high incidence rate of childhood cancer is documented in Mexican children. This program demonstrates that these children have a reasonable good prognosis nationwide. These results are one of the best in Latin America. This program demonstrates an acceptable treatment results with relatively low morbidity and mortality.


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