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ISSN 0016-3813 (Print)

2018, Number 4

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Gac Med Mex 2018; 154 (4)

Importancia del “diagnóstico temprano” en los niños con cáncer para mejorar el pronóstico: concepto con poco sustento científico

Fajardo-Gutiérrez A, Rendón-Macías ME

Language: Spanish
References: 57
Page: 520-526
PDF size: 187.56 Kb.


ABSTRACT

Cancer mortality in Mexican children has not decreased to the levels reported in developed countries. A commonly proposed explanation is the high percentage (53.7%) of patients diagnosed at advanced stages (III/IV), which is attributed to erroneous assumptions or mistakes in the diagnostic approach –a questionable consideration taking into account that both time to diagnosis and the proportion of advanced stage cases in Mexico are similar to those in developed countries. In most cancer cases in children, the number of days elapsed from the moment of the first symptom to the cancer diagnosis is not correlated with clinical stage, and neither with the probability of survival. Survival success largely depends on comprehensive treatment (specific and for the care of complications). This view calls for strategies mainly aimed at spending more resources on efficacious and efficient therapeutic strategies, comprehensive oncology training of healthcare personnel (physicians, nurses and technicians), diagnostic technologies, promotion of interinstitutional and international collaboration and socioeconomic support to families during the therapeutic process.


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