Análisis de la mortalidad por leucemia aguda pediátrica en el Instituto Nacional de Cancerología

Vera, Anyul Milena; Pardo, Constanza; Duarte, María Cristina; Suárez, Amaranto
September 2012
Biomédica: Revista del Instituto Nacional de Salud;Sep2012, Vol. 32 Issue 3, p355
Academic Journal
Introduction. Mortality rate for childhood acute leukemia is an indicator of access to and efficacy of health services. Analysis of this indicator allows the identification of factors contributing to the development of the illness and the final condition of affected children. Objective. The operative experience results were described from data obtained by committee of analysis of institutional mortality by childhood acute leukaemia. Materials and methods. Formal reports of deaths in children under 15 due to acute lymphoblastic or myeloid leukemia were provided to the National Cancer Institute of Colombia. A descriptive analysis of these reports from the period 2008-2010 was undertaken by the National Cancer Institute. Avoidability analysis was performed using the 1994 "three delays" model of Thaddeus and Maine. Results. Of 24 deaths analyzed, 21 were caused by acute lymphoblastic leukemia. The median age was 10.5 years. The delay 3 (get adequate and timely treatment) was identified in 83% of the cases and transfers during treatment were the most common limitation (66.7%). 83.3% of deaths were deemed unavoidable given the clinical conditions of the patients. Conclusions. Even though the delays identified did not affect mortality in a direct way, they did nonetheless constitute the basis for improvements to the quality of attention to children with cancer.


Related Articles

  • CHILD LEUKEMIA DEATH RATES RISING NEAR U.S. NUCLEAR PLANTS.  // Rachel's Democracy & Health News;12/18/2008, Issue 990, p6 

    The article reports on the increase of child leukemia death rates near nuclear plants in the U.S. An update of an analysis by the study conducted in the late 1980s by the National Cancer Institute (NCI) has made to examine cancer rate near U.S. nuclear plants. The highest ratios of deaths among...

  • Survival improvement by decade of patients aged 0-14 years with acute lymphoblastic leukemia: a SEER analysis. Ma, Haiqing; Sun, Huanhuan; Sun, Xiaoping // Scientific Reports;2/28/2014, p1 

    To evaluate treatment outcomes in children with acute lymphoblastic leukemia (ALL) over the past 3 decades, we assessed the survival of children with ALL in the Surveillance, Epidemiology, and End Results (SEER) database. Among 12,096 patients from 18 SEER sites diagnosed from 1981 to 2010,...

  • Brain Power. Harris, Shane // National Journal;10/8/2005, Vol. 37 Issue 41, Special Section p19 

    Profiles cancer researcher Subhashree Madhavan. Increase in brain tumors as the leading cause of cancer-related death in children; Hindrance to harnessing the information on brain tumors; Involvement of Madhavan in the National Cancer Institute in the U.S.

  • PDQ (Physician Data Query).  // JNCI: Journal of the National Cancer Institute;Dec2014, Vol. 107 Issue 1, p1 

    The article highlights Physician Data Query (PDQ) summaries from the U.S. National Cancer Institute that have been updated as of January 2015. These include an article on augmented post-remission therapy for children and young people at risk for acute lymphoblastic leukaemia in Great Britain...

  • Correlation of oral health of children with acute leukemia during the induction phase. Dholam, Kanchan P.; Gurav, Sandeep; Dugad, Jinesh; Banavli, Shripad // Indian Journal of Medical & Paediatric Oncology;Jan-Mar2014, Vol. 35 Issue 1, p36 

    Background: Treatment of acute leukemia's- a common childhood malignancy, involves intensive and powerful multi-drug chemotherapeutic regime. Oral lesions are a common complication in these patients affecting oral health status. Aim: This study was conducted to evaluate and assess the oral...

  • Are Children Living Near High-Voltage Power Lines at Increased Risk of Acute Lymphoblastic Leukemia? Kleinerman, Ruth A.; Kaune, William T.; Hatch, Elizabeth E.; Wacholder, Sholom; Linet, Martha S.; Robison, Leslie L.; Niwa, Shelley; Tarone, Robert E. // American Journal of Epidemiology;2000, Vol. 151 Issue 5, p512 

    In the National Cancer Institute/Children's Cancer Group case-control study of childhood acute lymphoblastic leukemia (1989–1993), living in a home with a high-voltage wire code was not associated with disease risk. To further investigate risk near power lines, the authors analyzed...

  • Will the Pediatric Regimen Work for Adolescents With ALL? Carter, Andrea // JNCI: Journal of the National Cancer Institute;Sep2010, Vol. 102 Issue 17, p1308 

    The article discusses the application of pediatric regimen to adolescents with acute lymphoblastic leukemia (ALL). The author claims that various issues and barriers complicate treatments and outcomes. She reveals that young children with ALL have better prognosis and survival rates since they...

  • Noninvasive measurement of liver iron concentration at MRI in children with acute leukemia: initial results. Vag, Tibor; Kentouche, Karim; Krumbein, Ines; Reichenbach, Jürgen; Lopatta, Eric; Renz, Diane; Stenzel, Martin; Beck, James; Kaiser, Werner; Mentzel, Hans-Joachim // Pediatric Radiology;Aug2011, Vol. 41 Issue 8, p980 

    Background: Routine assessment of body iron load in patients with acute leukemia is usually done by serum ferritin (SF) assay; however, its sensitivity is impaired by different conditions including inflammation and malignancy. Objective: To estimate, using MRI, the extent of liver iron overload...

  • Current Management of Childhood Acute Myeloid Leukemia. Rubnitz, Jeffrey // Pediatric Drugs;Feb2017, Vol. 19 Issue 1, p1 

    The outcome for children with acute myeloid leukemia (AML) has improved significantly over the past 30 years, with complete remission and overall survival rates exceeding 90 and 60%, respectively, in recent clinical trials. However, these improvements have not been achieved by the introduction...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics