Pattern of presentation, treatment, and determinants of outcome of pediatric oncology cases at a tertiary institution in Lagos.
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Date
2018-10
Authors
Akinsete, A.M.
Awofeso, O.M.
Akere, Z.A.
Akinsulie, A.A.
Temiye, E. O.
Journal Title
Journal ISSN
Volume Title
Publisher
MedKnow
Abstract
Background: Cancers in children are increasing all over the globe, however, the outcome in LMICs is still quite poor due to a myriad of factors. Aim: This review focused on pattern of admissions in a pediatric oncology unit in Lagos, Nigeria and the determinants of outcome. Settings and Design: This was a retrospective descriptive study at the Lagos University Teaching Hospital from January 2015 to July 2017. Common treatment protocols like UKALL, NWTSG etc are adapted for use in the unit. Data Analysis: This was done using SPSS version 22. Results: A total of 178 children were seen at the oncology unit with a slight male preponderance of 1.4:1. The most common malignancy seen was acute lymphoblastic leukemia (20.8%) while retinoblastoma was the commonest solid tumor (19.6%). Mortality rate observed in the period under review was 45% and a large number of patients (22%) abandoned treatment. Conclusion: The management of childhood cancers is still a big challenge in resource constrained settings and a robust health insurance policy will improve outcomes
Description
Staff publications
Keywords
pediatric oncology determinants outcome presentation , Pediatric , Oncology determinants outcome presentation , Cancer , Children , Research Subject Categories::MEDICINE
Citation
Akinsete AM, Awofeso OM, Akere ZA, Akinsulie AO, Temiye EA. Pattern of presentation, treatment, and determinants of outcome of pediatric oncology cases at a tertiary institution in Lagos. Journal of Clinical Sciences. 2018 October; 15(3):136-9