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A Framework for Adapted Nutritional Therapy for Children With Cancer in Low‐ and Middle‐Income Countries: A Report From the SIOP PODC Nutrition Working Group
Author(s) -
Ladas Elena J.,
Arora Brijesh,
Howard Scott C.,
Rogers Paul C.,
Mosby Terezie T.,
Barr Ronald D.
Publication year - 2016
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.26016
Subject(s) - medicine , abandonment (legal) , intervention (counseling) , medical nutrition therapy , low and middle income countries , intensive care medicine , cancer therapy , cancer , low income , developing country , pediatric cancer , malnutrition , pediatrics , environmental health , nursing , economic growth , socioeconomics , sociology , political science , law , economics
The utilization of adapted regimens for the treatment of pediatric malignancies has greatly improved clinical outcomes for children receiving treatment in low‐ and middle‐income countries (LMIC). Nutritional depletion has been associated with poorer outcomes, increased abandonment of therapy, and treatment‐related toxicities. Surveys have found that nutritional intervention is not incorporated routinely into supportive care regimens. Establishing nutritional programs based upon institutional resources may facilitate the incorporation of nutritional therapy into clinical care in a way that is feasible in all settings. We present a framework for establishing and monitoring of nutritional care based on the infrastructure of institutions in LMIC.