Paediatric Oncology System Integration Tool (POSIT) for the joint analysis of the performance of childhood cancer programs and health systems

Publication date: March 2020Source: Journal of Cancer Policy, Volume 23Author(s): Brandon Maser, Lisa M. Force, Paola Friedrich, Federico Antillon, Ramandeep S. Arora, Cristian A. Herrera, Carlos Rodriguez-Galindo, Rifat Atun, Avram DenburgAbstractTo help understand how health systems and sociopolitical contexts intersect with and impact the performance of childhood cancer care in low- and middle-income countries (LMICs), we have developed a systems-level framework for analyzing the performance of LMIC childhood cancer programs within their health system contexts: The Paediatric Oncology System Integration Tool (POSIT). POSIT development was informed by consultation with experts in global paediatric oncology, a literature review of childhood cancer performance assessment in LMICs, and a review of general health system literature. Review results were thematically analyzed and conceptually integrated with results from expert consultation to produce our final framework. Our findings from the childhood cancer performance literature demonstrate a current gap in efforts to strengthen the performance of childhood cancer at a health systems-level in LMICs. The POSIT framework incorporates important system-level determinants of childhood cancer performance and synthesizes these with general health system concepts. It outlines the key functional domains of childhood cancer systems – governance, financing, health workforce, infrastructure, health information systems, medicines and...
Source: Journal of Cancer Policy - Category: Cancer & Oncology Source Type: research

Related Links:

AbstractBackgroundThis retrospective cohort study examines the trends in childhood leukaemia age-standardized incidence rates (ASIRs) (per million person-years) using cases which were diagnosed at age 0 –19 years from 1980 to 2014 and recorded in the Kuwait Cancer Control Center (KCCC) registry.MethodsChildhood leukaemia age-specific incidence rates overall and by sub-cohorts defined by age (0 –4, 5–9, 10–14, and 15–19 years), sex (male, female) and nationality (Kuwaiti, non-Kuwaiti) were computed and age-standardized. Joinpoint regression models were used to evaluate trends in child...
Source: Cancer Causes and Control - Category: Cancer & Oncology Source Type: research
This study provides strong evidence that following a healthy lifestyle can substantially extend the years a person lives disease-free." Commentary on Recent Evidence for Cognitive Decline to Precede Amyloid Aggregation in Alzheimer's Disease https://www.fightaging.org/archives/2020/01/commentary-on-recent-evidence-for-cognitive-decline-to-precede-amyloid-aggregation-in-alzheimers-disease/ I can't say that I think the data presented in the research noted here merits quite the degree of the attention that it has been given in the popular science press. It is interesting, but not compelling if its role...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
AbstractPredispositional genetic testing of children for adult-onset health risks is typically only used when prevention and screening measures have utility during childhood. Little is known about how children and their parents may use predispositional risk information, including whether it changes their interactions around risk-reducing prevention and screening behaviors. The current study examined perspectives on family interactions around skin cancer prevention and control practices through 1  year after test reporting and counseling among children who received melanoma predispositional genetic testing and their pa...
Source: Journal of Community Genetics - Category: Genetics & Stem Cells Source Type: research
Source: The Doctors Lounge - Oncology - Category: Cancer & Oncology Tags: Cardiology, Oncology, Pediatrics, News, Source Type: news
(American College of Neuropsychopharmacology) But social supports can reduce the negative effects of childhood stress. Childhood adversity is a significant problem in the US, particularly for children growing up in poverty. Those who experience poverty have a much higher risk of being exposed to violence and suffering from a lack of social support, which can have long-term consequences including higher rates of diabetes, cancer, and other diseases.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
Risk for coronary artery disease significantly decreased for survivors with diagnosis in 80s, 90s versus 70s
Source: The Doctors Lounge - Oncology - Category: Cancer & Oncology Tags: Cardiology, Oncology, Pediatrics, Pharmacy, Radiology, Journal, Source Type: news
Attempts to minimize long-term toxicity from the treatment of childhood cancers are paying off: a new study finds the'first signal'of a decrease in cardiac toxicity.Medscape Medical News
Source: Medscape Hematology-Oncology Headlines - Category: Cancer & Oncology Tags: Hematology-Oncology News Source Type: news
THURSDAY, Jan. 16, 2020 -- There has been a decrease in the risk for coronary artery disease among adult survivors of childhood cancer, according to a study published online Jan. 15 in The BMJ. Daniel A. Mulrooney, M.D., from St. Jude Children's...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
Source: BMJ - Category: General Medicine Source Type: research
Thyroid, Ahead of Print.
Source: Thyroid - Category: Endocrinology Authors: Source Type: research
More News: Cancer | Cancer & Oncology | Child Development | Childhood Cancer | Learning | Pediatrics | Universities & Medical Training