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. 2022 Oct;69(10):e29768.
doi: 10.1002/pbc.29768. Epub 2022 May 20.

An evaluation of the disparities affecting the underdiagnosis of pediatric cancer in Western Kenya

Tyler S Severance  1   2   3 , Festus Njuguna  4 , Gilbert Olbara  4 , Maureen Kugo  4 , Sandra Langat  4 , Saskia Mostert  5 , Larissa Klootwijk  5 , Jodi Skiles  1   2   3 , Scott L Coven  1   2   3 , Kathleen M Overholt  1   2   3 , Gertjan Kaspers  5   6 , Terry A Vik  1   2   3   4
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An evaluation of the disparities affecting the underdiagnosis of pediatric cancer in Western Kenya

Tyler S Severance et al. Pediatr Blood Cancer. 2022 Oct.

Abstract

Introduction: Western Kenya is home to approximately 24 million people, with 10 million children under the age of 15 years.1 Based on estimates of cancer incidence in similar populations from around the world, approximately 1500 patients should be diagnosed with pediatric cancer each year. This article describes the international collaboration that investigates potential barriers preventing the effective diagnosis of pediatric patients with cancer.

Methods: Here, we describe a multidisciplinary and sequential approach to better evaluate the complex factors affecting the lack of appropriate diagnosis of pediatric cancer in Western Kenya.

Results: Internal review at a large tertiary hospital noted 200-250 patients were diagnosed annually, suggesting the remaining 75%-80% of patients go undiagnosed and do not receive treatment. Following our screening process at a local referring hospital, 41 malaria slides demonstrated both morphologic and genetic evidence of leukemia. Knowledge assessments of local providers at referring institutions suggested a lack of education and training as the factors that contribute to lower rates of diagnosis.

Discussion: Through a multi-step approach, our teams were better able to isolate potential issues impeding the appropriate and timely diagnosis of pediatric cancer in Kenya.

Keywords: Africa; diagnosis; disparities; global health; pediatric oncology.

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References

REFERENCES

    1. 2019 Kenya Population and Housing Census, Volume I: Population by County and Sub-County. Kenya National Bureau of Statistics; 2019.
    1. Howlader NNA, Krapcho M, Miller D, et al. SEER Cancer Statistics Review, 1975-2017. National Cancer Institute; 2020.
    1. Mercer T, Gardner A, Andama B, et al. Leveraging the power of partnerships: spreading the vision for a population health care delivery model in Western Kenya. Global Health. 2018;14(1):44.
    1. Quigley F. Walking Together, Walking Far: How a U.S. and African Medical School Partnership is Winning the Fight against HIV/AIDS. Indiana University Press; 2009.
    1. Inui TS, Nyandiko WM, Kimaiyo SN, et al. AMPATH: living proof that no one has to die from HIV. J Gen Intern Med. 2007;22(12):1745-1750.

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