BMC health services research · 2026
Survey of pediatric solid tumor care in economically underdeveloped regions of China.
СтатьяНазвание и аннотация: Перевод в очереди
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Wang Xinyu, Yang Shen, Zhang Qi, Ren Qinghua, Qin Hong, Yang Wei, Cheng Haiyan, Chang Xiaofeng, Zhu Zhiyun, Cai Siyu, Wang Huanmin
Аннотация
BACKGROUND: Despite advancements in pediatric oncology in China, disparities in the diagnosis and treatment of pediatric solid tumors persist, especially in economically underdeveloped regions. This study evaluates the landscape of pediatric solid tumor care in these areas, focusing on clinicians' knowledge, diagnostic and treatment capabilities, training needs, and perceived barriers to improving care quality.
METHODS: A cross-sectional survey was conducted among clinicians specializing in pediatric solid tumors in 14 economically underdeveloped provinces of China. The survey assessed clinicians' self-reported knowledge, diagnostic and treatment practices, training participation, and perceived barriers. Data were collected online and analyzed using descriptive statistics.
RESULTS: A total of 259 responses were included. The majority of respondents were male (58.30%), with a median age of 39 and 11 years of pediatric experience. While most clinicians reported high theoretical knowledge (69.5%), 59.07% attended to fewer than 10 cases annually. Treatment capacities varied, with chemotherapy (94.56%) and surgery (92.05%) widely available, but limited access to radiotherapy (43.93%), targeted therapy (46.86%), immunotherapy (43.93%), and bone marrow transplantation (37.66%). Multidisciplinary team (MDT) implementation was insufficient, with 45.95% lacking MDTs. Most clinicians (96.13%) expressed a high need for further training, especially in clinical guidelines, disease recognition, and early screening. Key barriers included insufficient policy support (67.57%) and lack of standardized protocols (44.79%).
CONCLUSION: Clinicians from underdeveloped regions face challenges like low case volumes, limited training, and resource constraints. Targeted interventions, including enhanced training, resource allocation, and policy support, are essential to improving care and outcomes for children with solid tumors in these regions.
METHODS: A cross-sectional survey was conducted among clinicians specializing in pediatric solid tumors in 14 economically underdeveloped provinces of China. The survey assessed clinicians' self-reported knowledge, diagnostic and treatment practices, training participation, and perceived barriers. Data were collected online and analyzed using descriptive statistics.
RESULTS: A total of 259 responses were included. The majority of respondents were male (58.30%), with a median age of 39 and 11 years of pediatric experience. While most clinicians reported high theoretical knowledge (69.5%), 59.07% attended to fewer than 10 cases annually. Treatment capacities varied, with chemotherapy (94.56%) and surgery (92.05%) widely available, but limited access to radiotherapy (43.93%), targeted therapy (46.86%), immunotherapy (43.93%), and bone marrow transplantation (37.66%). Multidisciplinary team (MDT) implementation was insufficient, with 45.95% lacking MDTs. Most clinicians (96.13%) expressed a high need for further training, especially in clinical guidelines, disease recognition, and early screening. Key barriers included insufficient policy support (67.57%) and lack of standardized protocols (44.79%).
CONCLUSION: Clinicians from underdeveloped regions face challenges like low case volumes, limited training, and resource constraints. Targeted interventions, including enhanced training, resource allocation, and policy support, are essential to improving care and outcomes for children with solid tumors in these regions.