Childhood and Adolescent CNS Cancer: Reflections for the Brazilian Healthcare System
DOI:
https://doi.org/10.32635/2176-9745.RBC.2025v71n1.4900Keywords:
Brain Neoplasms/epidemiology, Pediatrics, Health PlanningAbstract
The present article addresses the complexity of tumors in the central nervous system (CNS) in children and adolescents, highlighting the significant impact on the National Health System (SUS). It addresses the epidemiology of those tumors in Brazil, the lack of hospital beds in the Pediatric Intensive Care Units (PICU) and the concentration of specialized centers in the richest Regions of the country. The text discusses the need for early diagnosis, the importance of training health teams and the need for public policies that improve access to treatments and support affected families. Moreover, the article explores the perspective of using new technologies to improve planning and resource allocation in SUS.
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Chintagumpala M, Gajjar A. Brain tumors. Pediatr Clin North Am. 2015;62(1):167-78. doi: https://doi.org/10.1016/j.pcl.2014.09.011 DOI: https://doi.org/10.1016/j.pcl.2014.09.011
Tsimicalis A, Stevens B, Ungar WJ, et al. The cost of childhood cancer from the family’s perspective: a critical review. Pediatric Blood Cancer. 2011;56(5):707-17. doi: https://doi.org/10.1002/pbc.22685 DOI: https://doi.org/10.1002/pbc.22685
Fardell JE, Wakefield CE, Abreu Lourenco R, et al. Long-term health-related quality of life in young childhood cancer survivors and their parents. Pediatr Blood Cancer. 2021;68(12):e29398. DOI: https://doi.org/10.1002/pbc.29398
Barbosa AP, Cunha AJLAD, Carvalho ERMD, et al. Terapia intensiva neonatal e pediátrica no Rio de Janeiro: distribuição de leitos e análise de eqüidade. Rev Assoc Med Bras. 2002;48(4):303-11. DOI: https://doi.org/10.1590/S0104-42302002000400035
Souza DCD, Troster EJ, Carvalho WBD, etal. Disponibilidade de unidades de terapia intensiva pediátrica e neonatal no município de São Paulo. J Pediatr (Rio J). 2004;80(6):453-60. DOI: https://doi.org/10.1590/S0021-75572004000800006
Desiderata. Trabalho coletivo saúde em foco. Panorama da oncologia pediátrica. Boletim Informativo. 2019;6:7.
Santos MO, Lima FCS, Martins LFL, et al. Estimativa de incidência de câncer no Brasil, 2023-2025. Rev Bras Cancerol. 2023;69(1):e-213700. doi: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700 DOI: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700
Instituto Nacional de Câncer, Sociedade Brasileira de Oncologia Pediátrica, organizadores. Câncer na criança e no adolescente no Brasil: dados dos registros de base populacional e de mortalidade. Rio de Janeiro: Ministério da Saúde, Instituto Nacional de Câncer, Sociedade Brasileira de Oncologia Pediátrica; 2008. 220 p.
Magalhães GA, Magalhães DMA, Bellas GO, et al. Análise epidemiológica, clínica e patológica de crianças com neoplasias do sistema nervoso central tratadas com radioterapia no Instituto Nacional de Câncer. Rev Bras Cancerol. 2023;69(4):e-054051. DOI: https://doi.org/10.32635/2176-9745.RBC.2023v69n4.4051
Keating RF, Goodrich JT, Packer RJ. Tumors of the pediatric central nervous system. 2 ed. New York: Thieme; 2013. 549 p. DOI: https://doi.org/10.1055/b-0034-79136
Wood JR, Green SB, Shapiro WR. The prognostic importance of tumor size in malignant gliomas: a computed tomographic scan study by the Brain Tumor Cooperative Group. J Clin Oncol. 1988;6(2):338-43. DOI: https://doi.org/10.1200/JCO.1988.6.2.338
Kuhnt D, Becker A, Ganslandt O, et al. Correlation of the extent of tumor volume resection and patient survival in surgery of glioblastoma multiforme with high-field intraoperative MRI guidance. Neuro-Oncol. 2011;13(12):1339-48. DOI: https://doi.org/10.1093/neuonc/nor133
Goldman RD, Cheng S, Cochrane DD. Improving diagnosis of pediatric central nervous system tumours: aiming for early detection. CMAJ Can Med Assoc J. 2017;189(12):E459-63. DOI: https://doi.org/10.1503/cmaj.160074
Wilne S, Koller K, Collier J, et al. The diagnosis of brain tumours in children: a guideline to assist healthcare professionals in the assessment of children who may have a brain tumour. Arch Dis Child. 2010;95(7):534-9. DOI: https://doi.org/10.1136/adc.2009.162057
Costa AMAM; Magluta C; Gomes Júnior SC. Evaluation of continuing education of family health strategy teams for the early identification of suspected cases of cancer in children. BMC Med Educ. 2017;17(1):155 DOI: https://doi.org/10.1186/s12909-017-0993-1
Bell MJ, Carpenter J, Au AK, et al. Development of a pediatric neurocritical care service. Neurocrit Care. 2009;10(1):4-10. doi: https://doi.org/10.1007/s12028-008-9061-3 DOI: https://doi.org/10.1007/s12028-008-9061-3
Cappell J, Kernie SG. Advances in pediatric neurocritical care. Pediatr Clin North Am. 2013;60(3):709-24. doi: https://doi.org/10.1016/j.pcl.2013.02.008 DOI: https://doi.org/10.1016/j.pcl.2013.02.008
Presidência da República (BR). Lei nº 14.308 de 8 de março de 2022. Institui a Política Nacional de Atenção à Oncologia Pediátrica. Diário Oficial da União, Brasília, DF. 2022 março 9; Edição 46; Seção 1:2
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