CureAll Brasil: Strategic Agenda to Strengthen the National Health System and Equity in Childhood Cancer Care
DOI:
https://doi.org/10.32635/2176-9745.RBC.2026v72n4.5920Keywords:
Delivery of Health Care, Unified Health System, Global Health StrategiesAbstract
Childhood cancer is an important marker of the performance of health systems, given its complexity and dependence of timely diagnosis and continuous care. This editorial discusses the strategic role of CureAll Framework of the World Health Organization as a model to strengthen the health systems and reduce the inequalities in survival. In light of the recent evidences, including the special edition of The Lancet (2026), global advances and persistent challenges related to the equity of pediatric oncologic care are analyzed. Within the Brazilian context, the relaunching of CureAll Brasil and initiatives such as the project OncoBrasil that signalize the advances of the organization of the attention network in the National Health System (SUS) stand out. The editorial still emphasizes the importance of the cancer registers and of the information system as foundational elements to monitor survival and formulation of evidence-based public policies. CureAll Brasil represents a strategic agenda to strengthen SUS and to promote equity in childhood cancer healthcare.
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Bhakta N, Force LM, Allemani C, et al. Childhood cancer burden: a review of global estimates. Lancet Oncol. 2019;20(1):e42-53. doi: https://doi.org/10.1016/S1470-2045(18)30761-7 DOI: https://doi.org/10.1016/S1470-2045(18)30761-7
Lopes-Júnior LC. Strengthening childhood cancer care networks: early diagnosis as a priority strategy. Cien Saude Colet. 2026;31:e14762025. doi: https://doi.org/10.1590/1413-81232026314.14762025 DOI: https://doi.org/10.1590/1413-81232026314.14762025
Lopes-Júnior LC, Lima RAG. Cancer care and interdisciplinary practice. Cad Saude Publica. 2019;35(1):e00193218. doi: https://doi.org/10.1590/0102-311X00193218 DOI: https://doi.org/10.1590/0102-311x00193218
Lima RAG, Maia EBS, Lopes-Júnior LC. Global initiative for childhood cancer and the practice of pediatric oncology nursing in Latin America and the Caribbean. Cien Saude Colet. 2023;28(8):2455-7. doi: https://doi.org/10.1590/1413-81232023288.01362023 DOI: https://doi.org/10.1590/1413-81232023288.01362023
Lopes-Júnior LC, Azevedo LB, Passos GAL, et al. Early-onset cancer in Latin America: incidence trends, evidence gaps and clinical implications. EClinicalMedicine. 2026;98:104107. doi: https://doi.org/10.1016/j.eclinm.2026.104107 DOI: https://doi.org/10.1016/j.eclinm.2026.104107
Paula Silva N, Colombet M, Moreno F, et al. Incidence of childhood cancer in Latin America and the Caribbean: coverage, patterns, and time trends. Rev Panam Salud Publica. 2024;48:e11. doi: https://doi.org/10.26633/RPSP.2024.11 DOI: https://doi.org/10.26633/RPSP.2024.11
The Lancet. Childhood cancer: progress, but not enough. Lancet. 2026;407(10536):1303. doi: https://doi.org/10.1016/S0140-6736(26)00655-0 DOI: https://doi.org/10.1016/S0140-6736(26)00655-0
GBD 2023 Cancer Collaborators. The global, regional, and national burden of cancer, 1990–2023, with forecasts to 2050: a systematic analysis for the Global Burden of Disease Study 2023. Lancet. 2025;406(10512):1565-86. doi: https://doi.org/10.1016/S0140-6736(25)01635-6 DOI: https://doi.org/10.2139/ssrn.5533924
Allemani C, Di Carlo V, Ssenyonga N, et al. Progress towards the WHO Global Initiative for Childhood Cancer target of 60% 5-year survival for all childhood cancers combined, 1990–2019 (CONCORD-4): a Cancer Survival Index derived for 68 countries by analysis of individual records for 613 021 children from 307 population-based cancer registries. Lancet. 2026;407:1335-59. doi: https://doi.org/10.1016/S0140-6736(26)00189-3 DOI: https://doi.org/10.1016/S0140-6736(26)00189-3
World Health Organization. CureAll framework: WHO global initiative for childhood cancer: increasing access, advancing quality, saving lives [Internet]. Geneva: World Health Organization; 2021 [acesso 2026 abr 7]. Disponível em: https://apps.who.int/iris/handle/10665/347370
Lopes-Júnior LC, Abraham M, Lima RAG, et al. WHO Global Initiative for Childhood Cancer: progress and challenges for Cure All Framework. J Hum Growth Dev. 2025;35(3):350-7. doi: https://doi.org/10.36311/jhgd.v35.18282 DOI: https://doi.org/10.36311/jhgd.v35.18282
Lopes-Júnior LC, Abraham M, Maia EBS, et al. The Strategic Role of Nursing in Implementing CureAll in the Americas: Essential Competencies and Workforce Strengthening. Rev Lat Am Enfermagem. 2026;34:e4991. doi: https://doi.org/10.1590/1518-8345.0000.4991 DOI: https://doi.org/10.1590/1518-8345.0000.4992
Vásquez L, Fuentes-Alabí S, Loggetto P, et al. Advances in the Global Initiative for Childhood Cancer: implementation in Latin America and the Caribbean. Rev Panam Salud Publica. 2023;47:e128. doi: https://doi.org/10.26633/RPSP.2023.128 DOI: https://doi.org/10.26633/RPSP.2023.128
Vásquez L, Fuentes-Alabi S, Benitez-Majano S, et al. Collaboration for success: the Global Initiative for Childhood Cancer in Latin America. Rev Panam Salud Publica. 2023;47:e144. doi: https://doi.org/10.26633/RPSP.2023.144 DOI: https://doi.org/10.26633/RPSP.2023.148
Pan American Health Organization. Early diagnosis of cancer in children and adolescents: interactive quick reference guide. Washington, DC: Pan American Health Organization; 2025. doi: https://doi.org/10.37774/9789275129906 DOI: https://doi.org/10.37774/9789275129906
Pan American Health Organization. Nutritional care guide for pediatric cancer. Washington, DC: Pan American Health Organization; 2023. doi: https://doi.org/10.37774/9789275126196 DOI: https://doi.org/10.37774/9789275126196
Pan American Health Organization. Manual on oral care for pediatric cancer patients. Washington, DC: PAHO; 2023. doi: https://doi.org/10.37774/9789275126677
Pan American Health Organization. Pediatric oncology nursing practice in Latin America and the Caribbean. Washington, DC: PAHO; 2023. doi: https://doi.org/10.37774/9789275126738
Lopes-Júnior LC, Lima RAG, Maia EBS, et al. Essential core competencies for scope of practice of paediatric oncology nurses in Latin America: a scoping review protocol. BMJ Open. 2022;12(7):e061853. doi: https://doi.org/10.1136/bmjopen-2022-061853 DOI: https://doi.org/10.1136/bmjopen-2022-061853
Lopes-Júnior LC, Maia EBS, Fuentes-Alabí S, et al. Pediatric oncology nursing competencies in Latin America and the Caribbean: a scoping review to inform practice, education, and research. Pediatr Blood Cancer. 2026;73(7):e70338. doi: https://doi.org/10.1002/1545-5017.70338 DOI: https://doi.org/10.1002/1545-5017.70338
Fuentes-Alabí S, Carpenter K, Shea M, et al. Storytelling workshop to encourage stakeholder engagement with the Global Initiative for Childhood Cancer. Rev Panam Salud Publica. 2023;47:e148. doi: https://doi.org/10.26633/RPSP.2023.148 DOI: https://doi.org/10.26633/RPSP.2023.148
Downing JR, Ghebreyesus TA. The Global Platform for Access to Childhood Cancer Medicines: addressing inequities in childhood cancer care. Lancet Oncol. 2025;26(5):540-2. doi: https://doi.org/10.1016/S1470-2045(25)00146-9 DOI: https://doi.org/10.1016/S1470-2045(25)00146-9
Organização Pan-Americana da Saúde. Brasil relança iniciativa Cure All e reafirma compromisso no combate ao câncer infantojuvenil [Internet]. 2024 jun 26 [acesso 2026 jan 7]. Disponível em: https://www.paho.org/pt/noticias/26-6-2024-brasil-relanca-iniciativa-cure-all-e-reafirma-compromisso-no-combate-ao-cancer
Ministério da Saúde (BR). Governo amplia ações e fortalece mapeamento oncológico infantojuvenil no país por meio do projeto OncoBrasil [Internet]. Brasília, DF: Ministério da Saúde; 2026 [acesso 2026 jan 7]. Disponível em: https://medicinasa.com.br/projeto-oncobrasil/
Piñeros M, Mery L, Soerjomataram I, et al. Scaling up the surveillance of childhood cancer: a global roadmap. J Natl Cancer Inst. 2021;113(1):9-15. doi: https://doi.org/10.1093/jnci/djaa069 DOI: https://doi.org/10.1093/jnci/djaa069
Pessanha RM, Grippa WR, Silva Neto LCB, et al. Breast cancer-specific survival and prognostic factors in a statewide oncology network in Brazil: a registry-linked retrospective cohort study. Cancer Rep (Hoboken). 2026;9(2):e70467. doi: https://doi.org/10.1002/cnr2.70467 DOI: https://doi.org/10.1002/cnr2.70467
Grippa WR, Lopes-Júnior LC. Competing risk of specific mortality in prostate cancer patients in Brazil: a retrospective cohort study. Eur J Cancer Care (Engl). 2026;2026:9297248. doi: https://doi.org/10.1155/ecc/9297248 DOI: https://doi.org/10.1155/ecc/9297248
Piñeros M, Lam CG, Mery L, et al. Building local capacity for childhood cancer registration: real-world examples. JCO Glob Oncol. 2026;12(1):e2500471. doi: https://doi.org/10.1200/GO-25-00471 DOI: https://doi.org/10.1200/GO-25-00471
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