Programa de cuidado de Cancer Infantil En Nicaragua desarrolado dal Departamento de Hemato-Oncologia de l'Hospital Manuel de Jesus Rivera " La Mascota" de Managua, Nicaragua
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La mascota program presentation for pogo
1. La Mascota Pediatric Hemato-oncology Program for the treatment of Childhood Cancer in Nicaragua Dr. Roberta Ortiz, MD Pediatric Hemato-oncology Department La Mascota Children’s Hospital Managua, Nicaragua
9. Results Achieved F . Baez, F. Fossati Bellani, F. Cavalli et al. Treatment of Childhood Wilms’ Tumor without Radiotherapy in Nicaragua . Ann Oncol 2002. 13: 944-948 F. Baez, E. Ocampo, V. Conter et al. Treatment of Childhood Hodgkin’s Disease with COPP or COPP-ABV (hybrid) without Radiotherapy in Nicaragua . Ann Oncol 1997.8: 247-250 Pediatr Blood Cancer, 43(4):348, 2004 Increasing number of cases. POND-La Mascota Data Base
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12. Still Problems to overcome Abandoment or Lost to therapy (%) 88 90 92 96 25 50 0 % 35 23 14 6 Psychosocial- Support Program Psychologist Social Worker “ Support a Child” Program Residence for families ALL- Managua-protocols 2000 10 MITCH 94 99 20 14 02 8 04 7
13. Abandonment - Disease La Mascota-POND Data Base 7.7 % Wilms’ Tumor 18.6 % Hodgkin Lymphoma 17.6 % Burkitt Lymphoma 11.6 % Acute Leukemias Abandonment of Therapy (%) Type of cancer
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18. Impact of Educational Campaigns Arguello-Salinas. 1995/Silva . 2003 Monographic Thesis 62% 70% Rabdomiosarcoma 18% 62% Retinoblastoma 60% 87% Wilms’ Tumor 48% 86% NHL 33% 62% HD Stage III-IV After 2002 (%) Stage III-IV Before 2000 (%) Type of Pediatric Cancer