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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Impact of the COVID-19 pandemic on patients with paediatric cancer in low-income, middle-income and high-income countries: a multicentre, international, observational cohort study
BMJ Open, Volume 12, No. 4, Article 054690, Year 2022
Notification
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Description
Objectives Paediatric cancer is a leading cause of death for children. Children in low-income and middle-income countries (LMICs) were four times more likely to die than children in high-income countries (HICs). This study aimed to test the hypothesis that the COVID-19 pandemic had affected the delivery of healthcare services worldwide, and exacerbated the disparity in paediatric cancer outcomes between LMICs and HICs. Design A multicentre, international, collaborative cohort study. Setting 91 hospitals and cancer centres in 39 countries providing cancer treatment to paediatric patients between March and December 2020. Participants Patients were included if they were under the age of 18 years, and newly diagnosed with or undergoing active cancer treatment for Acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, Wilms' tumour, sarcoma, retinoblastoma, gliomas, medulloblastomas or neuroblastomas, in keeping with the WHO Global Initiative for Childhood Cancer. Main outcome measure All-cause mortality at 30 days and 90 days. Results 1660 patients were recruited. 219 children had changes to their treatment due to the pandemic. Patients in LMICs were primarily affected (n=182/219, 83.1%). Relative to patients with paediatric cancer in HICs, patients with paediatric cancer in LMICs had 12.1 (95% CI 2.93 to 50.3) and 7.9 (95% CI 3.2 to 19.7) times the odds of death at 30 days and 90 days, respectively, after presentation during the COVID-19 pandemic (p<0.001). After adjusting for confounders, patients with paediatric cancer in LMICs had 15.6 (95% CI 3.7 to 65.8) times the odds of death at 30 days (p<0.001). Conclusions The COVID-19 pandemic has affected paediatric oncology service provision. It has disproportionately affected patients in LMICs, highlighting and compounding existing disparities in healthcare systems globally that need addressing urgently. However, many patients with paediatric cancer continued to receive their normal standard of care. This speaks to the adaptability and resilience of healthcare systems and healthcare workers globally. ©
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC9021459/bin/bmjopen-2021-054690.reviewer_comments.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC9021459/bin/bmjopen-2021-054690.draft_revisions.pdf
Authors & Co-Authors
Abdelhafeez, Hafeez H.
Unknown Affiliation
Wilson, Shaun
Unknown Affiliation
Nagras, Sonal
Unknown Affiliation
Sheth, Mihir
Unknown Affiliation
Dominic, Catherine
Unknown Affiliation
Gandhi, Suraj M.
Unknown Affiliation
Parwani, Divya
Unknown Affiliation
Raj, Rhea
Unknown Affiliation
Munezero, Diella
Unknown Affiliation
Dutta, Rohini
Unknown Affiliation
Roseline, Nsimire Mulanga
Unknown Affiliation
McClafferty, Kellie
Unknown Affiliation
Nazari, Armin
Unknown Affiliation
Sriram, Smrithi
Unknown Affiliation
Pillarisetti, Sai
Unknown Affiliation
Nweze, King David
Unknown Affiliation
Ashwinee, Aishwarya
Unknown Affiliation
Kalra, Gul
Unknown Affiliation
Patil, Poorvaprabha
Unknown Affiliation
Nathani, Priyansh
Unknown Affiliation
Bhullar, Khushman Kaur
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
Khan, Maryamali
Unknown Affiliation
Rahim, Nehal
Unknown Affiliation
Madhusudanan, Shweta
Unknown Affiliation
Erhabor, Joshua
Unknown Affiliation
Shirke, Manasi Mahesh
Unknown Affiliation
Mughal, Aishah Z.
Unknown Affiliation
Au, Darica
Unknown Affiliation
Salehi, Mahan
Unknown Affiliation
Royyuru, Sravani
Unknown Affiliation
Ahmed, Mohamed Karkeet Hayam
Unknown Affiliation
Hussain, Syeda Namayah Fatima
Unknown Affiliation
Robinson, Daniel
Unknown Affiliation
Casey, Anna L.
Unknown Affiliation
Khan, Mehdi
Unknown Affiliation
Dukundane, Alexandre
Unknown Affiliation
Festus, Kwizera
Unknown Affiliation
Govind, Vaishnavi
Unknown Affiliation
Pancharatnam, Rohan Andrew
Unknown Affiliation
Ochieng, Lorraine
Unknown Affiliation
Taylor, Elliott H.
Unknown Affiliation
Nautiyal, Hritik
Unknown Affiliation
de Andres Crespo, Marta
Unknown Affiliation
Charuvila, Somy
Unknown Affiliation
Valetopoulou, Alexandra
Unknown Affiliation
Ravi, Krithi
Unknown Affiliation
Jalloh, Fatumata
Unknown Affiliation
Badwi, Nermin Mohamed
Unknown Affiliation
Shah, Shahnur
Unknown Affiliation
Rajpal, Rohini
Unknown Affiliation
Rana, Masooma
Unknown Affiliation
Qadir, Muskaan Abdul
Unknown Affiliation
Uwiringiyimana, Emmanuel
Unknown Affiliation
Fanelli, Mayara
Unknown Affiliation
Gomes, Gustavo Mendonça Ataíde
Unknown Affiliation
Buarque, Igor Lima
Unknown Affiliation
Guerini, Isadora Schwaab
Unknown Affiliation
Alfurais, Sarah
Unknown Affiliation
Gamal, Mohammed G.
Unknown Affiliation
Hijazi, Yara
Unknown Affiliation
Tailakh, Shatha
Unknown Affiliation
Al-Naggar, Hamza M.
Unknown Affiliation
Douba, Zain
Unknown Affiliation
Elejla, Sewar Abdulaziz
Unknown Affiliation
Eldaly, Abdullah Sami
Unknown Affiliation
Sharashi, Ekram
Unknown Affiliation
Mansour, Ahmed Kamal
Unknown Affiliation
Elyan, Tamara
Unknown Affiliation
Zazo, Aya
Unknown Affiliation
Bonna, Mohamed Mamdouh
Unknown Affiliation
Alalami, Hassan
Unknown Affiliation
Emam, Rawan Yasser
Unknown Affiliation
Alser, Muath
Unknown Affiliation
Abou Chaar, Mohamad K.
Unknown Affiliation
Mazingi, Dennis S.
Unknown Affiliation
Zuberi, Hira
Unknown Affiliation
Ghosh, Dhruva Nath
Unknown Affiliation
Peters, Nitin J.
Unknown Affiliation
Bwala, Kefas John
Nigeria, Bauchi
Abubakar Tafawa Balewa University
Umar, Asad M.
Nigeria, Bauchi
Abubakar Tafawa Balewa University
Aremu, Abdurahaman
Nigeria, Bauchi
Abubakar Tafawa Balewa University
Suleiman, Dauda Eneyamire
Nigeria, Bauchi
Abubakar Tafawa Balewa University
Aliyu, Tybat
Nigeria, Bauchi
Abubakar Tafawa Balewa University
Saleem, Ayesha
Pakistan, Karachi
The Aga Khan University Hospital
Arshad, Muhammad Zain
Pakistan, Karachi
The Aga Khan University Hospital
Pakistan, Karachi
Liaquat National Hospital
Turk, Kashaf Khalid
Pakistan, Karachi
The Aga Khan University Hospital
Altaf, Sadaf
Pakistan, Karachi
The Aga Khan University Hospital
Ogunsua, Oluseyi
Nigeria, Zaria
Ahmadu Bello University
Sholadoye, Tunde Talib
Nigeria, Zaria
Ahmadu Bello University
Tolani, Musliu Adetola
Nigeria, Zaria
Ahmadu Bello University
Alfa, Yakubu
Nigeria, Zaria
Ahmadu Bello University
Musa, Keffi Mubarak
Nigeria, Zaria
Ahmadu Bello University
Irungu, Eric Mwangi
Kenya, Kijabe
Africa Inland Church Kijabe Hospital
Muma, Ken
Kenya, Kijabe
Africa Inland Church Kijabe Hospital
Muma, Sarah Nyaboke
Kenya, Kijabe
Africa Inland Church Kijabe Hospital
Obat, Mitchelle
Kenya, Kijabe
Africa Inland Church Kijabe Hospital
Badran, Youssef Sameh
Egypt, Ain
Ain Shams Hospitals El-demerdash
Qasem, Abdulrahman Ghassan
Jordan, Amman
Al-basheer Hospital
Ayasra, Faris
Jordan, Amman
Al-basheer Hospital
Abdel-Maboud, Mohamed
Egypt, El-darrasa
El-hussein University Hospital
Saadeldin, Ayat M.
Egypt, El-darrasa
El-hussein University Hospital
Harky, Amer
United Kingdom, Liverpool
Alder Hey Children's Hospital
Rahman, Ashrarur Rahman
Unknown Affiliation
Karim, Sabbir A.
Unknown Affiliation
Islam, Nazmul
Unknown Affiliation
Martin, Benjamin P.
United Kingdom, Birmingham
Birmingham Children's Hospital
Hassanin, Mohamed Abdelghafor
Unknown Affiliation
Bassiony, Mahmoud
Unknown Affiliation
Fadel, Shady H.
Unknown Affiliation
El Chazli, Yasmine F.
Unknown Affiliation
Hamizi, Kamel
Algeria, Batna
Centre Anti-cancer
Drid, Boutheyna
Algeria, Batna
Centre Anti-cancer
Moujtahid, Hajar
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Gounni, Meryem
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Aji, Narjiss
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Hessissen, Laila
Morocco, Agdal Rabat
Ibn Sina Hospital, Agdal Rabat
Becktell, Kerri D.
Unknown Affiliation
Banu, Tahmina
Bangladesh, Chittagong
Chittagong Research Institute for Children Surgery
Aziz, Tasmiah Tahera
Bangladesh, Chittagong
Chittagong Research Institute for Children Surgery
Nahar, Kamrun M.
Bangladesh, Dhaka
Dhaka Medical College and Hospital
Iqbal, Md Asif
Bangladesh, Dhaka
Dhaka Medical College and Hospital
Saraçoǧlu, Kemal Tolga
Turkey, Istanbul
Dr. Lutfi Kirdar Kartal Training and Research Hospital
Rana, Asim Noor
United Arab Emirates, Dubai
Dubai Hospital
Azzam, Ahmed Y.
Egypt, Giza
El Safa Hospital
Azab, M. A.
Egypt, Giza
El Safa Hospital
Ghozy, Sherief A.
Egypt, 6th October
Sheikh Zayed Specialized Hospital
Ukoha, Kalu
Nigeria
Federal Medical Centre Nigeria
Okunlola, Abiodun Idowu
Nigeria, Ado-ekiti
Federal Teaching Hospital
Chitnis, Milind
South Africa, East London
Frere Hospital
Nauhaus, Helga
South Africa, East London
Frere Hospital
Erwee, Danelle
South Africa, East London
Frere Hospital
Peter, Noel A.
United Kingdom, Cheltenham
Gloucestershire Hospitals Nhs Foundation Trust
El-Kassas, Mohamed
Egypt, Helwan
Badr University Hospital
Eldaly, Usama
Egypt, Helwan
Badr University Hospital
Tawheed, Ahmed
Egypt, Helwan
Badr University Hospital
Yassaad, Oudrhiri Mohammed
Morocco, Rabat
Hôpital Des Spécialités, Rabat
Abdessamad, El Ouahabi
Morocco, Rabat
Hôpital Des Spécialités, Rabat
Yasser, Arkha
Morocco, Rabat
Hôpital Des Spécialités, Rabat
Yahya, Farah Sameer
Iraq, Mosul
University of Mosul
León, Juan Luis García
Peru, Lima
Instituto Nacional de Enfermedades Neoplasicas
Byrne, Matthew HV
United Kingdom, Oxford
John Radcliffe Hospital
Bandyopadhyay, Soham
United Kingdom, Oxford
John Radcliffe Hospital
Lakhoo, Kokila K.
United Kingdom, Oxford
John Radcliffe Hospital
Etchill, Eric Wayne
United States, Baltimore
The Johns Hopkins Hospital
Rhee, Daniel S.
United States, Baltimore
The Johns Hopkins Hospital
Elfiky, Mahmoud A.
Egypt, Cairo
Cairo University Hospitals
Refaee, Ehab Ahmed El
Egypt, Cairo
Cairo University Hospitals
AlAmeer, Ehab S.
Saudi Arabia, Jizan
King Fahad Central Hospital
Saudi Arabia, Jazan
Jazan University
Chaar, Mohammad K.Abou
Jordan, Amman
King Hussein Cancer Center
Sultan, Iyad Y.
Jordan, Amman
King Hussein Cancer Center
Ghandour, Khalil
Jordan, Amman
King Hussein Cancer Center
Ababneh, Hazim S.
Jordan, Amman
King Hussein Cancer Center
Alalawi, Yousef S.
Saudi Arabia, Tabuk
King Salman Armed Forces Hospital
Hanafy, Ehab
Saudi Arabia, Tabuk
King Salman Armed Forces Hospital
Loh, Amos H.P.
Singapore, Singapore City
Kk Women's and Children's Hospital
Elebute, Olumide Abiodun
Nigeria, Lagos
Lagos University Teaching Hospital
Ademuyiwa, Adesoji O.
Nigeria, Lagos
Lagos University Teaching Hospital
Bode, Christopher Olusanjo
Nigeria, Lagos
Lagos University Teaching Hospital
Seyi-Olajide, Justina Onyioza
Nigeria, Lagos
Lagos University Teaching Hospital
Ladipo-Ajayi, Oluwaseun Abiola
Nigeria, Lagos
Lagos University Teaching Hospital
Alakaloko, Felix Makinde
Nigeria, Lagos
Lagos University Teaching Hospital
Ihediwa, George C.
Nigeria, Lagos
Lagos University Teaching Hospital
Musa, Kareem Olatunbosun
Nigeria, Lagos
Lagos University Teaching Hospital
Temiye, Edamisan Olusoji
Nigeria, Lagos
Lagos University Teaching Hospital
Akinsete, Adeseye Michael
Nigeria, Lagos
Lagos University Teaching Hospital
Tebha, Sameer Saleem
Pakistan, Lahore
Lahore General Hospital
Qureshi, Taimur Iftikhar
Pakistan, Karachi
Liaquat National Hospital
Axiaq, Ariana
Malta, Valletta
Mater Dei Hospital
Alrahawy, Mahmoud Maher Abdelnaby
Egypt, Shibin el Kom
Menoufia University Hospitals
Ragab, Seham Mohammed
Egypt, Shibin el Kom
Menoufia University Hospitals
Saraçoǧlu, Ayten
Turkey, Ankara
T.c. Sağlık Bakanlığı,
Çakmak, Gul
Turkey, Ankara
T.c. Sağlık Bakanlığı,
Amira, Gamal
Unknown Affiliation
Sherif, Ahmed Elshawadfy
Unknown Affiliation
Elhassan, Moawia Mohammed Ali
Unknown Affiliation
Hamid, Hytham K.S.
Unknown Affiliation
Ameh, Emmanuel A.
Nigeria, Niamey
National Hospital
Nwatah, Vincent Ebuka
Nigeria, Niamey
National Hospital
Oyesakin, Adewumi B.
Nigeria, Niamey
National Hospital
Osuigwe, Andrew Nwankwo
Nigeria, Awka
Nnamdi Azikiwe University
Ekwunife, Okechukwu Hyginus
Nigeria, Awka
Nnamdi Azikiwe University
Nri-Ezedi, Chisom Adaobi
Nigeria, Awka
Nnamdi Azikiwe University
Umeh, Eric Okechukwu
Nigeria, Awka
Nnamdi Azikiwe University
Bell, Nellie
Sierra Leone
Ola During Children's Hospital
Ogundele, Ibukunolu Olufemi
Nigeria, Ago-iwoye
Olabisi Onabanjo University
Adekanmbi, Abiodun Folashade
Nigeria, Ago-iwoye
Olabisi Onabanjo University
Fatungase, Oluwabunmi Motunrayo
Nigeria, Ago-iwoye
Olabisi Onabanjo University
Lapolla, Pierfrancesco
Italy, Rome
Azienda Ospedaliera Universitaria Policlinico Umberto I
Mingoli, Andrea
Italy, Rome
Azienda Ospedaliera Universitaria Policlinico Umberto I
Testi, Anna Maria
Italy, Rome
Azienda Ospedaliera Universitaria Policlinico Umberto I
Brachini, Gioia
Italy, Rome
Azienda Ospedaliera Universitaria Policlinico Umberto I
Cicerchia, Pierfranco Maria
Italy, Rome
Azienda Ospedaliera Universitaria Policlinico Umberto I
Rahim, Fakher
Unknown Affiliation
Abdul-Mumin, Alhassan
Ghana, Tamale
Tamale Teaching Hospital
Kwarteng, Peter Gyamfi
Ghana, Tamale
Tamale Teaching Hospital
Abdulai, Abubakari Bawa
Ghana, Tamale
Tamale Teaching Hospital
Kunfah, Sheba Mary Pognaa
Ghana, Tamale
Tamale Teaching Hospital
Ajinkpang, Stephanie
Ghana, Tamale
Tamale Teaching Hospital
Der, Edmund Muonir
Ghana, Tamale
Tamale Teaching Hospital
Abantanga, Francis Atindaana
Ghana, Tamale
Tamale Teaching Hospital
Kpiniong, Mary Joan
Ghana, Tamale
Tamale Teaching Hospital
Bimpong, Kingsley Appiah
Ghana, Tamale
Tamale Teaching Hospital
Elbahnasawy, Mohamed
Egypt, Tanta
Tanta University Hospitals
Brar, Amanpreet
Canada, Toronto
Hospital for Sick Children University of Toronto
Zani, Augusto
Canada, Toronto
Hospital for Sick Children University of Toronto
Samad, Lubna
Unknown Affiliation
Raza, Muhammad Rafie
Unknown Affiliation
Hamdan, Alaa
Syrian Arab Republic, Latakia
Université Tichrine
Bouhuwaish, Ahmad
Unknown Affiliation
Abdulwahed, Eman
Libya, Tripoli
University of Tripoli
Biala, Marwa Isa
Libya, Tripoli
University of Tripoli
Tragiannidis, Athanasios
Greece, Thessaloniki
University General Hospital of Thessaloniki Ahepa
Abdul Aziz, Dayang Anita
Malaysia, Kuala Lumpur
Hospital Canselor Tuanku Muhriz Ukm
Latiff, Zarina Abdul
Malaysia, Kuala Lumpur
Hospital Canselor Tuanku Muhriz Ukm
Lawal, Taiwo Akeem
Nigeria, Ibadan
University College Hospital, Ibadan
Egbuchulem, Kelvin Ifeanyichukwu
Nigeria, Ibadan
University College Hospital, Ibadan
Ogundoyin, Olakayode Olaolu
Nigeria, Ibadan
University College Hospital, Ibadan
Brown, Biobele Jotham
Nigeria, Ibadan
University College Hospital, Ibadan
Afolaranmi, Oluwasegun Joshua
Nigeria, Ibadan
University College Hospital, Ibadan
Fehintola, Abdulbasit O.
Nigeria, Ibadan
University College Hospital, Ibadan
Heuer, Annika
Germany, Hamburg
Universitätsklinikum Hamburg-eppendorf
Boettcher, Michael
Germany, Hamburg
Universitätsklinikum Hamburg-eppendorf
Frosch, Karl Heinz
Germany, Hamburg
Universitätsklinikum Hamburg-eppendorf
Olori, Samson Dr
Nigeria, Abuja
University of Abuja
Offiong, Uduak Mayen
Nigeria, Abuja
University of Abuja
Mshelbwala, Philip Mari
Nigeria, Abuja
University of Abuja
Nasir, Abdulrasheed A.
Nigeria, Ilorin
University of Ilorin
Ibrahim, Kazeem Olatunde O.
Nigeria, Ilorin
University of Ilorin
Ademola-Popoola, Dupe Serifat
Nigeria, Ilorin
University of Ilorin
Adeyeye, Ademola A.
Nigeria, Ilorin
University of Ilorin
Omokanye, Khadijat Olaitan
Nigeria, Ilorin
University of Ilorin
Abdur-Rahman, Lukman Olajide
Nigeria, Ilorin
University of Ilorin
Nah, Shireen A.
Malaysia, Kuala Lumpur
University of Malaya Medical Centre
Olaosebikan, Rasaq R.
United States, Galveston
The University of Texas Medical Branch at Galveston
Shinondo, Patricia
Zambia
University Teaching Hospitals
Ngongola, Amon
Zambia
University Teaching Hospitals
Bvulani, Bruce Chikasa
Zambia
University Teaching Hospitals
Lukong, Christopher Suiye
Unknown Affiliation
Velasco, Pablo
Spain, Barcelona
Hospital Universitari Vall D'hebron
Elmandouh, Omar
Unknown Affiliation
Ruzgar, Nensi Melissa
United States, New Haven
Yale-new Haven Hospital
Ullrich, Sarah J.
United States, New Haven
Yale-new Haven Hospital
Ebada, Mahmoud A.
Egypt, Zagazig
Zagazig University Hospitals
Kacimi, Salah Eddine Oussama
Unknown Affiliation
Elhalaby, Essam A.
Unknown Affiliation
Saad, Mahmoud M.
Unknown Affiliation
Seitz, Guido
Unknown Affiliation
Tsoulfas, Georgios
Unknown Affiliation
Virgone, Calogero
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Bentounsi, Zineb
Unknown Affiliation
Saldaña Gallo, Lily J.
Unknown Affiliation
Ali, Abdelbasit
Unknown Affiliation
Jalloh, Mohamed Bella
Unknown Affiliation
Chui, Chanhon
Unknown Affiliation
Olivos, Maricarmen
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Cross, Kate Mary K.
Unknown Affiliation
Hayes-Jordan, Andrea A.
Unknown Affiliation
Elshami, Mohamedraed
Unknown Affiliation
Statistics
Citations: 15
Authors: 262
Affiliations: 72
Identifiers
Doi:
10.1136/bmjopen-2021-054690
ISSN:
20446055
Research Areas
Cancer
Covid
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Quantitative