International travel to obtain medical treatment for primary retinoblastoma: A global cohort study.

Details

Serval ID
serval:BIB_036EAD85B42F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
International travel to obtain medical treatment for primary retinoblastoma: A global cohort study.
Journal
International journal of cancer
Author(s)
Bowman RJC, Foster A., Stacey A., Keren-Froim N., Bascaran C., Kivelä T.T., Munier F., Fabian I.D.
ISSN
1097-0215 (Electronic)
ISSN-L
0020-7136
Publication state
Published
Issued date
15/04/2021
Peer-reviewed
Oui
Volume
148
Number
8
Pages
1858-1866
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Early diagnosis and treatment of retinoblastoma (Rb), the most common intraocular malignancy, can save both the child's life and vision. However, access to services and hence chances for survival and preserving the eye and its vision vary widely across the globe. Some families have to, or make a choice to, leave their home country to seek planned medical treatment abroad. We aimed to investigate how frequently this cross-border travel occurs and the factors associated with it. A total of 278 Rb centres in 153 countries were recruited to participate in a global cross-sectional analysis of newly diagnosed Rb patients in 2017. Number and proportions of children who travelled from their home country for treatment were analysed by country, continent, socioeconomic stratum and clinical and demographic features. The cohort included 4351 new patients of whom 223 [5.1%, 95% confidence interval 4.5-5.8] were taken across country borders for planned medical treatment. Independently significant predictors of travelling across borders included: being from a country with a smaller population, being from a country classified as low socioeconomic status, having bilateral Rb and having intraocular disease without extraocular spread. The factors that determine international travel for Rb treatment are complex and deserve further investigation. We may need to rethink the way services are delivered in the light of the threat of severe curtailment of international travel from pandemics like corona virus disease 2019.
Keywords
Cancer Research, Oncology, international, retinoblastoma, tourism, travel
Pubmed
Web of science
Create date
17/11/2020 9:48
Last modification date
03/03/2021 7:25
Usage data