Artículo

Garibotti, G.; Moreno, F.; Dussel, V.; Orellana, L. "Disparities in pediatric leukemia early survival in Argentina: A population-based study" (2014) Revista Panamericana de Salud Publica/Pan American Journal of Public Health. 36(4):248-256
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Abstract:

Objective. To identify disparities-using recursive partitioning (RP)-in early survival for children with leukemias treated in Argentina, and to depict the main characteristics of the most vulnerable groups. Methods. This secondary data analysis evaluated 12-month survival (12-ms) in 3 987 children diagnosed between 2000 and 2008 with lymphoid leukemia (LL) and myeloid leukemia (ML) and registered in Argentina's population-based oncopediatric registry. Prognostic groups based on age at diagnosis, gender, socioeconomic index of the province of residence, and migration to a different province to receive health care were identified using the RP method. Results. Overall 12-ms for LL and ML cases was 83.7% and 59.9% respectively. RP detected major gaps in 12-ms. Among 1-10-year-old LL patients from poorer provinces, 12-ms for those who did and did not migrate was 87.0% and 78.2% respectively. Survival of ML patients < 2 years old from provinces with a low/medium socioeconomic index was 38.9% compared to 62.1% for those in the same age group from richer provinces. For 2-14-year-old ML patients living in poor provinces, patient migration was associated with a 30% increase in 12-ms. Conclusions. Major disparities in leukemia survival among Argentine children were found. Patient migration and socioeconomic index of residence province were associated with survival. The RP method was instrumental in identifying and characterizing vulnerable groups.

Registro:

Documento: Artículo
Título:Disparities in pediatric leukemia early survival in Argentina: A population-based study
Autor:Garibotti, G.; Moreno, F.; Dussel, V.; Orellana, L.
Filiación:Centro Regional Universitario Bariloche, Universidad Nacional del Comahue, Bariloche, Argentina
Argentine Hospital Oncopediatric Registry, Instituto Nacional del Cáncer, Buenos Aires, Argentina
Instituto de Efectividad Clínica Y Sanitaria, Buenos Aires, Argentina
Instituto de Cálculo, Universidad de Buenos Aires, Buenos Aires, Argentina
Palabras clave:Argentina; Child; Developing countries; Healthcare disparities; Leukemia; Survival analysis; cancer; child health; health care; health survey; national planning; survival; vulnerability; Argentina; adolescent; age; Argentina; child; developing country; epidemiology; female; health care disparity; human; infant; Kaplan Meier method; lymphatic leukemia; male; mortality; myeloid leukemia; newborn; preschool child; prognosis; proportional hazards model; register; sex difference; socioeconomics; survival rate; Adolescent; Age Factors; Argentina; Child; Child, Preschool; Developing Countries; Female; Healthcare Disparities; Humans; Infant; Infant, Newborn; Kaplan-Meier Estimate; Leukemia, Lymphoid; Leukemia, Myeloid; Male; Prognosis; Proportional Hazards Models; Registries; Sex Factors; Socioeconomic Factors; Survival Rate
Año:2014
Volumen:36
Número:4
Página de inicio:248
Página de fin:256
Título revista:Revista Panamericana de Salud Publica/Pan American Journal of Public Health
Título revista abreviado:Rev. Panam. Salud Publica Pan Am. J. Public Health
ISSN:10204989
CODEN:RPSPF
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10204989_v36_n4_p248_Garibotti

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Citas:

---------- APA ----------
Garibotti, G., Moreno, F., Dussel, V. & Orellana, L. (2014) . Disparities in pediatric leukemia early survival in Argentina: A population-based study. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 36(4), 248-256.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10204989_v36_n4_p248_Garibotti [ ]
---------- CHICAGO ----------
Garibotti, G., Moreno, F., Dussel, V., Orellana, L. "Disparities in pediatric leukemia early survival in Argentina: A population-based study" . Revista Panamericana de Salud Publica/Pan American Journal of Public Health 36, no. 4 (2014) : 248-256.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10204989_v36_n4_p248_Garibotti [ ]
---------- MLA ----------
Garibotti, G., Moreno, F., Dussel, V., Orellana, L. "Disparities in pediatric leukemia early survival in Argentina: A population-based study" . Revista Panamericana de Salud Publica/Pan American Journal of Public Health, vol. 36, no. 4, 2014, pp. 248-256.
Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10204989_v36_n4_p248_Garibotti [ ]
---------- VANCOUVER ----------
Garibotti, G., Moreno, F., Dussel, V., Orellana, L. Disparities in pediatric leukemia early survival in Argentina: A population-based study. Rev. Panam. Salud Publica Pan Am. J. Public Health. 2014;36(4):248-256.
Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10204989_v36_n4_p248_Garibotti [ ]