Organization of shared care networks and their role in overcoming challenges and enhancing outcomes for childhood cancer: A systematic review
Corresponding Author
Glenn Mbah Afungchwi
Department of Nursing and Midwifery, Faculty of Health Sciences, The University of Bamenda, Bamenda, Cameroon
World Child Cancer, Bamenda, Camerooon
Correspondence
Glenn Mbah Afungchwi, Department of Nursing and Midwifery, Faculty of Health Sciences, The University of Bamenda, Bamenda, Cameroon.
Email: [email protected]
Search for more papers by this authorAngele Pondy-Ongotsoyi
Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
Department of Oncology/Hematology, Mother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon
Search for more papers by this authorJustine Essono
National Committee for the Fight Against Cancer, Ministry of Public Health, Yaounde, Cameroon
Search for more papers by this authorPrisca Youwa
National Committee for the Fight Against Cancer, Ministry of Public Health, Yaounde, Cameroon
Search for more papers by this authorAndreas Frambo
Clinton Health Access Initiative, Yaounde, Cameroon
Search for more papers by this authorNyemb Mbog Grace
Department of Oncology/Hematology, Mother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon
Search for more papers by this authorArmelle Kengang
Department of Oncology/Hematology, Mother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon
Search for more papers by this authorLydia Eyambe
Department of Oncology, Cameroon Baptist Convention Health Services, Bamenda, Cameroon
Search for more papers by this authorHaoua Farida
Department of Non-Communicable Diseases, Ministry of Public Health, Yaounde, Cameroon
Search for more papers by this authorFrancine Kouya
Department of Oncology, Cameroon Baptist Convention Health Services, Bamenda, Cameroon
Search for more papers by this authorBlaise Nkegoum
National Committee for the Fight Against Cancer, Ministry of Public Health, Yaounde, Cameroon
Department of Pathology, University Teaching Hospital, University of Yaounde 1, Yaounde, Cameroon
Search for more papers by this authorCorresponding Author
Glenn Mbah Afungchwi
Department of Nursing and Midwifery, Faculty of Health Sciences, The University of Bamenda, Bamenda, Cameroon
World Child Cancer, Bamenda, Camerooon
Correspondence
Glenn Mbah Afungchwi, Department of Nursing and Midwifery, Faculty of Health Sciences, The University of Bamenda, Bamenda, Cameroon.
Email: [email protected]
Search for more papers by this authorAngele Pondy-Ongotsoyi
Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon
Department of Oncology/Hematology, Mother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon
Search for more papers by this authorJustine Essono
National Committee for the Fight Against Cancer, Ministry of Public Health, Yaounde, Cameroon
Search for more papers by this authorPrisca Youwa
National Committee for the Fight Against Cancer, Ministry of Public Health, Yaounde, Cameroon
Search for more papers by this authorAndreas Frambo
Clinton Health Access Initiative, Yaounde, Cameroon
Search for more papers by this authorNyemb Mbog Grace
Department of Oncology/Hematology, Mother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon
Search for more papers by this authorArmelle Kengang
Department of Oncology/Hematology, Mother and Child Center, Chantal Biya Foundation, Yaounde, Cameroon
Search for more papers by this authorLydia Eyambe
Department of Oncology, Cameroon Baptist Convention Health Services, Bamenda, Cameroon
Search for more papers by this authorHaoua Farida
Department of Non-Communicable Diseases, Ministry of Public Health, Yaounde, Cameroon
Search for more papers by this authorFrancine Kouya
Department of Oncology, Cameroon Baptist Convention Health Services, Bamenda, Cameroon
Search for more papers by this authorBlaise Nkegoum
National Committee for the Fight Against Cancer, Ministry of Public Health, Yaounde, Cameroon
Department of Pathology, University Teaching Hospital, University of Yaounde 1, Yaounde, Cameroon
Search for more papers by this authorAbstract
This systematic review examines shared care networks (SCNs) in pediatric oncology as a strategic response to the healthcare challenges in low- and middle-income countries. SCNs integrate specialized hubs with local satellite centers to enhance accessibility and quality of care. Our methodology included a search of PubMed, Embase, Google Scholar, and Scopus, selecting peer-reviewed articles from the last 20 years. We analyzed nine studies, focusing on SCN definitions, models, and outcomes. Findings reveal that SCNs improve clinical outcomes and patient satisfaction, while reducing economic and emotional burdens through standardized protocols and efficient referral systems. Despite the benefits, challenges remain in maintaining consistent care quality and communication across centers. The review underscores the need for further research to quantify benefits, examine long-term outcomes, and refine operational practices to optimize SCNs’ effectiveness in pediatric oncology.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
REFERENCES
- 1Lam CG, Howard SC, Bouffet E, Pritchard-Jones K. Science and health for all children with cancer. Science. 2019; 363: 1182-1186.
- 2 WHO. Global initiative for childhood cancer. WHO; 2019. Accessed March 17, 2019. http://www.who.int/cancer/childhood-cancer/en/
- 3Atun R, Bhakta N, Denburg A, et al. Sustainable care for children with cancer: a Lancet Oncology Commission. Lancet Oncol. 2020; 21: e185-e224.
- 4Fung A, Horton S, Zabih V, Denburg A, Gupta S. Cost and cost-effectiveness of childhood cancer treatment in low-income and middle-income countries: a systematic review. BMJ Glob Health. 2019; 4:e001825.
- 5Slater P, Hastings Y, Nicholson J, et al. Fifteen years of shared care for paediatric oncology, haematology and palliative patients across Queensland: the role of Regional Case Managers. Aust J Rural Health. 2023; 31: 436-451.
- 6 World Health Organization. CureAll Framework: WHO Global Initiative for Childhood Cancer. WHO; 2021. Accessed June 1, 2023. https://apps.who.int/iris/bitstream/handle/10665/347370/9789240025271-eng.pdf?sequence=1&isAllowed=y
- 7Burns E, Collington M, Eden T, et al. Development of paediatric oncology shared-care networks in low-middle income countries. J Cancer Policy. 2018; 16: 26-32.
10.1016/j.jcpo.2018.03.003 Google Scholar
- 8Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6:e1000097.
- 9von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008; 61: 344-349.
- 10Ducassou S, Chipi M, Pouyade A, et al. Impact of shared care program in follow-up of childhood cancer survivors: an intervention study. Pediatr Blood Cancer. 2017; 64:e26541.
- 11Roskin J, Diviney J, Nanduri V. Presentation of childhood cancers to a paediatric shared care unit. Arch Dis Child. 2015; 100(12): 1131-1135.
- 12Zucchetti G, Bertorello N, Angelastro A, et al. Improving healthcare in pediatric oncology: development and testing of multiple indicators to evaluate a hub-and-spoke model. Tumori J. 2018; 104: 459-465.
- 13Hughes M. Childhood cancer: the need for shared care. J Child Young Peoples Nurs. 2007; 1: 293-296.
10.12968/jcyn.2007.1.6.27665 Google Scholar
- 14Kowalczyk JR, Samardakiewicz M, Pritchard-Jones K, et al. European Survey on Standards of Care in paediatric oncology centres. Eur J Cancer. 2016; 61: 11-19.
- 15van Kalsbeek RJ, Mulder RL, Haupt R, et al. The PanCareFollowUp Care Intervention: a European harmonised approach to person-centred guideline-based survivorship care after childhood, adolescent and young adult cancer. Eur J Cancer. 2022; 162: 34-44.
- 16Blaauwbroek R, Tuinier W, Meyboom-de Jong B, Kamps WA, Postma A. Shared care by paediatric oncologists and family doctors for long-term follow-up of adult childhood cancer survivors: a pilot study. Lancet Oncol. 2008; 9: 232-238.
- 17Herman JM, Stricker CT, Myers S, et al. Building a learning network to accelerate improvement in pancreas cancer care and outcomes: Canopy Cancer Collective. J Clin Oncol. 2022; 40: 368-368.
10.1200/JCO.2022.40.28_suppl.368 Google Scholar
- 18Trogdon JG, Weir WH, Shai S, et al. Comparing shared patient networks across payers. J Gen Intern Med. 2019; 34: 2014-2020.
- 19Kisker CT, Fethke CC, Brown CK, Wells RJ, Elliott SC, Hanna MD. Shared management of children with cancer: a quality of care comparison 774. Pediatr Res. 1998; 43: 134-134.
10.1203/00006450-199804001-00795 Google Scholar
- 20Strayer FH, Fethke CC, Kisker T, Dekrey NG. Physician incentives for shared management of childhood cancer patients. Pediatrics. 1981; 67: 833-837.
- 21Mahajan A, Arora RS, Sahi PK, et al. Shared care for children with cancer in India through social and healthcare partnerships during the COVID-19 pandemic. Cancer Rep. 2022; 5:e1486.