The Landscape of Pediatric Radiation Oncology in Nigeria

Author:

Joseph Adedayo1ORCID,Akinsete Adeseye M.2ORCID,Lasebikan Nwamaka N.3ORCID,Adeneye Samuel1,Awofeso Opeyemi M.4ORCID,Oladipo Aishat T.1,Ajose Azeezat O.1ORCID,Ojo Oluwatimileyin5,Merrell Kenneth6ORCID,Ngwa Wilfred7ORCID,Puthoff David S.8,Onitilo Adedayo A.8ORCID

Affiliation:

1. NSIA-LUTH Cancer Centre, Lagos University Teaching Hospital, Lagos, Nigeria

2. Hematology & Oncology Unit, Department of Pediatrics, College of Medicine University of Lagos, Lagos, Nigeria

3. Oncology Center, University of Nigeria Teaching Hospital, Enugu, Nigeria

4. Psychosocial Oncology & Palliative Care, Dana Farber Cancer Institute, Boston, MA

5. Long Island Jewish Medical Center and North Shore University Hospital, New Hyde Park, NY

6. Department of Radiation Oncology, Mayo Clinic, Rochester, MN

7. Johns Hopkins School of Medicine, Baltimore, MD

8. Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, WI

Abstract

Radiation therapy (RT) is an essential part of the multidisciplinary treatment of pediatric cancer. Over the past five decades, significant advances have been made in the delivery of RT, with better dose delivery to disease targets while minimizing exposure to nearby organs at risk. These advances have led to improved treatment outcomes, increased survival, and reduced treatment-related toxicities. Advanced treatment techniques, however, require significant investment in infrastructural and personnel resources. This review documents what is currently available regarding expertise and infrastructure for pediatric radiation oncology practice in Nigeria. It was performed to serve as a foundation for the creation and design of tailored solutions (initiatives and policies) to increase pediatric radiation availability, accessibility, and equity in Nigeria and ultimately improve pediatric cancer treatment outcomes in the region.

Publisher

American Society of Clinical Oncology (ASCO)

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