J 2021

Travel burden and clinical presentation of retinoblastoma: analysis of 1024 patients from 43 African countries and 518 patients from 40 European countries

FABIAN, I. D., A. W. STACEY, A. FOSTER, T. T. KIVELA, F. L. MUNIER et. al.

Základní údaje

Originální název

Travel burden and clinical presentation of retinoblastoma: analysis of 1024 patients from 43 African countries and 518 patients from 40 European countries

Autoři

FABIAN, I. D. (garant), A. W. STACEY, A. FOSTER, T. T. KIVELA, F. L. MUNIER, N. KEREN-FROIM, N. GOMEL, N. CASSOUX, M. S. SAGOO, M. AL REDDY, L. AL HARBY, M. ZONDERVAN, C. BASCARAN, E. ABDALLAH, S. U. ABDULLAHI, S. A. BOUBACAR, D. S. ADEMOLA-POPOOLA, A. ADIO, A. E. AGHAJI, S. A. PORTABELLA, A. I. A. BIO, A. M. ALI, D. B. ALIA, C. ALL-ERIKSSON, A. A. ALMEIDA, K. M. ALSAWIDI, R. ANTONINO, N. J. ASTBURY, R. ATSIAYA, J. BALAGUER, W. BALWIERZ, H. BARRANCO, M. B. POPOVIC, S. BENMILOUD, N. B. GUEBESSI, R. C. BERETE, S. J. BIDDULPH, E. M. BIEWALD, S. BLUM, N. BOBROVA, M. BOEHME, N. BORNFELD, G. C. BOUDA, H. BOUGUILA, A. BOUMEDANE, B. G. BRICHARD, I. M. CAPRA, G. CASTELA, J. CATALA-MORA, G. L. CHANTADA, V. S. CHERNODRINSKA, F. S. CHIWANGA, K. CIESLIK, C. COMSA, M. G. C. LLANO, M. CSOKA, I. V. DA GAMA, A. DAVIDSON, P. DE POTTER, L. DESJARDINS, M. D. DRAGOMIR, M. DU BRUYN, A. EL KETTANI, A. M. ELBAHI, D. ELGALALY, A. M. ELHADDAD, M. M. A. ELHASSAN, M. M. ELZEMBELY, V. A. ESSUMAN, T. G. A. EVINA, O. FASINA, A. FERNANDEZ-TEIJEIRO, M. GANDIWA, D. G. ALDANA, J. A. GEEL, Z. GIZACHEW, P. A. GREGERSEN, K. M. GUEDENON, T. HADJISTILIANOU, S. HASSAN, S. HEDEROVA, L. HESSISSEN, D. F. HORDOFA, M. HUMMLEN, K. HUSAKOVA, R. IDA, V. R. ILIC, H. JENKINSON, T. B. A. KABESHA, R. L. KABORE, A. KALINAKI, N. KAPELUSHNIK, T. KARDAVA, P. K. KEMILEV, Tomáš KEPÁK (203 Česká republika, domácí), Z. KHOTENASHVILI, A. KLETT, J. E. K. K. PALET, D. KRIVAITIENE, M. KRUGER, A. KYARA, E. S. LACHMANN, S. LATINOVIC, K. LECUONA, R. M. LUKAMBA, L. LUMBROSO, L. LYSYTSIA, E. MAKA, M. MAKAN, C. MANDA, N. M. BEGUE, I. O. MATENDE, M. MATUA, I. MAYET, F. B. MBUMBA, A. A. MENGESHA, E. MIDENA, F. G. MNDEME, A. A. MOHAMEDANI, A. C. MOLL, C. MOREIRA, M. S. MSINA, G. MSUKWA, K. I. MUMA, G. MURGOI, K. O. MUSA, H. MUSTAK, O. M. MUYEN, G. NAIDU, L. NAUMENKO, P. A. N. ROTH, V. NEROEV, M. NIKITOVIC, E. D. NKANGA, H. NKUMBE, M. NYAYWA, G. OBONO-OBIANG, N. C. OGUEGO, A. OLECHOWSKI, A. H. OSCAR, P. OSEI-BONSU, S. L. PAINTER, V. PAINTSIL, L. PAIVA, R. PAPYAN, R. PARROZZANI, M. PARULEKAR, K. PAWINSKA-WASIKOWSKA, S. PERIC, R. PHILBERT, P. POCHOP, V. G. POLYAKOV, M. T. POMPE, J. J. PONS, L. RAOBELA, L. A. RENNER, D. REYNDERS, D. RIBADU, M. M. RIHEIA, P. RITTER-SOVINZ, S. SAAKYAN, A. M. A. SAID, S. S. PACHECO, T. A. SCANLAN, J. SCHOEMAN, S. SEREGARD, S. T. SHERIEF, S. S. CHEIKH, S. SILVA, T. SOROCHYNSKA, G. SSALI, C. STATHOPOULOS, B. S. KRANJC, D. K. STONES, K. SVOJGR, F. SYLLA, G. TAMAMYAN, A. TANDILI, B. TATESHI, T. THEOPHILE, F. TRAORE, H. TYAU-TYAU, A. B. UMAR, S. F. URBAK, T. L. USHAKOVA, S. VALEINA, M. V. WIJSARD, N. V. VELEVA-KRASTEVA, M. VIKSNINS, W. WACKERNAGEL, K. WADDELL, P. D. WADE, A. H. W. NIGERIA, A. D. C. WIME, C. W. DOD, J. M. YANGA, V. A. YAROVAYA, A. A. YAROVOY, E. ZEIN, S. SHARABI, K. ZHILYAEVA, O. A. O. ZIKO a R. BOWMAN

Vydání

The British journal of ophthalmology : incorporating the Royal London ophthalmic hospital reports, the Ophthalmic review and the Ophthalmoscope, London, British Journal of Ophthalmology, 2021, 0007-1161

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 5.908

Kód RIV

RIV/00216224:14110/21:00124151

Organizační jednotka

Lékařská fakulta

UT WoS

000702446300022

Klíčová slova anglicky

Epidemiology; Neoplasia

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 2. 2022 09:04, Mgr. Tereza Miškechová

Anotace

V originále

Background The travel distance from home to a treatment centre, which may impact the stage at diagnosis, has not been investigated for retinoblastoma, the most common childhood eye cancer. We aimed to investigate the travel burden and its impact on clinical presentation in a large sample of patients with retinoblastoma from Africa and Europe. Methods A cross-sectional analysis including 518 treatment-naive patients with retinoblastoma residing in 40 European countries and 1024 treatment-naive patients with retinoblastoma residing in 43 African countries. Results Capture rate was 42.2% of expected patients from Africa and 108.8% from Europe. African patients were older (95% CI -12.4 to -5.4, p<0.001), had fewer cases of familial retinoblastoma (95% CI 2.0 to 5.3, p<0.001) and presented with more advanced disease (95% CI 6.0 to 9.8, p<0.001); 43.4% and 15.4% of Africans had extraocular retinoblastoma and distant metastasis at the time of diagnosis, respectively, compared to 2.9% and 1.0% of the Europeans. To reach a retinoblastoma centre, European patients travelled 421.8 km compared to Africans who travelled 185.7 km (p<0.001). On regression analysis, lower-national income level, African residence and older age (p<0.001), but not travel distance (p=0.19), were risk factors for advanced disease. Conclusions Fewer than half the expected number of patients with retinoblastoma presented to African referral centres in 2017, suggesting poor awareness or other barriers to access. Despite the relatively shorter distance travelled by African patients, they presented with later-stage disease. Health education about retinoblastoma is needed for carers and health workers in Africa in order to increase capture rate and promote early referral.