Search CCW

Surveys of Practice/Clinical Guidelines

Nutrition in Low to Middle-Income Countries 

In collaboration with International Society of Pediatric Oncology (SIOP), Association de Hemato-Oncologia Pediatrica de Centro America (AHOPCA), and participants in the Cure4Kids, CCW has completed the first international surgery of nutrition practice in low and middle-income countries. More than 200,000 children in low and middle-income countries (LMIC) are diagnosed with cancer annually, compared to 50,000 in high-income countries (HIC). The disparity in survival rates continues to widen as well. While the survival rate in HICs exceeds 75 percent, it remains around 20 percent in LMICs. There is a strong need to improve resources and collaborations to bridge this gap. Priorities for improving the nutritional management in LMIC include: 1) Improved nutrition education and assessment tools for doctors and nurses; 2) Increased availability of nutrition education resources for families and patients; and 3) Identification of the role of complementary and alternative therapies in closing gaps in symptom management. Our paper was published in the European Journal of Clinical Nutrition

Global TCAM in Children with Cancer

With efforts by the World Health Organization and international twinning programs improving access to conventional care for childhood cancer, understanding the global use of Traditional and Complementary/Alternative Medicine is critical. Reliance on TCAM may affect time to presentation, adherence, and abandonment of care. We developed a cross-cultural survey that produced reliable and valid results. Our findings will aid investigators in providing guidelines on TCAM, support the development of education and research priorities, and identify variables associated with TCAM in different areas of the world. This research will appear in the journal, Cancer.

CAM in Guatemala

International surveys have demonstrated that use of traditional and complementary/alternative medicine (TCAM) is highly prevalent among children with cancer; however, little is known about its use among children with cancer in Latin America. As part of a regional initiative, we explored use of TCAM among this patient population. We found that TCAM is widely used alongside conventional therapy for supportive care, underscoring the need for open lines of communication between clinicians and families. This report appeared, in 2014, in Pediatric Blood Cancer

International Committee on Nutrition & Health for Children With Cancer, International Society of Pediatric Oncology (SIOP)

With an increasing number of nutrition and health-related issues such as decreased bone density and increased risk of metabolic syndrome and obesity, new challenges are being presented in the nutritional management of children with cancer. Many of these are exacerbated in low-income countries where few resources are available to address patient needs. Moreover, few education resources are available globally. The International Committee on Nutrition & Health for Children with Cancer was established to help close this gap in education and clinical care.