title: A Framework for Adapted Nutritional Therapy for Children With Cancer in Low- and Middle-Income Countries: A Report From the SIOP PODC Nutrition Working Group.
abstract: The utilization of adapted regimens for the treatment of pediatric malignancies has greatly improved clinical outcomes for children receiving treatment in low- and middle-income countries (LMIC). Nutritional depletion has been associated with poorer outcomes, increased abandonment of therapy, and treatment-related toxicities. Surveys have found that nutritional intervention is not incorporated routinely into supportive care regimens. Establishing nutritional programs based upon institutional resources may facilitate the incorporation of nutritional therapy into clinical care in a way that is feasible in all settings. We present a framework for establishing and monitoring of nutritional care based on the infrastructure of institutions in LMIC.
authors.affiliation: Division of Pediatric Hematology/Oncology/Stem Cell Transplant, Medical Center, Columbia University, New York, New York.|Institute of Human Nutrition, Columbia University Medical Center, New York, New York.
authors.forename: Elena J
authors.initials: EJ
authors.lastname: Ladas
authors.affiliation: Department of Pediatric Oncology, Tata Memorial Hospital, Mumbai, India.
authors.forename: Brijesh
authors.initials: B
authors.lastname: Arora
authors.affiliation: School of Health Studies, University of Memphis, Memphis, Tennessee.
authors.forename: Scott C
authors.initials: SC
authors.lastname: Howard
authors.affiliation: BC Children's Hospital & University of British Columbia, Vancouver, Canada.
authors.forename: Paul C
authors.initials: PC
authors.lastname: Rogers
authors.affiliation: Department of Food Science, Nutrition and Health Promotion, Mississippi State University, Starkville, Mississippi.
authors.forename: Terezie T
authors.initials: TT
authors.lastname: Mosby
authors.affiliation: Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Barr
mesh_terms: D002648:Child; D003906:Developing Countries; D006801:Humans; D009369:Neoplasms / Q000178:diet therapy* / Q000628:therapy; D018673:Nutrition Policy; D044623:Nutrition Therapy / Q000379:methods*; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods*; D011203:Poverty
keywords: adapted guidelines; international outreach; low- and middle-income countries; nutrition; nutritional status