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Audit of Deaths in a Pediatric Oncology Unit in Sub-Saharan Africa | OMICS International| Abstract
ISSN: 2165-7386

Journal of Palliative Care & Medicine
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  • Review Article   
  • J Palliat Care Med 353,
  • DOI: 10.4172/2165-7386.1000353

Audit of Deaths in a Pediatric Oncology Unit in Sub-Saharan Africa

Line G Sylvie Couitchere1,2*, Egnon K V Kouakou3,4, Joseph Ouattara1,2, Mariette Egesi1,2, Lea Zaho1,2, Soumahoro Mathurin Oulai1,2 and Michael Silbermann5*
1Faculty of Medical Sciences of Abidjan, University Felix Houphouet-Boigny, Ivory Coast, Africa
2University Hospital Center of Treichville, Pediatric Ward, Ivory Coast, Africa
3Faculty of Biosciences, Laboratory of Nutrition and Pharmacology, University Felix Houphouet-Boigny, Ivory Coast, Africa
4National Nutrition Program, Ivory Coast, Africa
5Middle East Cancer Consortium, Haifa, Israel
*Corresponding Author (s) : Line G Sylvie Couitchere, Faculty of Medical Sciences of Abidjan, University Felix Houphouet-Boigny, Ivory Coast, Africa, Email: [email protected]
Michael Silbermann, Professor, Middle East Cancer Consortium (MECC), 15 Kiryat Sefer St #5, Haifa-3467630, Israel, Tel: 972-482-447-94, Email: [email protected]

Received Date: Jan 15, 2019 / Accepted Date: Feb 23, 2019 / Published Date: Mar 01, 2019

Abstract

Introduction: There are few data on the mortality of children hospitalized for cancer in Sub-Saharan Africa. Reported death rates are usually high. This study describes the causes of death from childhood cancer.
Methods: This is an observational and descriptive study of the clinical and therapeutic characteristics of children (0-14 years) who died in the pediatric oncology unit of the University Hospital Center of Treichville in Abidjan from January 2010 to December 2015. Identified causes of death are reported.
Results: During this six year period, 249 inpatient children out of 681 died, resulting in a mortality rate of 36.5%, the median age of the deceased children was 6 years 10 months. Of the 139 who died in hospital, 131 were solid tumors and 48 were metastatic or at advanced stages in the Toronto classification. Of the 71 cases treated, 14 had received first-line palliative treatment. Treatment-related deaths accounted for 29.5% of cases and non-treatmentrelated deaths for 70.5%. The main causes of death were: tumor progression (42.5%), febrile aplasia (15.1%) and metabolic disorders (7.9%).
Conclusion: Actions promoting/ early diagnosis and treatment as well as improved supportive care will reduce mortality.

Keywords: Pediatric oncology; Death; Sub-saharan Africa

Citation: Couitchere LGS, Kouakou EKV, Ouattara J, Egesi M, Zaho L, et al. (2019) Audit of Deaths in a Pediatric Oncology Unit in Sub-Saharan Africa. J Palliat Care Med 1:354. Doi: 10.4172/2165-7386.1000353

Copyright: © 2019 Couitchere LGS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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