A paediatric palliative care team in every childhood cancer unit
Children with cancer, and their families, need symptom relief and support from diagnosis, not only at the end. Every children's cancer unit should have a palliative team, and most in poorer countries have none.
Paediatric palliative care improves symptom control and family outcomes and does not shorten life, yet most childhood cancer units globally lack a dedicated team, and referral is often late. Integrating a small team (nurse, doctor with training, psychosocial support) into every paediatric oncology unit, with early involvement for high-risk diagnoses, is feasible at modest cost and is a stated aim of the WHO Global Initiative for Childhood Cancer.
- Pain relief and palliative care are unavailable to most · Most people who die of cancer worldwide do so without adequate pain relief.
- Rare and paediatric cancers without markets · Taken together rare cancers are a fifth of all cancers, but each one alone is too small for a company to invest in.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
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