Despite a National Service Framework for children, which sets standards, there are no targets, and children continue to be a low priority for the NHS.
According to Alan Craft (Institute of Child Health, Newcastle Upon Tyne, UK) and Kathy Pritchard-Jones (Royal Marsden Hospital and Institute of Cancer Research, Surrey, UK), routine surveillance and the primary care of children need to be rigorously assessed, while politicians need to take the health of children seriously and make an appropriate level of investment, to ensure that the UK improves by comparison with the best-performing countries in Europe.
The authors highlight that in Germany, trials on Wilm’s tumour—a common solid tumour of childhood— showed that between 1994 and 2001, 27.4% of patients had a cancer that was first identified during a visit to a health professional for an unrelated problem or by routine surveillance. In comparison, in the UK, just 11% of patients presenting to the Royal Marsden Hospital in London, and 4% of patients referred to the Newcastle Hospital or the Royal Victoria Infirmary in Newcastle were identified. In Germany, early diagnosis by routine or incidental examination was linked to increased survival.
The authors suggest a number of possible reasons for the considerable variation in childhood cancer survival in the UK. They believe that children in the UK have been receiving a different treatment protocol than their European counterparts possibly involving suboptimum first-line treatment or less-intensive salvage treatment at relapse, because until recently there was no European-wide standard clinical protocol. Furthermore, routine health-surveillance systems and opportunities for diagnosis for children differ considerably across Europe. In Germany, most children have their own primary-care paediatrician who undertakes regular health checks, whereas in the UK, according to the authors, the Health for all Children guidelines are not as thorough, with few routine examinations being recommended.
The authors conclude, “Suboptimum survival for childhood cancer is just one example of the worse state of children’s health care in the UK compared with many other countries. The perinatal mortality rate puts the UK in 15th position in Europe and there is clear evidence that children with diabetes are [also] not receiving optimum care”.
Tony Kirby | alfa
Organ-on-a-chip mimics heart's biomechanical properties
23.02.2017 | Vanderbilt University
Researchers identify cause of hereditary skeletal muscle disorder
22.02.2017 | Klinikum der Universität München
In the field of nanoscience, an international team of physicists with participants from Konstanz has achieved a breakthrough in understanding heat transport
Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...
The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.
The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...
Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...
Nanometer-scale magnetic perforated grids could create new possibilities for computing. Together with international colleagues, scientists from the Helmholtz Zentrum Dresden-Rossendorf (HZDR) have shown how a cobalt grid can be reliably programmed at room temperature. In addition they discovered that for every hole ("antidot") three magnetic states can be configured. The results have been published in the journal "Scientific Reports".
Physicist Dr. Rantej Bali from the HZDR, together with scientists from Singapore and Australia, designed a special grid structure in a thin layer of cobalt in...
13.02.2017 | Event News
10.02.2017 | Event News
09.02.2017 | Event News
24.02.2017 | Earth Sciences
24.02.2017 | Agricultural and Forestry Science
24.02.2017 | Life Sciences