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A practical approach to reporting treatment abandonment in pediatric chronic conditions
Authors:Meaghann S. Weaver MD  Ramandeep S. Arora MBBS  Scott C. Howard MD  Msc  Carmen E. Salaverria MPsych  Yen‐Lin Liu MD  Raul C. Ribeiro MD  Catherine G. Lam MD   MPH
Affiliation:1. St Jude Children's Research Hospital, Memphis, Tennessee;2. Max Super Specialty Hospital, Saket, India;3. Hospital Nacional de Ni?os Benjamin Bloom, Centro Medico Ayudame a Vivir, San Salvador, El Salvador;4. Taipei Medical University Hospital, Taipei, Taiwan
Abstract:Treatment abandonment, the failure to complete therapy that is required for definitive disease control, frequently causes treatment failure for pediatric patients in low‐ and middle‐income countries with chronic conditions, particularly cancer. Other forms of incomplete treatment affecting children in all settings, such as nonadherence and loss to follow‐up, are often confused with treatment abandonment. Unclear definitions of incomplete treatment dramatically affect reported outcomes. To facilitate disease‐specific and cross‐sector analyses, we outline a practical approach to categorize forms of incomplete treatment, present distinct semantic categories with case examples and provide an algorithm that could be tailored to disease‐ and context‐specific needs. Pediatr Blood Cancer 2015;62:565–570. © 2015 Wiley Periodicals, Inc.
Keywords:adherence  chronic disease  loss to follow‐up  outcome evaluation  treatment abandonment  treatment failure
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