Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions

Early diagnosis and positive outcomes of retinoblastoma in childhood have been positively correlated with the economic wealth of high-income countries (HICs) worldwide. Adequate curability and survival rates, adherence to treatment, presence of poor prognostic initial clinical signs, and metastatic...

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Main Authors: Lucas A. Garza-Garza, Raúl E. Ruiz-Lozano, Genaro Rebolledo-Méndez, Ismael Ibarra-Nava, Héctor J. Morales-Garza, David Ancona-Lezama
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/1953602
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author Lucas A. Garza-Garza
Raúl E. Ruiz-Lozano
Genaro Rebolledo-Méndez
Ismael Ibarra-Nava
Héctor J. Morales-Garza
David Ancona-Lezama
author_facet Lucas A. Garza-Garza
Raúl E. Ruiz-Lozano
Genaro Rebolledo-Méndez
Ismael Ibarra-Nava
Héctor J. Morales-Garza
David Ancona-Lezama
author_sort Lucas A. Garza-Garza
collection DOAJ
description Early diagnosis and positive outcomes of retinoblastoma in childhood have been positively correlated with the economic wealth of high-income countries (HICs) worldwide. Adequate curability and survival rates, adherence to treatment, presence of poor prognostic initial clinical signs, and metastatic disease at diagnosis appear to have a less favorable picture in low-income countries (LICs). However, this is not always the case. An example is Argentina, where disease-free survival rates of retinoblastoma are notably higher than expected when taking into consideration its economic situation. Unfortunately, as in other Latin American LICs, retinoblastoma outcomes in Mexico are worrisome. Interestingly, the Human Development Index (HDI) in Mexico varies widely between its different geographical regions. While in some states, the HDI resembles those of high-income countries, and in others, the opposite is observed. A unifying picture of Mexico’s developmental status, health resources, indicators, and other factors possibly influencing outcomes in retinoblastoma is currently unavailable. The present review explores the previously mentioned factors in Mexico and compares them to other countries. Additionally, it recommends solutions or enhancements where possible.
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spelling doaj-art-185f3293e7f34b47bc7b47a85a96b2472025-02-03T05:44:16ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/19536021953602Challenge of Retinoblastoma in Mexico in 2020: Perspectives and SolutionsLucas A. Garza-Garza0Raúl E. Ruiz-Lozano1Genaro Rebolledo-Méndez2Ismael Ibarra-Nava3Héctor J. Morales-Garza4David Ancona-Lezama5Tecnologico de Monterrey, School of Medicine and Health Sciences, Ocular Oncology Service at Institute of Ophthalmology and Visual Sciences, Hospital Zambrano-Hellion, San Pedro Garza Garcia, Nuevo León, MexicoTecnologico de Monterrey, School of Medicine and Health Sciences, Ocular Oncology Service at Institute of Ophthalmology and Visual Sciences, Hospital Zambrano-Hellion, San Pedro Garza Garcia, Nuevo León, MexicoWriting Lab, TecLabs, Vicerrectoria de Investigación y Transferencia de Tecnología, Tecnologico de Monterrey, Monterrey, MexicoDepartment of Preventive Medicine and Public Health, Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, MexicoTecnologico de Monterrey, School of Medicine and Health Sciences, Ocular Oncology Service at Institute of Ophthalmology and Visual Sciences, Hospital Zambrano-Hellion, San Pedro Garza Garcia, Nuevo León, MexicoTecnologico de Monterrey, School of Medicine and Health Sciences, Ocular Oncology Service at Institute of Ophthalmology and Visual Sciences, Hospital Zambrano-Hellion, San Pedro Garza Garcia, Nuevo León, MexicoEarly diagnosis and positive outcomes of retinoblastoma in childhood have been positively correlated with the economic wealth of high-income countries (HICs) worldwide. Adequate curability and survival rates, adherence to treatment, presence of poor prognostic initial clinical signs, and metastatic disease at diagnosis appear to have a less favorable picture in low-income countries (LICs). However, this is not always the case. An example is Argentina, where disease-free survival rates of retinoblastoma are notably higher than expected when taking into consideration its economic situation. Unfortunately, as in other Latin American LICs, retinoblastoma outcomes in Mexico are worrisome. Interestingly, the Human Development Index (HDI) in Mexico varies widely between its different geographical regions. While in some states, the HDI resembles those of high-income countries, and in others, the opposite is observed. A unifying picture of Mexico’s developmental status, health resources, indicators, and other factors possibly influencing outcomes in retinoblastoma is currently unavailable. The present review explores the previously mentioned factors in Mexico and compares them to other countries. Additionally, it recommends solutions or enhancements where possible.http://dx.doi.org/10.1155/2020/1953602
spellingShingle Lucas A. Garza-Garza
Raúl E. Ruiz-Lozano
Genaro Rebolledo-Méndez
Ismael Ibarra-Nava
Héctor J. Morales-Garza
David Ancona-Lezama
Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions
Journal of Ophthalmology
title Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions
title_full Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions
title_fullStr Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions
title_full_unstemmed Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions
title_short Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions
title_sort challenge of retinoblastoma in mexico in 2020 perspectives and solutions
url http://dx.doi.org/10.1155/2020/1953602
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