TABLE 4-12Priority Ranking for Treating Pediatric Cancers in a Pakistani Hospital, with U.S. Survival Rates

DiseasePercentage Distribution of Cancers (%)Long- Term Survival (%)Cost5-Year Relative Survival, U.S., 1985–1994 (%)
Acute lymphoblastic leukemia2560Intermediate77
Hodgkin’s lymphoma1090Low91
Non-Hodgkin’s lymphoma1065Intermediate72
Germ cell tumor380Low88
Wilms’ tumor580Low92
Rhabdomyosarcoma and neuroblastoma, or NBS (nonmetastatic)530High64 (NBS)
Brain tumors: Selected nonmetastatic and low grade350IntermediateVarious
Osteosarcoma (nonmetastatic)340High63
Would not treat:
Acute myelogenous leukemia5<10Very high41
Stage IV neuroblastoma and sarcoma15<10Very high
Relapsed disease and others10<10Very high

SOURCES: Personal communication, M.S. Ashraf, Children Cancer Hospital, Karachi, Pakistan, March 2006; Ries et al. (1999).

From: 4, Defining Resource-Level-Appropriate Cancer Control

Cover of Cancer Control Opportunities in Low- and Middle-Income Countries
Cancer Control Opportunities in Low- and Middle-Income Countries.
Institute of Medicine (US) Committee on Cancer Control in Low- and Middle-Income Countries; Sloan FA, Gelband H, editors.
Washington (DC): National Academies Press (US); 2007.
Copyright © 2007, National Academy of Sciences.

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