Diagnostic delay in children with central nervous system tumors and the need to improve education
To the Editor,
We read with interest the recent study by Patel et al. reporting delayed diagnoses in children with central nervous system (CNS) tumors, in which they reviewed a single-institution experience at Akron Children’s Hospital in Ohio . The authors described a scarcity of studies on this topic in the US and cited only 1 study from Nationwide Children’s Hospital, also located in Ohio , but did not cite our study published a few years earlier on delayed diagnoses in children with low-grade glioma (LGG) .
We commend the authors for their work addressing this important topic that should be indeed further studied in the US. Although this study, like many others, did not show an effect of pre-diagnostic symptom interval (PSI) length on survival or long-term morbidity, the authors stated that shorter PSIs may decrease morbidity and cited a study from Japan suggesting that shorter PSIs yield better functional outcomes . We believe it is important to address this...
The authors would like to thank Nisha Badders, PhD, for scientific editing of the final manuscript.
This work was supported, in part, by Cancer Center Support Grant CA21765 from the National Cancer Institute and by ALSAC.
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Conflict of Interest
Authors have no conflict of interest to report.
This article does not contain any studies with human participants or animals performed by any of the authors.