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PEWS implementation work continues
The St. Jude Global team will continue their work to assist hospitals worldwide with implementing PEWS. The current iterations of the intervention are available in English, Spanish and Portuguese, and the team will continue enrolling hospitals into Proyecto EVAT. The team is also looking to more rapidly scale PEWS implementation in Brazil, as well as exploring how to expand PEWS for countries in the African and Asian regions. This work aims to scale up the implementation process more quickly to help more hospitals adopt the program.
“These are preventable deaths; they don’t have to happen,” Agulnik said. “We’re now pleased to show that it is true that PEWS is an effective intervention to prevent these deaths and an intervention to reduce disparities in childhood cancer outcomes globally. This would not have been possible without the work of hundreds of people on the ground across different institutions doing this work.”
Authors and funding
Authors of the study include Tania Maria Conde-Morelos-De-Zaragoza, Casa de la Amistad, Mexico; Dora Judith Soberanis-Vasquez and Alejandra Méndez-Aceituno, Unidad Nacional de Oncología Pediátrica, Guatemala; Carlos Acuña-Aguirre, Hospital Dr. Luis Calvo Mackenna, Chile; Yvania Alfonso-Carreras, Hospital Saint Damien, Haiti; Shillel Yahamy Alvarez Arellano, Benemérito Hospital General con Especialidades “Juan María de Salvatierra”, Mexico; Leticia Aradi Andrade Sarmiento, Centro Médico Nacional Siglo XXI, Mexico; Rosario Batista, Hospital Jose Domingo De Obaldia, Panama; Erika Esther Blasco Arriaga, SOLCA Guayaquil, Ecuador; Patricia Calderon Sotelo, Hospital Infantil de Nicaragua, Nicaragua; Mayra Chavez Rios, Hospital del Niño Poblano, Mexico; Maria Eugenia Costa, Hospital del Niños de la Santísima Trinidad de Córdoba, Argentina; Rosdali Diaz-Coronado, Instituto Nacional de Enfermedades Neoplásicas, Peru; Ever Almicar Fing Soto, Hospital General de Celaya, Mexico; Wendy Christhyna Gómez-García, Hospital Infantil Dr. Robert Reid Cabral, Dominican Republic; Martha Herrera Almanza, Hospital Infantil de Especialidades de Chihuahua, Mexico; Maria Susana Juarez Tobias, Hospital Central Dr. Ignacio Morones Prieto, Mexico; Esmeralda Mercedes Leon Lopez, Hospital Guillermo Almenara Irigoyen, Peru; Norma Araceli Lopez Facundo, Instituto de Seguridad Social del Estado de Mexico y Municipios Hospital Materno Infantil, Mexico; Ruth Angelica Martinez Soria, Hospital General de Tijuana, Mexico; Kenia Miller, Hospital del Niño “Jose Renan Esquivel”, Panama; Scheybi Teresa Miralda-Mendez, Hospital Escuela, Honduras; Lupe Nataly Miralda Mendez, Instituto del Cáncer SOLCA Cuenca, Ecuador; Natalie del Carmen Negroe Ocampo, Hospital General Agustin O‘Horan, Mexico; Berenice Noriega-Acuña, Hospital de Especialidades Pediátricas, Mexico; Alejandra Osuna-Garcia, Hospital Pediátrico de Sinaloa, Mexico; Carlos Manuel Perez-Alvarado, Centro Estatal de Cancerología Dr Miguel Dorantes Mesa, Mexico; Clara Krystal Perez Fermin, Hospital Infantil Regional Universitario Dr. Arturo Grullón, Dominican Republic; Estuardo Enrique Pineda Urquilla, Hospital Nacional de Niños Benjamín Bloom, El Salvador; Carlos Andres Portilla Figueroa, Centro Médico Imbanaco, Colombia; Ligia Estefania Rios Lopez, Hospital Nacional Edgardo Rebagliati Martins, Peru; Jocelyn Rivera-Mijares, Hospital Infantil Teletón de Oncología, Mexico; Veronica Soto Chavez, Hospital Civil de Guadalajara, Mexico; Jorge Ivan Suarez Soto, Hospital del Niño Sistema integral para el Desarrollo de la Familia (DIF), Mexico; Juliana Teixeira Costa, Hospital Martagão Gesteira, Salvador, Brazil; Isidoro Tejocote Romero, Institutio Materno Infantil del Estado de Mexico-IMIEM, Mexico; Erika Villanueva Hoyos, Hospital Oncológico Solca Núcleo de Quito, Ecuador; Marielba Villegas Pacheco, Centro Estatal de Oncología, Mexico; and Hilmarie Muniz-Talavera, Linh T.D. Pham, Angela Carrillo, Adolfo Cardenas-Aguirre, Alejandra Gonzalez Ruiz, Marcela Garza, Yichen Chen, Meenakshi Devidas, and Carlos Rodriguez-Galindo of St. Jude. The authors published the work on behalf of the EVAT Study Group.
The study was also supported by the National Institutes of Health (5P30CA021765), the Conquer Cancer Foundation Global Oncology Young Investigator Award, and ALSAC, the fundraising and awareness organization of St. Jude.
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