In 2020, the strongest predictor of the outcome for a child with cancer is the country in which he or she is born. Massive inequalities in paediatric cancer care are a blemish on a global cancer enterprise that too often celebrates marginal wins. The Lancet Oncology Commission on sustainable care for childhood cancer is therefore a welcome call to arms for the oncology community. The Commission presents new evidence to justify investment in and a framework to guide the scale-up of interventions for childhood cancers in low-income and middle-income countries (LMICs). This work complements growing global interest in the Cancer Groundshot and Choosing Wisely initiatives, which seek to optimise population health by implementing elements of care that are already known to save lives and avoiding care that is not helpful and might be harmful.

中文翻译：

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儿童期癌症护理：缩小公平差距。

2020年，癌症儿童结局的最有力预测指标是其出生国。小儿癌症治疗中的巨大不平等现象对一个经常庆祝微不足道的胜利的全球癌症企业来说是一个缺陷。该柳叶刀肿瘤学因此，儿童癌症可持续护理委员会是肿瘤界欢迎的武器。该委员会提供了新的证据来证明有正当的投资，并提供了一个框架来指导在低收入和中等收入国家（LMIC）扩大针对儿童癌症的干预措施。这项工作补充了全球对“癌症探秘”和“明智选择”倡议的日益增长的兴趣，这些倡议通过实施已知的挽救生命的护理要素并避免无益且可能有害的护理来寻求优化人群健康。