Koji Matsuda, Tsuranu Yokoyama
[Analysis of secular trends in proportion of students with poor visual acuity and the associated factors according to government statistics]
Nippon Ganka Gakkai zasshi
treatment refusal abandonment among major causes survival gap developed developing countries retrospective observational study analyzed records children aged 18 years acute lymphoblastic leukemia registered treatment tertiarycare teaching hospital north india 1995 2012 children refused abandoned therapy tracked reasons refusalabandonment recorded telephone interviews surface mail sociodemographic parameters compared using chisquarestudent ttest identify predictors refusalabandonment treatment refusal noted 168 96572 children statistically higher infants p 0004 girls p 004 children parents poor literacy p 0001 lower socioeconomic status p 0001 main causes treatment refusal financial constraints 594 misplaced belief incurability cancer 229 therapy started abandoned 139476 children 292 majority 41 induction followed maintenance 179 major reasons abandonment financial constraints 345 false perception cure 20 poor general condition child 15 improvement child 13 blood donation refusal 3 reasons cited different different treatment phases abandonment statistically higher children rural background p 0001 lower socioeconomic status p 0001 fathers lower literacy status p 0001 low hemoglobin p 001 severe wasting p 001 greater children abandoned treatment treatment refusal abandonment noted 40 children due mainly monetary difficulties disbeliefs regarding curability false perceptions cure factors need addressed improve survival particularly children rural areas parents lower literacy status