Challenge of Retinoblastoma in Mexico in 2020: Perspectives and Solutions

Table 1

Challenges and possible solutions for improving retinoblastoma outcomes in Mexico.

Challenge	Possible solutions
Differences in retinoblastoma (Rb) incidence, HDI, health resources, and professional availability among federal states	1. Promoting universal eye health coverage; 2. Specific direction of health resources to the most vulnerable states; 3. Twinning and telemedicine
Insufficient data and lack of a subgroup analysis of Rb outcomes per federal state	1. Encompassing all public and private institutions from different federal states in existing or new national registries; 2. Modification of registries to allow for complete demographic data and subsequent subgroup analysis
Insufficient medical knowledge, delayed Rb diagnosis, metastatic disease at diagnosis, and cancer therapy abandonment	1. Strengthening Rb programs in general medicine academic formation; 2. Maintenance and stimulation of Rb awareness campaigns for the medical and general population; 3. Promoting universal eye health coverage; 4. Vigilance and timewise intervention in cases with risk of therapy abandonment
Maternal-fetal programs and new universal health coverage	1. An excellent program (“control del niño sano”) already exists to cover child health from birth to 5 years old; it should be maintained and strengthened; 2. Previous universal health programs have successfully covered Rb; this coverage should be maintained and strengthened