Journal article
Global retinoblastoma service availability in 2024 and equity trends since 2017
British journal of ophthalmology
07/16/2026
DOI: 10.1136/bjo-2026-329476
PMID: 42463304
Abstract
Background/aimsTo assess the global availability of retinoblastoma (Rb) diagnostic and treatment services in 2024 and examine changes in their income-related distribution since 2017.MethodsWe conducted an international cross-sectional study with a longitudinal comparison. In 2024, 438 Rb treatment centres from 145 countries participated; 49 countries had no identified Rb centres, and four were unconfirmed. Longitudinal analyses included 246 centres from 124 countries that participated in both the 2017 and 2024 assessments. Centres reported availability of key diagnostic services (CT, MRI, pathology and genetic testing) and treatment modalities (intravenous, intravitreal and intra-arterial chemotherapy; focal therapies and radiotherapy). Service availability was assessed using country-level binary availability and proportional availability across centres. Income-related distribution was evaluated using concentration curves and concentration indices.ResultsIn 2024, pathology services were available in 143 of 145 countries (98.6%), MRI in 128 (88.3%) and genetic testing in 74 (51.0%). Intravenous chemotherapy was available in 139 countries (95.9%), intravitreal chemotherapy in 101 (69.7%) and intra-arterial chemotherapy in 69 (47.6%). Among centres participating in both study years, proportional availability increased across all modalities between 2017 and 2024, with the largest gains observed for genetic testing, intravitreal chemotherapy and cryotherapy. Except for pathology and intravenous chemotherapy, service availability remained concentrated in higher-income settings. Sensitivity analyses indicated that observed reductions in income-related inequality were not explained by income reclassification.ConclusionBetween 2017 and 2024, global availability of Rb services increased and income-related inequality narrowed. However, advanced diagnostic and eye-preserving treatments remain predominantly available in higher-income settings.
Details
- Title: Subtitle
- Global retinoblastoma service availability in 2024 and equity trends since 2017
- Creators
- Global Retinoblastoma Study GroupMattan AraziRichard JC BowmanOmayma Abdulazeem AbbassAbdulaziz Wannas AbdElhassan AbdallahNadia Abdulazeez AbdulateefEssam Ahmed AbdullahShehu Umar AbdullahiRula Ahmed AbdulqaderAminatu A AbdulrahmanBezawit T AberaHelga Inez Abrahamse-PillayMarta Jaime AbudoBabiker H A AbusharaIshan Gaurang AcharyaOlufemi AdefehintiOlubusayo O AdejumoDupe S Ademola-PopoolaArmin R AfsharWolela Mulatu AgaAdedayo Omobolanle AdioPriyanka AggarwalAda AghajiAlia AhmadMururul AisyiAdeseye Michael AkinseteYasir Saadoon Abed Al AgeleSaleh A Al MesferMouroge Hashim Al AniCarolina AlarconSandra AlarconSilvia AlarcónSafaa A Faraj Al-BadriAna Patricia A AlcasabasSaad A Al-DahmashFithria AldyAmanda AlejosHelen Aidelekoehi AlenAmadou Issifou Alfa BioYvania Alfonso CarrerasChristiane Elias Al-HaddadShaimaa Saad AL-HarrisKhitam Fakhir AlhasaniHamoud Hodeish Yahya Al-HussainiZulfiqar Ali RanaDonjeta Bali AliaMazin Faisal Al-JadiryUsama Al-JumailyHind Manaa AlkatanArgentino Albino AlmeidaZinah Abdulhameed AlsaifKhalifa Mohamed AlsawidiAthar Abdul Samad Majeed Al-ShaheenEntissar Hadi Al-ShammarySumaira AltafSaleh Yahya AltheebDoreen Amankwaa-FrempongPrimawita O AmiruddinMiriam-Benigna Chika AmobiFaizana AmodoAbdou AmzaGamboa Yessica AnaDavid Arturo Ancona-LezamaMia Ratwita AndarsiniCorinna D AndreaeHeidi E AndrewsNawar Jan AnwarAkunne Ijeoma ApakamaPrena Arjyal KafleNomo Arlette FrancineInggar ArmytasariWilhemina A AsariNicholas John AstburyHatice Tuba AtalayEda AtasevenLa-ongsri AtchaneeyasakulAlua AubakirovaRudolf AutrataTatiana El Jaick B CostaFelipe BaccegaThierno Madjou BahSameer BakhshiJulia BalaguerRuhengiz BalayevaShiama Indu BalendraRolika BansalSvati BansalNathan Rahamim Bar IlanHonorio Barranco-GonzálezAissata BarryPaulina BartoszekCovadonga BascaranMairi Kate BassingthwaighteBashar M BataAlona BaumWendy Diana Bautista GuzmanAhmed Metwally BayhAlan M BeardElie A BecharaNikolaos E BechrakisKerri BecktellAinura Suranovna BegimkulovaTadele H BekeleRaquel 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- Resource Type
- Journal article
- Publication Details
- British journal of ophthalmology
- DOI
- 10.1136/bjo-2026-329476
- PMID
- 42463304
- NLM abbreviation
- Br J Ophthalmol
- ISSN
- 0007-1161
- eISSN
- 1468-2079
- Publisher
- BMJ Publishing Group Ltd
- Grant note
- 207472 / Wellcome Senior Research Fellowship
- Language
- English
- Electronic publication date
- 07/16/2026
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9985183394502771
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