Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Pituitary Adenoma in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care

Version 1 : Received: 25 January 2024 / Approved: 25 January 2024 / Online: 25 January 2024 (13:19:06 CET)

A peer-reviewed article of this Preprint also exists.

Tabuzo, M.M.B.; Hernandez, M.A.L.U.; Chua, A.E.; Maningat, P.D.; Chiu, H.H.C.; Jamora, R.D.G. Pituitary Adenoma in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care. Med. Sci. 2024, 12, 16. Tabuzo, M.M.B.; Hernandez, M.A.L.U.; Chua, A.E.; Maningat, P.D.; Chiu, H.H.C.; Jamora, R.D.G. Pituitary Adenoma in the Philippines: A Scoping Review on the Treatment Gaps, Challenges, and Current State of Care. Med. Sci. 2024, 12, 16.

Abstract

Pituitary adenomas are benign brain tumors that pose a heavy burden on patients worldwide. However, the local burden of disease is yet to be established due to scarcity of data. In line with this, this study aims to present the challenges and gaps in the treatment of pituitary adenomas in the Philippines. A scoping review of available relevant literature on epidemiology, clinical experience with treatment, health financing, and healthcare delivery system based on the Preferred Reporting Items for Systematic reviews and Meta-analysis guidelines extension for Scoping Reviews was conducted. The scarcity of updated local clinical data, inequity of distribution of resources, inadequate government support, and lack of affordable diagnostic testing, medications and neurosurgical procedures are the factors that hinder provision of adequate care of pituitary adenomas in the Philippines. There are notable treatment gaps in the management of pituitary adenomas in the Philippines, which may be addressed by strengthening universal healthcare. Strategies to address these gaps were proposed, including improving public-private insurance coverage, increasing manpower, enhancing accessibility to resources, and spreading more awareness.

Keywords

Pituitary adenoma, treatment gaps, healthcare

Subject

Medicine and Pharmacology, Endocrinology and Metabolism

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