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

Med Sci (Basel). 2024 Mar 19;12(1):16. doi: 10.3390/medsci12010016.

Abstract

Background: Pituitary adenomas are benign brain tumors that impose a heavy burden on patients worldwide. 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.

Methods: 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.

Results: 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.

Conclusion: 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: healthcare; pituitary adenoma; treatment gaps.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Adenoma* / epidemiology
  • Adenoma* / therapy
  • Delivery of Health Care
  • Health Services Accessibility
  • Humans
  • Philippines
  • Pituitary Neoplasms* / therapy

Grants and funding

This research received no external funding. The APC was funded by the Philippine General Hospital.