<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0035-0052</journal-id>
<journal-title><![CDATA[Revista mexicana de pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. pediatr.]]></abbrev-journal-title>
<issn>0035-0052</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Pediatría A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0035-00522025000300097</article-id>
<article-id pub-id-type="doi">10.35366/121496</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Percepción de los pediatras mexicanos sobre las limitaciones para obtener un diagnóstico oportuno en pacientes con tumores sólidos]]></article-title>
<article-title xml:lang="en"><![CDATA[Perception of Mexican pediatricians about the limitations to achieving a timely diagnosis in patients with solid tumors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abaunza-Tapia]]></surname>
<given-names><![CDATA[Carlos G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón-Macías]]></surname>
<given-names><![CDATA[Mario Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canseco-Herrera]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villasís-Keever]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alaníz-Manjarrez]]></surname>
<given-names><![CDATA[Ian Carkis J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Pérez]]></surname>
<given-names><![CDATA[Abimael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Alvarez]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montesinos-Ramírez]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Panamericana Facultad de Ciencias de la Salud Escuela de Medicina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Nuevo Sanatorio Durango  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Sociedad Mexicana de Pediatría  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>92</volume>
<numero>3</numero>
<fpage>97</fpage>
<lpage>106</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0035-00522025000300097&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0035-00522025000300097&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0035-00522025000300097&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  en los países de ingresos bajos y medianos, la mortalidad por cáncer infantil continúa siendo alta. El objetivo del estudio es evaluar la percepción de los pediatras mexicanos sobre las limitaciones y áreas de oportunidad para obtener un diagnóstico oportuno de los tumores sólidos en entornos de atención primaria.  Material y métodos:  encuesta validada, que fue aplicada a través de Internet; la encuesta consta de 20 preguntas sobre las limitaciones y las áreas de oportunidad para obtener un diagnóstico oportuno en niños y adolescentes con tumores sólidos.  Resultados:  194 pediatras respondieron la encuesta; la mayoría estuvo de acuerdo en los factores considerados significativos en el retraso en el diagnóstico. Específicamente, el 74-89% de los participantes coincidió en que una baja sospecha clínica, signos y síntomas inespecíficos y una deficiente comunicación con pacientes adolescentes fueron factores clínicos limitantes. El 72-76% consideró que los reducidos tiempos de las consultas, la falta de estudios de imagen, la poca cobertura de los programas de seguridad social y los problemas familiares limitan el diagnóstico oportuno. En las áreas de oportunidad, los pediatras concuerdan que es importante realizar maniobras específicas (revisión del reflejo rojo, palpación testicular y búsqueda de masas abdominales), y solicitar estudios de imagen cuando se detectan datos clínicos específicos.  Conclusiones:  el presente estudio identifica las limitaciones que perciben los pediatras para diagnosticar oportunamente a pacientes pediátricos con tumores sólidos. Los resultados pueden servir de base para implementar estrategias de capacitación en médicos de primer contacto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  in low- and middle-income countries, childhood cancer mortality remains high. The objective of this study is to assess Mexican pediatricians&#8217; perceptions of the limitations and opportunities for obtaining timely diagnoses of solid tumors in primary care settings.  Material and methods:  a validated survey, administered online, consists of 20 questions about the limitations and opportunities for obtaining a timely diagnosis in children and adolescents with solid tumors.  Results:  194 pediatricians responded to the survey; the majority agreed on the factors considered significant in diagnostic delays. Specifically, 74-89% of participants agreed that low clinical suspicion, nonspecific signs and symptoms, and poor communication with adolescent patients were limiting clinical factors. 72-76% considered short consultation times, the lack of availability of imaging studies, the limited of social security coverage, and family problems limit timely diagnosis. In areas of opportunity, pediatricians agree that it is important to perform specific maneuvers (checking the red reflex, testicular palpation and search for abdominal masses) and to request imaging studies when specific clinical signs are detected.  Conclusions:  this study identifies the limitations that pediatricians perceive in the timely diagnosis of pediatric patients with solid tumors. The results can serve as a basis for implementing educational strategies for primary care physicians.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neoplasias sólidas]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[pediatras]]></kwd>
<kwd lng="es"><![CDATA[acceso a la salud]]></kwd>
<kwd lng="es"><![CDATA[percepción]]></kwd>
<kwd lng="es"><![CDATA[oncología]]></kwd>
<kwd lng="en"><![CDATA[solid neoplasms]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[pediatricians]]></kwd>
<kwd lng="en"><![CDATA[health access]]></kwd>
<kwd lng="en"><![CDATA[perception]]></kwd>
<kwd lng="en"><![CDATA[oncology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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