Care of Children Who Are Dying of Cancer

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Abstract
Each year, about 12,400 children in the United States are given a diagnosis of cancer. Over the past 30 years, scientific and technological advances, the advent of specialized pediatric cancer centers for treatment, and the results of cooperative group studies have improved overall survival from 10 percent to more than 70 percent. Nevertheless, cancer still remains the leading cause of death from disease in childhood; only accidents and firearms kill more children. In 1998, 2500 children died of cancer-related causes in the United States.1 Unfortunately, improvements in the management of care at the end of life in children with cancer . . .