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The Lancet Child & Adolescent Health Commission on the future of neonatology

  • Daniele De Luca*
  • , Neena Modi
  • , Peter Davis
  • , Satoshi Kusuda
  • , Saskia N. de Wildt
  • , Martin Keszler
  • , Allyah Abbas-Hanif
  • , Sandra E. Juul
  • , Mark Turner
  • , J. Jane Pillow
  • , Nikki Robertson
  • , Manuel Sanchez-Luna
  • , David G. Tingay
  • , Alexandra Benachi
  • , Flavia Bustreo
  • , Gianluca Ianiro
  • , Mark Hanson
  • , Jan Deprest
  • , Paolo De Coppi
  • , Agnes van den Hoogen
  • William Tarnow-Mordi, Anna Zanin, Ju Lee Oei, Huayan Zhang, Victor Javier Lara-Diaz, Lloyd Tooke, Heidi Flori, Walter Ricciardi, Steven H. Abman
*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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Abstract

Neonatal mortality remains unacceptably high throughout the world. Survival of sick infants in their first month of life has improved over the past six decades. However, many comorbidities persist, with lifelong implications for health. The current ecosystem for research and development of drugs and medical devices to treat neonatal disorders is hindering further improvements to neonatal outcomes, especially infants born preterm or needing critical care. Innovation is lagging, and this is a public health problem characterised by multifactorial challenges in leadership, collaboration, regulation, funding, and commercial viability. The Lancet Child & Adolescent Health Commission on the future of neonatology was created to consider these challenges and design a roadmap of strategies to accelerate research and development that will innovate and improve health care for neonates. We call for regulatory agencies, governments, funders, industry partners, and clinical researchers from diverse medical fields to invest in effective pathways for drug and medical device development and to unite in responsive and dynamic collaborations with diverse patients, families, and advocacy groups whose engagement in clinical research and advocacy can help neonatologists to achieve the best science and health equity for neonates worldwide, now and in the future.

Original languageEnglish
Pages (from-to)578-612
Number of pages35
JournalThe Lancet Child and Adolescent Health
Volume9
Issue number8
DOIs
Publication statusPublished - Aug 2025

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