Introduction: Childhood cancer is still a challenge (1), and even more so when it comes to the ideal time to start palliative care, taking into account that WHO defines the start of such care from the moment of diagnosis and according to the classification of the ATS every child with cancer should receive them (2,3). The Atlas of Palliative Care in Latin America reveals the lack of availability of specialized centers for exclusively pediatric palliative care in Colombia (4). In addition to the previous one, there are multiple barriers to the application of such interventions, such as limited resources and lack of training (5). Objective: To determine the prevalence of palliative care in children with oncological disease, in the years 2015 to 2016 in two pediatric hospitals in Bogotá. Methodology: Retrospective analytical cross-sectional study, through review of clinical records of a sample of 161 patients from 1 to 17 years old, with oncological disease in 2 hospitals in the city of Bogotá in 2015 and 2016. Results: The prevalence of palliative care was 20%. Conclusion: Pediatric palliative care has a low prevalence, is initiated late and very close to the time of death.