open access

Vol 48, No 4 (2017)
Prace poglądowe / Reviews
Published online: 2017-10-01
Submitted: 2017-07-02
Get Citation

Guidelines on proceeding with transition of pediatric patients with hematological malignancy to adult setting

Jan Styczyński1, Iwona Hus2, Katarzyna Derwich3, Tomasz Szczepański4, Lidia Gil5, Tadeusz Robak6, Elżbieta Kasprowicz7, Wiesław W. Jędrzejczak8
DOI: 10.1016/j.achaem.2017.09.001
·
Acta Haematol Pol 2017;48(4):262-268.
Affiliations
  1. Katedra Pediatrii, Hematologii i Onkologii, Collegium Medicum, Bydgoszcz, Polska
  2. Samodzielna Pracownia Transplantologii Klinicznej, Uniwersytet Medyczny, Lublin, Polska
  3. Klinika Onkologii, Hematologii i Transplantologii Pediatrycznej, Uniwersytet Medyczny, Poznań, Polska
  4. Katedra i Klinika Pediatrii, Hematologii i Onkologii Dziecięcej, Zabrze, Śląski Uniwersytet Medyczny w Katowicach, Polska
  5. Katedra i Klinika Hematologii i Transplantologii, Uniwersytet Medyczny, Poznań, Polska
  6. Klinika Hematologii, Uniwersytet Medyczny, Łódź Kierownik Kliniki: prof. dr hab. Tadeusz Robak
  7. Narodowy Fundusz Zdrowia, Kujawsko-Pomorski Oddział Wojewódzki, Bydgoszcz, Polska
  8. Katedra i Klinika Hematologii, Onkologii i Chorób Wewnętrznych, Warszawski Uniwersytet Medyczny, Warszawa, Polska

open access

Vol 48, No 4 (2017)
Prace poglądowe / Reviews
Published online: 2017-10-01
Submitted: 2017-07-02

Abstract

Background

Patients cured from hematological malignancies should be subject to long-life routine medical supervision. Patients who did not complete their therapy during childhood require further therapy when reaching adulthood (18 years).

Objective

Determination of guidelines and suggestions on proceeding with pediatric patients with hematological malignancies undergoing transition to adult hematology centers, with respect to Polish conditions of national medical health-care system.

Methods

Panel of experts in the field of pediatric and adult hematology analyzed current situation in Polish pediatric and adult hematology centers and reviewed the literature on transition process of minor patients from pediatric to adult setting.

Results

Factors determining problems of patient transition and models of care of patient in pediatric and adult hematology settings were analyzed. Existing models of transition in Poland as well as experience from international models were presented: model of direct transition, model of adolescence medicine, sequential model and consultation model. Suggestions of changes facilitating process of patient transition, and guidelines on proceeding with patients with respect to diagnosis of malignancy and phase of oncological therapy were presented, involving cooperation of pediatric and adult centers, specialists in pediatric hematology and adult hematology, as well as the payer and scientific societies.

Conclusions

Process of transition of patients requires coordination and cooperation, preferably at the level of medical institutions. This should ensure optimal medical care to patients cured from malignancy and facilitate long-term medical supervision and gathering data on treatment efficacy and side effects.

Abstract

Background

Patients cured from hematological malignancies should be subject to long-life routine medical supervision. Patients who did not complete their therapy during childhood require further therapy when reaching adulthood (18 years).

Objective

Determination of guidelines and suggestions on proceeding with pediatric patients with hematological malignancies undergoing transition to adult hematology centers, with respect to Polish conditions of national medical health-care system.

Methods

Panel of experts in the field of pediatric and adult hematology analyzed current situation in Polish pediatric and adult hematology centers and reviewed the literature on transition process of minor patients from pediatric to adult setting.

Results

Factors determining problems of patient transition and models of care of patient in pediatric and adult hematology settings were analyzed. Existing models of transition in Poland as well as experience from international models were presented: model of direct transition, model of adolescence medicine, sequential model and consultation model. Suggestions of changes facilitating process of patient transition, and guidelines on proceeding with patients with respect to diagnosis of malignancy and phase of oncological therapy were presented, involving cooperation of pediatric and adult centers, specialists in pediatric hematology and adult hematology, as well as the payer and scientific societies.

Conclusions

Process of transition of patients requires coordination and cooperation, preferably at the level of medical institutions. This should ensure optimal medical care to patients cured from malignancy and facilitate long-term medical supervision and gathering data on treatment efficacy and side effects.

Get Citation

Keywords

Children; Adults; Hematological malignancy; “Transition” problem

About this article
Title

Guidelines on proceeding with transition of pediatric patients with hematological malignancy to adult setting

Journal

Acta Haematologica Polonica

Issue

Vol 48, No 4 (2017)

Pages

262-268

Published online

2017-10-01

DOI

10.1016/j.achaem.2017.09.001

Bibliographic record

Acta Haematol Pol 2017;48(4):262-268.

Keywords

Children
Adults
Hematological malignancy
“Transition” problem

Authors

Jan Styczyński
Iwona Hus
Katarzyna Derwich
Tomasz Szczepański
Lidia Gil
Tadeusz Robak
Elżbieta Kasprowicz
Wiesław W. Jędrzejczak

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: journals@viamedica.pl