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Guidelines on proceeding with transition of pediatric patients with hematological malignancy to adult setting
Affiliations- Katedra Pediatrii, Hematologii i Onkologii, Collegium Medicum, Bydgoszcz, Polska
- Samodzielna Pracownia Transplantologii Klinicznej, Uniwersytet Medyczny, Lublin, Polska
- Klinika Onkologii, Hematologii i Transplantologii Pediatrycznej, Uniwersytet Medyczny, Poznań, Polska
- Katedra i Klinika Pediatrii, Hematologii i Onkologii Dziecięcej, Zabrze, Śląski Uniwersytet Medyczny w Katowicach, Polska
- Katedra i Klinika Hematologii i Transplantologii, Uniwersytet Medyczny, Poznań, Polska
- Klinika Hematologii, Uniwersytet Medyczny, Łódź Kierownik Kliniki: prof. dr hab. Tadeusz Robak
- Narodowy Fundusz Zdrowia, Kujawsko-Pomorski Oddział Wojewódzki, Bydgoszcz, Polska
- Katedra i Klinika Hematologii, Onkologii i Chorób Wewnętrznych, Warszawski Uniwersytet Medyczny, Warszawa, Polska
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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.
Keywords
Children; Adults; Hematological malignancy; “Transition” problem
About this articleTitle
Guidelines on proceeding with transition of pediatric patients with hematological malignancy to adult setting
Journal
Issue
Pages
262-268
Published online
2017-10-01
Page views
128
Article views/downloads
494
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