Return to school practices after hematopoietic cell transplantation: a survey of transplant centers in the United States
To understand transplant center recommendations on return-to-school timing and related support for hematopoietic cell transplant (HCT) survivors, we conducted a two-phase, cross-sectional, web-based survey: In Phase I, medical directors of pediatric HCT centers from the National Marrow Donor Program...
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| Veröffentlicht in: | Bone marrow transplantation (Basingstoke) 2024-05, Vol.59 (5), p.653-659 |
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| creator | Bhatt, Neel S. Meyer, Christa L. Mau, Lih-Wen Auletta, Jeffery J. Baker, K. Scott Broglie, Larisa Carpenter, Paul A. Choi, Sung Won Dandoy, Christopher E. Devine, Steven Phelan, Rachel |
| description | To understand transplant center recommendations on return-to-school timing and related support for hematopoietic cell transplant (HCT) survivors, we conducted a two-phase, cross-sectional, web-based survey: In Phase I, medical directors of pediatric HCT centers from the National Marrow Donor Program/ Be The Match Registry were asked regarding the availability of a return to school standardized operating procedure (SOP). In Phase II, HCT physician members of the Pediatric Transplantation and Cellular Therapy Consortium were approached to study inter-physician practice variability regarding return to school post-HCT, factors affecting their decision-making, and support provided by HCT centers for return to school. Out of 46 respondents in Phase I (55% response rate), 28 (61%) reported having a SOP. Wide variations in recommendations were noted in 12 received SOPs. In Phase II, 122 physicians (60 centers) responded (30.6% response rate). The majority (60%) recommended autologous HCT recipients return to school within 6 months post-HCT but 65% recommended allogeneic HCT recipients return to school after 6 months or once off immunosuppression. Our findings indicate a lack of consensus within and across HCT centers regarding recommended return to school timing and underscore need for a guideline to standardize this process to ensure patient safety and re-integration into school. |
| doi_str_mv | 10.1038/s41409-024-02239-w |
| format | Article |
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In Phase II, HCT physician members of the Pediatric Transplantation and Cellular Therapy Consortium were approached to study inter-physician practice variability regarding return to school post-HCT, factors affecting their decision-making, and support provided by HCT centers for return to school. Out of 46 respondents in Phase I (55% response rate), 28 (61%) reported having a SOP. Wide variations in recommendations were noted in 12 received SOPs. In Phase II, 122 physicians (60 centers) responded (30.6% response rate). The majority (60%) recommended autologous HCT recipients return to school within 6 months post-HCT but 65% recommended allogeneic HCT recipients return to school after 6 months or once off immunosuppression. 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| ispartof | Bone marrow transplantation (Basingstoke), 2024-05, Vol.59 (5), p.653-659 |
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| subjects | 692/308 692/700/1720 Adolescent Cell Biology Cell therapy Child Cross-Sectional Studies Decision making Female Hematology Hematopoietic Stem Cell Transplantation Hematopoietic stem cells Humans Immunosuppression Internal Medicine Male Medicine Medicine & Public Health Pediatrics Physicians Public Health Response rates Schools Stem cell transplantation Stem Cells Surveys Surveys and Questionnaires Transplantation Transplants & implants United States |
| title | Return to school practices after hematopoietic cell transplantation: a survey of transplant centers in the United States |
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