Cargando…

Vaccination practices of pediatric oncologists from eight states

BACKGROUND: Vaccinations are a vital part of routine childhood and adolescent preventive care. We sought to identify current oncology provider practices, barriers, and attitudes towards vaccinating childhood and adolescent cancer patients and survivors. METHODS: We conducted a one-time online survey...

Descripción completa

Detalles Bibliográficos
Autores principales: van Thiel Berghuijs, Karely M., Kaddas, Heydon K., Warner, Echo L., Fair, Douglas B., Fluchel, Mark, Knackstedt, Elizabeth D., Verma, Anupam, Kepka, Deanna, Green, Adam L., Smitherman, Andrew B., Draper, Lauren, Johnson, Rebecca H., Kirchhoff, Anne C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629174/
https://www.ncbi.nlm.nih.gov/pubmed/37932718
http://dx.doi.org/10.1186/s12913-023-10160-z
_version_ 1785131910358368256
author van Thiel Berghuijs, Karely M.
Kaddas, Heydon K.
Warner, Echo L.
Fair, Douglas B.
Fluchel, Mark
Knackstedt, Elizabeth D.
Verma, Anupam
Kepka, Deanna
Green, Adam L.
Smitherman, Andrew B.
Draper, Lauren
Johnson, Rebecca H.
Kirchhoff, Anne C.
author_facet van Thiel Berghuijs, Karely M.
Kaddas, Heydon K.
Warner, Echo L.
Fair, Douglas B.
Fluchel, Mark
Knackstedt, Elizabeth D.
Verma, Anupam
Kepka, Deanna
Green, Adam L.
Smitherman, Andrew B.
Draper, Lauren
Johnson, Rebecca H.
Kirchhoff, Anne C.
author_sort van Thiel Berghuijs, Karely M.
collection PubMed
description BACKGROUND: Vaccinations are a vital part of routine childhood and adolescent preventive care. We sought to identify current oncology provider practices, barriers, and attitudes towards vaccinating childhood and adolescent cancer patients and survivors. METHODS: We conducted a one-time online survey distributed from March-October 2018 to pediatric oncologists at nine institutions across the United States (N = 111, 68.8% participation rate). The survey included 32 items about vaccination practices, barriers to post-treatment vaccination, availability of vaccinations in oncology clinic, familiarity with vaccine guidelines, and attitudes toward vaccination responsibilities. Descriptive statistics were calculated in STATA 14.2. RESULTS: Participants were 54.0% female and 82.9% white, with 12.6% specializing in Bone Marrow Transplants. Influenza was the most commonly resumed vaccine after treatment (7030%). About 50%-60% were familiar with vaccine guidelines for immunocompromised patients. More than half (62.7%) recommended that patients restart most immunizations 6 months to 1 year after chemotherapy. Common barriers to providers recommending vaccinations included not having previous vaccine records for patients (56.8%) or lacking time to ascertain which vaccines are needed (32.4%). Of participants, 66.7% stated that vaccination should be managed by primary care providers, but with guidance from oncologists. CONCLUSIONS: Many pediatric oncologists report being unfamiliar with vaccine guidelines for immunocompromised patients and almost all report barriers in supporting patients regarding vaccines after cancer treatment. Our findings show that further research and interventions are needed to help bridge oncology care and primary care regarding immunizations after treatment. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10160-z.
format Online
Article
Text
id pubmed-10629174
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-106291742023-11-08 Vaccination practices of pediatric oncologists from eight states van Thiel Berghuijs, Karely M. Kaddas, Heydon K. Warner, Echo L. Fair, Douglas B. Fluchel, Mark Knackstedt, Elizabeth D. Verma, Anupam Kepka, Deanna Green, Adam L. Smitherman, Andrew B. Draper, Lauren Johnson, Rebecca H. Kirchhoff, Anne C. BMC Health Serv Res Research BACKGROUND: Vaccinations are a vital part of routine childhood and adolescent preventive care. We sought to identify current oncology provider practices, barriers, and attitudes towards vaccinating childhood and adolescent cancer patients and survivors. METHODS: We conducted a one-time online survey distributed from March-October 2018 to pediatric oncologists at nine institutions across the United States (N = 111, 68.8% participation rate). The survey included 32 items about vaccination practices, barriers to post-treatment vaccination, availability of vaccinations in oncology clinic, familiarity with vaccine guidelines, and attitudes toward vaccination responsibilities. Descriptive statistics were calculated in STATA 14.2. RESULTS: Participants were 54.0% female and 82.9% white, with 12.6% specializing in Bone Marrow Transplants. Influenza was the most commonly resumed vaccine after treatment (7030%). About 50%-60% were familiar with vaccine guidelines for immunocompromised patients. More than half (62.7%) recommended that patients restart most immunizations 6 months to 1 year after chemotherapy. Common barriers to providers recommending vaccinations included not having previous vaccine records for patients (56.8%) or lacking time to ascertain which vaccines are needed (32.4%). Of participants, 66.7% stated that vaccination should be managed by primary care providers, but with guidance from oncologists. CONCLUSIONS: Many pediatric oncologists report being unfamiliar with vaccine guidelines for immunocompromised patients and almost all report barriers in supporting patients regarding vaccines after cancer treatment. Our findings show that further research and interventions are needed to help bridge oncology care and primary care regarding immunizations after treatment. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-10160-z. BioMed Central 2023-11-07 /pmc/articles/PMC10629174/ /pubmed/37932718 http://dx.doi.org/10.1186/s12913-023-10160-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
van Thiel Berghuijs, Karely M.
Kaddas, Heydon K.
Warner, Echo L.
Fair, Douglas B.
Fluchel, Mark
Knackstedt, Elizabeth D.
Verma, Anupam
Kepka, Deanna
Green, Adam L.
Smitherman, Andrew B.
Draper, Lauren
Johnson, Rebecca H.
Kirchhoff, Anne C.
Vaccination practices of pediatric oncologists from eight states
title Vaccination practices of pediatric oncologists from eight states
title_full Vaccination practices of pediatric oncologists from eight states
title_fullStr Vaccination practices of pediatric oncologists from eight states
title_full_unstemmed Vaccination practices of pediatric oncologists from eight states
title_short Vaccination practices of pediatric oncologists from eight states
title_sort vaccination practices of pediatric oncologists from eight states
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629174/
https://www.ncbi.nlm.nih.gov/pubmed/37932718
http://dx.doi.org/10.1186/s12913-023-10160-z
work_keys_str_mv AT vanthielberghuijskarelym vaccinationpracticesofpediatriconcologistsfromeightstates
AT kaddasheydonk vaccinationpracticesofpediatriconcologistsfromeightstates
AT warnerechol vaccinationpracticesofpediatriconcologistsfromeightstates
AT fairdouglasb vaccinationpracticesofpediatriconcologistsfromeightstates
AT fluchelmark vaccinationpracticesofpediatriconcologistsfromeightstates
AT knackstedtelizabethd vaccinationpracticesofpediatriconcologistsfromeightstates
AT vermaanupam vaccinationpracticesofpediatriconcologistsfromeightstates
AT kepkadeanna vaccinationpracticesofpediatriconcologistsfromeightstates
AT greenadaml vaccinationpracticesofpediatriconcologistsfromeightstates
AT smithermanandrewb vaccinationpracticesofpediatriconcologistsfromeightstates
AT draperlauren vaccinationpracticesofpediatriconcologistsfromeightstates
AT johnsonrebeccah vaccinationpracticesofpediatriconcologistsfromeightstates
AT kirchhoffannec vaccinationpracticesofpediatriconcologistsfromeightstates