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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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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 |
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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 |
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