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Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review

Background: Due to advances in the treatment of pediatric brain tumors (PBT), an increasing number of patients are experiencing the transition from the pediatric to the adult health care system. This requires efficient transitional models. Methods: We systematically reviewed the literature regarding...

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Autores principales: Ebel, Florian, Greuter, Ladina, Guzman, Raphael, Soleman, Jehuda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026288/
https://www.ncbi.nlm.nih.gov/pubmed/35455545
http://dx.doi.org/10.3390/children9040501
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author Ebel, Florian
Greuter, Ladina
Guzman, Raphael
Soleman, Jehuda
author_facet Ebel, Florian
Greuter, Ladina
Guzman, Raphael
Soleman, Jehuda
author_sort Ebel, Florian
collection PubMed
description Background: Due to advances in the treatment of pediatric brain tumors (PBT), an increasing number of patients are experiencing the transition from the pediatric to the adult health care system. This requires efficient transitional models. Methods: We systematically reviewed the literature regarding PBT concerning different transitional models and aspects of the transitional period. For this purpose, PubMed, Medline, and Embase databases were searched systematically through January 2022. Results: We reviewed a total of 304 studies, of which 15 were ultimately included. We identified five transition models described within the literature, while the most frequently mentioned ones were the “adult caregiver model” (45.5%), “joint caregiver model” (45.5%), “continued caregiver model” (27.3%), and the “specialized clinic model” (27.3%). During the transition, the most frequent challenges mentioned by the patients were the lack of knowledge about the disease by the adult health care professionals (62.5%) and the difficulty of establishing a new relationship with the new physician, environment, or hospital (37.5%). Conclusions: An efficient transitional model is mandatory for patients with PBT. Continuity in the treatment and care of the patient and their family is essential. For this purpose, in patients with PBT, the “continued caregiver model”, and for NF1 and TSC patients, the “specialized clinic model” seems optimal to offer continuity of care. If such models are unavailable, efficient communication with patients, families, and specialists in a multidisciplinary network is even more critical.
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spelling pubmed-90262882022-04-23 Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review Ebel, Florian Greuter, Ladina Guzman, Raphael Soleman, Jehuda Children (Basel) Systematic Review Background: Due to advances in the treatment of pediatric brain tumors (PBT), an increasing number of patients are experiencing the transition from the pediatric to the adult health care system. This requires efficient transitional models. Methods: We systematically reviewed the literature regarding PBT concerning different transitional models and aspects of the transitional period. For this purpose, PubMed, Medline, and Embase databases were searched systematically through January 2022. Results: We reviewed a total of 304 studies, of which 15 were ultimately included. We identified five transition models described within the literature, while the most frequently mentioned ones were the “adult caregiver model” (45.5%), “joint caregiver model” (45.5%), “continued caregiver model” (27.3%), and the “specialized clinic model” (27.3%). During the transition, the most frequent challenges mentioned by the patients were the lack of knowledge about the disease by the adult health care professionals (62.5%) and the difficulty of establishing a new relationship with the new physician, environment, or hospital (37.5%). Conclusions: An efficient transitional model is mandatory for patients with PBT. Continuity in the treatment and care of the patient and their family is essential. For this purpose, in patients with PBT, the “continued caregiver model”, and for NF1 and TSC patients, the “specialized clinic model” seems optimal to offer continuity of care. If such models are unavailable, efficient communication with patients, families, and specialists in a multidisciplinary network is even more critical. MDPI 2022-04-02 /pmc/articles/PMC9026288/ /pubmed/35455545 http://dx.doi.org/10.3390/children9040501 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Ebel, Florian
Greuter, Ladina
Guzman, Raphael
Soleman, Jehuda
Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
title Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
title_full Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
title_fullStr Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
title_full_unstemmed Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
title_short Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
title_sort transitional care in pediatric brain tumor patients: a systematic literature review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9026288/
https://www.ncbi.nlm.nih.gov/pubmed/35455545
http://dx.doi.org/10.3390/children9040501
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