Return to school practices after hematopoietic cell transplantation: a survey of transplant centers in the United States

doi:10.1038/s41409-024-02239-w

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Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/125242

Title:	Return to school practices after hematopoietic cell transplantation: a survey of transplant centers in the United States
Authors:	Mau, Lih-wen
Keywords:	Medical research;Paediatrics
Date:	2024-02-20
Issue Date:	2024-03-08 12:08:05 (UTC+8)
Abstract:	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.
Relation:	Bone Marrow Transplant
DOI:	10.1038/s41409-024-02239-w
Appears in Collections:	[Graduate Institute of Senior Healthcare Management] Journal Article

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