Transition from pediatric to adult follow-up care in childhood cancer survivors-a systematic review.

Otth, Maria; Denzler, Sibylle; Koenig, Christa; Koehler, Henrik; Scheinemann, Katrin (2021). Transition from pediatric to adult follow-up care in childhood cancer survivors-a systematic review. Journal of Cancer and Survivorship, 15(1), pp. 151-162. Springer 10.1007/s11764-020-00920-9

[img] Text
Otth JCancerSurviv 2020_AAM.pdf - Accepted Version
Restricted to registered users only until 17 July 2021.
Available under License Publisher holds Copyright.

Download (1MB) | Request a copy
[img] Text
Otth_JCancerSurviv_2021.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (381kB) | Request a copy
Official URL: https://rdcu.be/b5FGs

PURPOSE

The successful transition of childhood cancer survivors from pediatric- to adult-focused long-term follow-up care is crucial and can be a critical period. Knowledge of current transition practices, especially regarding barriers and facilitators perceived by survivors and health care professionals, is important to develop sustainable transition processes and implement them into daily clinical practice. We performed a systematic review with the aim of assessing transition practices, readiness tools, and barriers and facilitators.

METHODS

We searched three databases (PubMed, Embase/Ovid, CINAHL) and included studies published between January 2000 and January 2020. We performed this review according to the PRISMA guidelines and registered the study protocol on PROSPERO; two reviewers independently extracted the content of the included studies.

RESULTS

We included 26 studies: six studies described current transition practices, six assessed transition readiness tools, and 15 assessed barriers and facilitators to transition.

CONCLUSION

The current literature describing transition practices is limited and overlooks adherence to follow-up care as a surrogate marker of transition success. However, the literature provides deep insight into barriers and facilitators to transition and theoretical considerations for the assessment of transition readiness. We showed that knowledge and education are key facilitators to transition that should be integrated into transition practices tailored to the individual needs of each survivor and the possibilities and limitations of each country's health care system.

IMPLICATIONS FOR CANCER SURVIVORS

The current knowledge on barriers and facilitators on transition should be implemented in clinical practice to support sustainable transition processes.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Otth, Maria and König, Christa

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1932-2259

Publisher:

Springer

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

22 Jul 2020 20:37

Last Modified:

03 Mar 2021 01:03

Publisher DOI:

10.1007/s11764-020-00920-9

PubMed ID:

32676793

Uncontrolled Keywords:

Adolescents and young adults Childhood cancer survivors Long-term follow-up care Transition

BORIS DOI:

10.7892/boris.145297

URI:

https://boris.unibe.ch/id/eprint/145297

Actions (login required)

Edit item Edit item
Provide Feedback