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Erschienen in: Journal of Cancer Survivorship 1/2021

16.07.2020 | Reviews

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

verfasst von: Maria Otth, Sibylle Denzler, Christa Koenig, Henrik Koehler, Katrin Scheinemann

Erschienen in: Journal of Cancer Survivorship | Ausgabe 1/2021

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Abstract

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.
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Metadaten
Titel
Transition from pediatric to adult follow-up care in childhood cancer survivors—a systematic review
verfasst von
Maria Otth
Sibylle Denzler
Christa Koenig
Henrik Koehler
Katrin Scheinemann
Publikationsdatum
16.07.2020
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 1/2021
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-020-00920-9

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