Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives

Yıl: 2020 Cilt: 50 Sayı: 8 Sayfa Aralığı: 1916 - 1921 Metin Dili: İngilizce DOI: 10.3906/sag-1911-193 İndeks Tarihi: 22-07-2022

Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives

Öz:
Aim: The main purpose of this study is to determine the current status of long-term follow-up (LTFU) for childhood cancer survivors and the challenges of LTFU for pediatric cancer survivors at pediatric oncology institutions in Turkey. Material and methods: A questionnaire was e-mailed to the directors of 33 pediatric oncology centers (POCs) registered in the Turkish Pediatric Oncology Group (TPOG). Of these 33 active TPOG institutions, 21 participated in the study and returned their completed questionnaires. Results: Only 1 of the 21 participating centers had a separate LTFU clinic. The remaining centers provided LTFU care for childhood cancer survivors at the pediatric oncology outpatient clinic. Of these centers, 17 (80.9%) reported difficulty in transition from the pediatric clinic to the adult clinic, 14 (66.6%) reported insufficient care providers, and 12 (57.1%) reported insufficient time and transportation problems. As neglected late effects, 16 (76.1%) centers reported psychosocial and getty job problems and 11 (52.3%) reported sexual and cognitive problems. None of the centers had their own LTFU guidelines for their daily LTFU practice. Conclusion: This study was the first to gain an overview of the needs of POCs and the gaps in survivorship services in Turkey. The results from this study will help to develop a national health care system and national guidelines for pediatric cancer survivors.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM et al. Childhood cancer survivor study: chronic health conditions in adult survivors of childhood cancer. The New England Journal of Medicine 2006; 355: 1572-1582. doi: 10.1056/NEJMsa060185.
  • 2. Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Childhood and adolescent cancer statistics 2014. CA: A Cancer Journal for Clinicians 2014; 64: 83-103. doi: 10.3322/caac.21219.
  • 3. Armstrong GT, Kawashima T, Leisenring W, Stratton K, Stovall M et al. Aging and risk of severe, disabling, life-threatening, and fatal events in the childhood cancer survivor study. Journal of Clinical Oncology 2014; 32: 1218-1227. doi: 10.1200/ JCO.2013.51.1055.
  • 4. Shapiro CL. Cancer survivorship. The New England Journal of Medicine 2018; 379: 2438-2450. doi: 10.1056/NEJMra1712502.
  • 5. Guilcher GMT, Fitzgerald C, Pritchard S. A questionnaire based review of long-term follow-up programs for survivors of childhood cancer in Canada. Pediatric Blood & Cancer 2009; 52:113-115. doi: 10.1002/pbc.21701.
  • 6. Ökem ZG, C¸ Akar M. What have health care reforms achieved in Turkey? An appraisal of the “health transformation programme”. Health Policy. 2015; 119: 1153-1163. doi: 10.1016/j.healthpol.2015.06.003.
  • 7. Atun R, Aydın S, Chakraborty S, Sümer S, Aran M et al. Universal health coverage in Turkey: Enhancement of equity. Lancet 2013; 382: 65-99. doi: 10.1016/S0140-6736(13)61051-X.
  • 8. Hone T, Gurol-Urganci I, Millett C, Başara B, Akdağ R et al. Effect of primary health care reforms in Turkey on health service utilization and user satisfaction. Health Policy and Planning 2017; 32: 57-67. doi: 10.1093/heapol/czw098.
  • 9. Kebudi R. Pediatric oncology in Turkey. Journal of Pediatric Hematology Oncology 2012; 34: 12-14. doi: 10.1097/ MPH.0b013e318249aaac.
  • 10. Kutluk M.T., Yeşilipek M.A. Pediatric cancer registry in Turkey (Turkish Pediatric Oncology Group & Turkish Pediatric Hematology Association). Journal of Global Oncology 2018; 4, no. Supplement 2. doi: 10.1200/jgo.18.25100.
  • 11. Gözdaşoğlu S, Pamir A, Ünal E, Gökçora İH, Uluoğlu Ö et al. Secondary neoplasms in children with Hodgkin’s lymphoma receiving c-mopp and radiotherapy: presentation of four cases. Turkish Journal of Hematology 2016; 33: 66-70. doi: 10.4274/ tjh.2015.0027.
  • 12. Akyüz C, Sari N, Yalçin B, Varan A, Kutluk T, Büyükpamukçu M. Long-term survival results of pediatric rhabdomyosarcoma patients: a single-center experience from Turkey. Pediatric Hematology and Oncology 2012; 29: 38-49. doi: 10.3109/08880018.2011.650836.
  • 13. Bozkurt C, Arman U, Ertem AU, Öcal B, Şahin G et al. Evaluation of cardiac functions by tissue doppler echocardiography in the long term follow-up of patients with childhood Hodgkin lymphoma. Turkish Archives of Pediatrics 2011; 46: 228-233.
  • 14. Kebudi R, Ozdemir GN. Secondary neoplasms in children treated for cancer. Current Pediatric Reviews 2017; 13: 34-41. doi: 10.2174/1573396313666161114233135.
  • 15. Kenney LB, Melvin P, Fishman LN, O’Sullivan-Oliveira J, Sawicki GS et al. Transition and transfer of childhood cancer survivors to adult care: A national survey of pediatric oncologists. Pediatric Blood & Cancer 2017; 64: 346-352. doi: 10.1002/pbc.26156.
APA İNCESOY ÖZDEMİR S, Tacyildiz N, Varan A, Kebudi R, Zulfikar B, CELKAN T, SAHIN G, corapcioglu f, Keskin Yildirim Z, Pinarli F, Olgun N, Sarı N, Dağdemir A, Ozyoruk D, Eren T, Cakir F, Adaklı Aksoy B, Bozkurt C, Güler E, OZGUVEN A, Erbey F, Berber Hamamcı M, Ugur Dincaslan H, Unal E, Kantar M (2020). Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. , 1916 - 1921. 10.3906/sag-1911-193
Chicago İNCESOY ÖZDEMİR SONAY,Tacyildiz Nurdan,Varan Ali,Kebudi Rejin,Zulfikar Bulent,CELKAN TÜLIN TIRAJE,SAHIN GÜRSES,corapcioglu funda,Keskin Yildirim Zuhal,Pinarli Faruk Guclu,Olgun Nur,Sarı Neriman,Dağdemir Ayhan,Ozyoruk Derya,Eren Tuba,Cakir Fatma Betul,Adaklı Aksoy Başak,Bozkurt Ceyhun,Güler Elif,OZGUVEN ALİ,Erbey Fatih,Berber Hamamcı Melda,Ugur Dincaslan Handan,Unal Emel,Kantar Mehmet Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. (2020): 1916 - 1921. 10.3906/sag-1911-193
MLA İNCESOY ÖZDEMİR SONAY,Tacyildiz Nurdan,Varan Ali,Kebudi Rejin,Zulfikar Bulent,CELKAN TÜLIN TIRAJE,SAHIN GÜRSES,corapcioglu funda,Keskin Yildirim Zuhal,Pinarli Faruk Guclu,Olgun Nur,Sarı Neriman,Dağdemir Ayhan,Ozyoruk Derya,Eren Tuba,Cakir Fatma Betul,Adaklı Aksoy Başak,Bozkurt Ceyhun,Güler Elif,OZGUVEN ALİ,Erbey Fatih,Berber Hamamcı Melda,Ugur Dincaslan Handan,Unal Emel,Kantar Mehmet Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. , 2020, ss.1916 - 1921. 10.3906/sag-1911-193
AMA İNCESOY ÖZDEMİR S,Tacyildiz N,Varan A,Kebudi R,Zulfikar B,CELKAN T,SAHIN G,corapcioglu f,Keskin Yildirim Z,Pinarli F,Olgun N,Sarı N,Dağdemir A,Ozyoruk D,Eren T,Cakir F,Adaklı Aksoy B,Bozkurt C,Güler E,OZGUVEN A,Erbey F,Berber Hamamcı M,Ugur Dincaslan H,Unal E,Kantar M Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. . 2020; 1916 - 1921. 10.3906/sag-1911-193
Vancouver İNCESOY ÖZDEMİR S,Tacyildiz N,Varan A,Kebudi R,Zulfikar B,CELKAN T,SAHIN G,corapcioglu f,Keskin Yildirim Z,Pinarli F,Olgun N,Sarı N,Dağdemir A,Ozyoruk D,Eren T,Cakir F,Adaklı Aksoy B,Bozkurt C,Güler E,OZGUVEN A,Erbey F,Berber Hamamcı M,Ugur Dincaslan H,Unal E,Kantar M Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. . 2020; 1916 - 1921. 10.3906/sag-1911-193
IEEE İNCESOY ÖZDEMİR S,Tacyildiz N,Varan A,Kebudi R,Zulfikar B,CELKAN T,SAHIN G,corapcioglu f,Keskin Yildirim Z,Pinarli F,Olgun N,Sarı N,Dağdemir A,Ozyoruk D,Eren T,Cakir F,Adaklı Aksoy B,Bozkurt C,Güler E,OZGUVEN A,Erbey F,Berber Hamamcı M,Ugur Dincaslan H,Unal E,Kantar M "Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives." , ss.1916 - 1921, 2020. 10.3906/sag-1911-193
ISNAD İNCESOY ÖZDEMİR, SONAY vd. "Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives". (2020), 1916-1921. https://doi.org/10.3906/sag-1911-193
APA İNCESOY ÖZDEMİR S, Tacyildiz N, Varan A, Kebudi R, Zulfikar B, CELKAN T, SAHIN G, corapcioglu f, Keskin Yildirim Z, Pinarli F, Olgun N, Sarı N, Dağdemir A, Ozyoruk D, Eren T, Cakir F, Adaklı Aksoy B, Bozkurt C, Güler E, OZGUVEN A, Erbey F, Berber Hamamcı M, Ugur Dincaslan H, Unal E, Kantar M (2020). Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. Turkish Journal of Medical Sciences, 50(8), 1916 - 1921. 10.3906/sag-1911-193
Chicago İNCESOY ÖZDEMİR SONAY,Tacyildiz Nurdan,Varan Ali,Kebudi Rejin,Zulfikar Bulent,CELKAN TÜLIN TIRAJE,SAHIN GÜRSES,corapcioglu funda,Keskin Yildirim Zuhal,Pinarli Faruk Guclu,Olgun Nur,Sarı Neriman,Dağdemir Ayhan,Ozyoruk Derya,Eren Tuba,Cakir Fatma Betul,Adaklı Aksoy Başak,Bozkurt Ceyhun,Güler Elif,OZGUVEN ALİ,Erbey Fatih,Berber Hamamcı Melda,Ugur Dincaslan Handan,Unal Emel,Kantar Mehmet Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. Turkish Journal of Medical Sciences 50, no.8 (2020): 1916 - 1921. 10.3906/sag-1911-193
MLA İNCESOY ÖZDEMİR SONAY,Tacyildiz Nurdan,Varan Ali,Kebudi Rejin,Zulfikar Bulent,CELKAN TÜLIN TIRAJE,SAHIN GÜRSES,corapcioglu funda,Keskin Yildirim Zuhal,Pinarli Faruk Guclu,Olgun Nur,Sarı Neriman,Dağdemir Ayhan,Ozyoruk Derya,Eren Tuba,Cakir Fatma Betul,Adaklı Aksoy Başak,Bozkurt Ceyhun,Güler Elif,OZGUVEN ALİ,Erbey Fatih,Berber Hamamcı Melda,Ugur Dincaslan Handan,Unal Emel,Kantar Mehmet Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. Turkish Journal of Medical Sciences, vol.50, no.8, 2020, ss.1916 - 1921. 10.3906/sag-1911-193
AMA İNCESOY ÖZDEMİR S,Tacyildiz N,Varan A,Kebudi R,Zulfikar B,CELKAN T,SAHIN G,corapcioglu f,Keskin Yildirim Z,Pinarli F,Olgun N,Sarı N,Dağdemir A,Ozyoruk D,Eren T,Cakir F,Adaklı Aksoy B,Bozkurt C,Güler E,OZGUVEN A,Erbey F,Berber Hamamcı M,Ugur Dincaslan H,Unal E,Kantar M Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. Turkish Journal of Medical Sciences. 2020; 50(8): 1916 - 1921. 10.3906/sag-1911-193
Vancouver İNCESOY ÖZDEMİR S,Tacyildiz N,Varan A,Kebudi R,Zulfikar B,CELKAN T,SAHIN G,corapcioglu f,Keskin Yildirim Z,Pinarli F,Olgun N,Sarı N,Dağdemir A,Ozyoruk D,Eren T,Cakir F,Adaklı Aksoy B,Bozkurt C,Güler E,OZGUVEN A,Erbey F,Berber Hamamcı M,Ugur Dincaslan H,Unal E,Kantar M Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives. Turkish Journal of Medical Sciences. 2020; 50(8): 1916 - 1921. 10.3906/sag-1911-193
IEEE İNCESOY ÖZDEMİR S,Tacyildiz N,Varan A,Kebudi R,Zulfikar B,CELKAN T,SAHIN G,corapcioglu f,Keskin Yildirim Z,Pinarli F,Olgun N,Sarı N,Dağdemir A,Ozyoruk D,Eren T,Cakir F,Adaklı Aksoy B,Bozkurt C,Güler E,OZGUVEN A,Erbey F,Berber Hamamcı M,Ugur Dincaslan H,Unal E,Kantar M "Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives." Turkish Journal of Medical Sciences, 50, ss.1916 - 1921, 2020. 10.3906/sag-1911-193
ISNAD İNCESOY ÖZDEMİR, SONAY vd. "Cross-sectional study: long term follow-up care for pediatric cancer survivors in a developing country, Turkey: current status, challenges, and future perspectives". Turkish Journal of Medical Sciences 50/8 (2020), 1916-1921. https://doi.org/10.3906/sag-1911-193