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Amicucci M, Simioli V, De Cecco V, Orlando L, Ciaralli I, Buccino A, Guidi B, Locatelli G, Palmieri C, Piazzalunga M, Proietti R, Pucci A, Botti S. Nursing Management in Pediatric Patients Undergoing Chimeric Antigen Receptor T (CAR-T) Cell Therapy: A Systematic Literature Review. Semin Oncol Nurs 2023; 39:151478. [PMID: 37544775 DOI: 10.1016/j.soncn.2023.151478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 06/08/2023] [Accepted: 07/03/2023] [Indexed: 08/08/2023]
Abstract
OBJECTIVES This systematic review aims to describe an overview of the overall care, patient and parent education, staff training, and management of complications from a nursing perspective of pediatric patients undergoing chimeric antigen receptor T (CAR-T) cell infusion in order to provide an updated summary of the approach to the management of these patients. CAR-T cellular therapy represents an innovation within pediatric hematology and oncology used to treat relapse and refractory leukemias, solid tumors, and lymphomas when standard therapy has not worked. However, this type of therapy could lead to the onset of some clinical complications that must be managed appropriately and promptly. Although their use is constantly increasing, the knowledge and resources in the literature are still limited. DATA SOURCES The review was conducted from January 2022 to July 2022 in PubMed, CINAHL, Scopus, and Cochrane and produced 502 articles. Based on the selection criteria and after removing duplicate articles, 26 articles were included in the study. CONCLUSION From these analyzed articles, it was possible to have an overview regarding the management, patient and parent education, staff training, and management of complications from a nursing perspective of pediatric patients undergoing CAR-T cell infusion. IMPLICATIONS FOR NURSING PRACTICE The management of hematology-oncology patients undergoing CAR-T cell therapy from a nursing perspective is not simple. We hope this review can be used as a tool to guide nursing staff. In this regard, we have developed a summary table with the actions to be taken in the case of assisting a pediatric patient being treated with CAR-T.
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Affiliation(s)
- Matteo Amicucci
- Department of Onco-Hematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS; and Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
| | - Valentina Simioli
- Department of Onco-Hematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Valentina De Cecco
- Department of Onco-Hematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Laura Orlando
- BMT Unit Coordinator and Quality Manager, Department of Nursing, Oncology Institute of Southern Switzerland (IOSI), EOC, Bellinzona, Switzerland
| | - Italo Ciaralli
- Department of Onco-Hematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | | | - Barbara Guidi
- Department of Pediatric Hematology Oncology - Cell and Gene Therapy, Meyer Children's Hospital, IRCCS, Florence, Italy
| | - Giovanna Locatelli
- Pediatric Hemato-Oncology, Fondazione IRCSS San Gerardo dei Tintori-Monza, Monza, Italy
| | - Claudia Palmieri
- Department of Pediatric Hematology Oncology - Cell and Gene Therapy, Meyer Children's Hospital, IRCCS, Florence, Italy
| | - Martina Piazzalunga
- Pediatric Hemato-Oncology, Fondazione IRCSS San Gerardo dei Tintori-Monza, Monza, Italy
| | - Romina Proietti
- Department of Onco-Hematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Agnese Pucci
- Pediatric Hematology and Oncology Stem Cell Transplantation and Cellular Therapy Division of the Regina Margherita Children's Hospital, A.O.U. Città della Salute e della Scienza, Turin, Italy
| | - Stefano Botti
- Hematology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
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