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İNCESOY ÖZDEMİR S, TAÇYILDIZ N, VARAN A, KEBUDİ R, ZÜLFİKAR B, CELKAN T, ŞAHİN G, ÇORAPÇIOĞLU F, KESKİN YİLDİRİM Z, PINARLI FG, OLGUN N, SARI N, DAĞDEMİR A, ÖZYÖRÜK D, EREN T, ÇAKIR FB, ADAKLI AKSOY B, BOZKURT C, GÜLER E, ÖZGÜVEN AA, ERBEY F, BERBER M, DİNÇASLAN H, ÜNAL 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. Turk J Med Sci 2020; 50:1916-1921. [PMID: 32628434 PMCID: PMC7775715 DOI: 10.3906/sag-1911-193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 07/04/2020] [Indexed: 11/03/2022] Open
Abstract
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.
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Affiliation(s)
- Sonay İNCESOY ÖZDEMİR
- Department of Pediatric Oncology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, AnkaraTurkey
| | - Nurdan TAÇYILDIZ
- Department of Pediatric Oncology, Faculty of Medicine, Ankara University, AnkaraTurkey
| | - Ali VARAN
- Department of Pediatric Oncology, Faculty of Medicine, Hacettepe University, AnkaraTurkey
| | - Rejin KEBUDİ
- Institute of Oncology, İstanbul University, İstanbulTurkey
| | | | - Tiraje CELKAN
- Department of Pediatric Hematology Oncology, Faculty of Medicine, İstanbul University, İstanbulTurkey
| | - Gürses ŞAHİN
- Department of Pediatric Oncology, Dr. Sami Ulus Children’s Hospital, AnkaraTurkey
| | - Funda ÇORAPÇIOĞLU
- Department of Pediatric Oncology, Faculty of Medicine, Kocaeli University, KocaeliTurkey
| | - Zuhal KESKİN YİLDİRİM
- Department of Pediatric Oncology, Faculty of Medicine, Atatürk University, ErzurumTurkey
| | - Faruk Güçlü PINARLI
- Department of Pediatric Oncology, Faculty of Medicine, Celal Bayar University, ManisaTurkey
| | - Nur OLGUN
- Department of Pediatric Oncology, Faculty of Medicine, Dokuz Eylül University, İzmirTurkey
| | - Neriman SARI
- Department of Pediatric Oncology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, AnkaraTurkey
| | - Ayhan DAĞDEMİR
- Department of Pediatric Oncology, Faculty of Medicine, Ondokuz Mayıs University, SamsunTurkey
| | - Derya ÖZYÖRÜK
- Department of Pediatric Oncology, Ankara Children’s Hematology and Oncology Training and Research Hospital, AnkaraTurkey
| | - Tuba EREN
- Department of Pediatric Oncology, Faculty of Medicine, Trakya University, EdirneTurkey
| | - Fatma Betül ÇAKIR
- Department of Pediatric Hematology Oncology, Faculty of Medicine, Bezmiâlem Vakıf University, İstanbulTurkey
| | - Başak ADAKLI AKSOY
- Department of Pediatric Hematology Oncology, Faculty of Medicine, Medeniyet University, İstanbulTurkey
| | - Ceyhun BOZKURT
- Department of Pediatric Hematology Oncology, Faculty of Medicine, Istinye University, Bahçelievler Medikal Park Hospital, İstanbulTurkey
| | - Elif GÜLER
- Department of Pediatric Oncology, Faculty of Medicine, Akdeniz University, AntalyaTurkey
| | - Ali Aykan ÖZGÜVEN
- Department of Pediatric Oncology, Faculty of Medicine, Celal Bayar University, ManisaTurkey
| | - Fatih ERBEY
- Department of Pediatric Hematology Oncology, Faculty of Medicine, Koç University, AnkaraTurkey
| | - Melda BERBER
- Department of Pediatric Oncology, Faculty of Medicine, Ankara University, AnkaraTurkey
| | - Handan DİNÇASLAN
- Department of Pediatric Oncology, Faculty of Medicine, Ankara University, AnkaraTurkey
| | - Emel ÜNAL
- Department of Pediatric Oncology, Faculty of Medicine, Ankara University, AnkaraTurkey
| | - Mehmet KANTAR
- Department of Pediatric Oncology, Faculty of Medicine, Ege University, İzmirTurkey
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