[Pediatric medical evacuations from Reunion Island to metropolitan France].

Autor:	Drean M; Centre Hospitalo-Universitaire de Saint Denis, service d'Hémato-oncologie pédiatrique, 97400 La Réunion, France. Electronic address: maureen.drean@chu-reunion.fr., Orbach D; Institut Curie, Centre oncologie SIREDO (Soins, innovation recherche en oncologie de l'enfant, l'adolescent et du jeune adulte), université PSL, 75005 Paris, France., Chirpaz E; Centre Hospitalo-Universitaire de Saint Denis, Unité de soutien méthodologique, 97400 La Réunion, France., Dalle JH; Hôpital Robert Debré, Assistance Publique - Hôpitaux de Paris, service d'Hématologie pédiatrique, 75019 Paris, France., Tabone MD; Hôpital Armand Trousseau, Assistance Publique - Hôpitaux de Paris, Sorbonne Université, service d'Hémato-oncologie pédiatrique, 75012 Paris, France., Dufour C; Institut Gustave Roussy, département de Cancérologie de l'enfant et de l'adolescent, 94805 Villejuif, France., Quartier P; Hôpital Necker-Enfants Malades, Assistance Publique - Hôpitaux de Paris, unité d'Immunologie-hématologie et rhumatologie pédiatrique, 75015 Paris, France., Raimondo G; Hôpital d'Enfants de Margency, service d'oncologie et d'hématologie pédiatrique, 95580 Margency, France., Chambon F; Hôpital de pédiatrie et de rééducation de pédiatrie de Bullion, 78830 Bullion, France., Reguerre Y; Centre Hospitalo-Universitaire de Saint Denis, service d'Hémato-oncologie pédiatrique, 97400 La Réunion, France.
Jazyk:	francouzština
Zdroj:	Bulletin du cancer [Bull Cancer] 2023 Feb; Vol. 110 (2), pp. 174-183. Date of Electronic Publication: 2022 Dec 08.
DOI:	10.1016/j.bulcan.2022.11.010
Abstrakt:	Background: The only French center for pediatric oncology and hematology outside of the metropolitan territory is in the Indian Ocean, in Saint Denis, on Reunion Island. It welcomes children from Reunion Island but also from Mayotte and neighboring countries. A quarter of them requires a secondary medical transfer to metropolitan France for specific technic care. Method: We conducted a retrospective single-center study of all pediatric medical evacuations that occurred between 2015 and 2019 from the pediatric oncology and hematology department of Reunion Island. The purpose of this study is to describe these transfers and the consequences of these care pathways for families and care teams. Results: A total of 189 transfers took place for 105 children: 66 from Reunion Island, 17 from Mayotte and 22 were foreigners. In total, 92 % of the children received the medical care for which they were transferred to metropolitan France. Difficulties were reported: family for 26 % of them, social in 11 % of cases and medical in 10 % of medical records. Conclusions: This organization allows children in the Indian Ocean to benefit from similar care than metropolitan children. Many difficulties arise in connection with family and societal breakdowns caused by these transfers. These differences and difficulties are important to know to better accompany patients, families and caregivers in this stage of their medical pathways. (Copyright © 2022 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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