Developmental surveillance and screening practices in a pediatric oncology clinic: Initial progress of a quality improvement study.

Autor: Pereira LM; Boston Children's Health Physicians, Hawthorne, New York, USA.; Maria Fareri Children's Hospital, Valhalla, New York, USA.; New York Medical College, Valhalla, New York, USA., Bono MH; Boston Children's Hospital, Boston, Massachusetts, USA., Hilbert S; Maria Fareri Children's Hospital, Valhalla, New York, USA.; Westchester Medical Center, Valhalla, New York, USA.
Jazyk: angličtina
Zdroj: Psycho-oncology [Psychooncology] 2024 May; Vol. 33 (5), pp. e6348.
DOI: 10.1002/pon.6348
Abstrakt: Background: Pediatric cancer patients' oncology teams regularly take on a primary care role, but due to the urgent nature of cancer treatment, developmental screenings may be deprioritized. This leaves patients at risk of developmental diagnoses and referrals being delayed.
Aims: Clarify the current developmental surveillance and screening practices of one pediatric oncology team.
Materials and Methods: Researchers reviewed charts for patients (n = 66) seen at a pediatric oncology clinic in a suburban academic medical center to determine engagement in developmental screening (including functioning around related areas such as speech, neurocognition, etc.) and referrals for care in these areas.
Results: Developmental histories were collected from all patients through admission history and physical examination (H&P), but there was no routinized follow-up. Physicians did not conduct regular developmental screening per American Academy of Pediatrics guidelines for any patients but identified n = 3 patients with needs while the psychology team routinely surveilled all patients seen during this time (n = 41) and identified n = 18 patients as having delays.
Discussion: Physicians did not routinely screen for development needs beyond H&P and were inconsistent in developmental follow-up/referrals. Integrated psychologists were key in generating referrals for developmental-based care. However, many oncology patients were not seen by psychologists quickly or at all, creating a significant gap in care during a crucial developmental period.
Conclusion: The case is made for further routinization of ongoing developmental screening in pediatric oncology care.
(© 2024 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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