Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Transition Models
- The “adult caregiver model”.
- The “shared caregiver model”.
- The “joint caregiver model”.
- The “continued caregiver model”.
- The “specialized clinic model”.
3.2. Difficulties and Challenges from the Patient’s Perspective during the Transition Period, Transition Age, Follow-Up Duration
3.3. Pediatric Brain Tumor Patients
3.4. Neurofibromatosis Type 1 Patients
3.5. Tuberous Sclerosis Complex Patients
4. Discussion
4.1. Transition Models
4.2. Our Institution’s Transition Model
4.3. Difficulties and Challenges during Transition
4.4. Transition Age
4.5. Follow-Up Duration
4.6. Follow-Up Diagnostics
4.7. Future Directions of Transitional Care in Patients with PBT
4.8. Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Models | Description | Advantages | Disadvantages | Mentioned in (%) | Subcategory (n) |
---|---|---|---|---|---|
Adult caregiver model | Transition from multidisciplinary pediatric care to an adult primary care provider |
|
| 5/11 studies (45.5%) [8,9,15,16,21] | PBT (2) TSC (3) |
Shared caregiver model | Shared care by two or more providers of different specialties (e.g., GP and cancer center) |
| 2/11 studies (18.2%) [15,16] | PBT (2) | |
Joint caregiver model | Joint consultations with the previous and future physician for a certain period during the transition period | 5/11 studies (45.5%) [9,10,12,16,21] | PBT (2) NF1 (1) TSC (2) | ||
Continued caregiver model | Continued follow-up by the pediatric specialist team (e.g., pediatric neurology or neurooncology team) |
|
| 3/11 studies (27.3%) [13,15,20] | PBT (3) |
Specialized clinic model | Patients are followed up and treated lifelong in a specialized clinic (e.g., neurocutaneous disease clinic) treating pediatric and adult patients |
| 3/11 studies (27.3%) [17,21,22] | TSC (1) NF1 (2) |
PBT Patients | NF1 Patients | TSC Patients | |
---|---|---|---|
Problems during transition |
| ||
Suggested age of transition |
| ||
Follow-up duration |
| N/A | |
Follow-up diagnostics * |
|
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Ebel, F.; Greuter, L.; Guzman, R.; Soleman, J. Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review. Children 2022, 9, 501. https://doi.org/10.3390/children9040501
Ebel F, Greuter L, Guzman R, Soleman J. Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review. Children. 2022; 9(4):501. https://doi.org/10.3390/children9040501
Chicago/Turabian StyleEbel, Florian, Ladina Greuter, Raphael Guzman, and Jehuda Soleman. 2022. "Transitional Care in Pediatric Brain Tumor Patients: A Systematic Literature Review" Children 9, no. 4: 501. https://doi.org/10.3390/children9040501