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1.
[Role of advanced practice nurse within a cellular therapy unit: Recommendations of the Francophone Society of Bone Marrow Transplantation and cellular therapy (SFGM-TC)]
Jezequel, T., Cheron, N., Ajazi Hub, R., Brouillat, C., Colonnese, E., Desmedt, C., Evard, S., Hie, S., Mourrut, C., Vallade, D., et al
Bulletin du cancer. 2023
Abstract
Like the "nurse practitioner" in Anglo-Saxon countries, the French health authority validated on January 2016 the creation of an intermediate grade called advanced practice nurse (APN). They are authorized to carry out an assessment of the person's state of health, through a complete clinical examination. They can also prescribe additional examinations necessary for the monitoring of the pathology, and carry out certain acts for diagnostic and/or therapeutic purposes. Given the specificities of cellular therapy patients, the content of university professional training doesn't seem sufficient to assure an optimal management by the APN of these patients. The Francophone society of bone marrow transplantation and cellular therapy (SFGM-TC) had already published two works regarding what was initially called "the transfer of skills" between doctors and nurses in the follow-up of transplant patients. In the same way, this workshop attempts to address the question of the place of APNs in the management of patients undergoing cellular therapy treatment. Beyond a delegation of tasks as proposed by the cooperation protocols, this workshop produces recommendations to allow an autonomous activity of the IPA in the follow-up of these patients, in close collaboration with the medical team.
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2.
Brazilian dental consensus on dental management in hematopoietic stem cell transplantation - Part I - pre-HSCT
Correa, M. E. P., Granzotto, F. C. N., Innocentini, Lmar, Reis, T. C., de Lima, E. M., Varanda, R. F., Santos, Psds, Junior, Lavs, Bezinelli, L. M., Eduardo, F. P., et al
Hematology, transfusion and cell therapy. 2023
Abstract
The oral involvement in the Hematopoietic Stem Cell Transplantation is well described in the literature. The goal of the dental treatment and management of the oral lesions related to the HSCT is to reduce the harm caused by preexisting oral infection or even the worsening of oral acute/chronic GVHD and late effects. The aim of this guideline was to discuss the dental management of patients subjected to HSCT, considering three phases of the HSCT pre-HSCT, acute phase, and late phase. The literature published from 2010 to 2020 was reviewed in order to identify dental interventions in this patient population. The selected papers were divided into three groups: pre-HSCT, acute and late, and were reviewed by the SBTMO Dental Committee's members. When necessary, an expertise opinion was considered for better translating the guideline recommendations to our population dental characteristics. This manuscript focused on the pre-HSCT dental management. The objective of the pre-HSCT dental management is to identify possible dental situations that can worsening during the acute phase after the HSCT. Each guideline recommendations were made considering the Dentistry Specialties. The clinical consensus on dental management prior to HSCT provides professional health caregivers with clinical setting-specific information to help with the management of dental problems in patients to be subjected to HSCT.
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3.
The European Society for Blood and Marrow Transplantation (EBMT) roadmap and perspectives to improve nutritional care in patients undergoing hematopoietic stem cell transplantation on behalf of the Cellular Therapy and Immunobiology Working Party (CTIWP) and the Nurses Group (NG) of the EBMT
Casirati, A., Salcedo, I., Cereda, E., Chabannon, C., Ruggeri, A., Kuball, J., Clout, R., Mooyaart, J. E., Kenyon, M., Caccialanza, R., et al
Bone marrow transplantation. 2023
Abstract
Malnutrition is the most common comorbidity during the continuum of hematopoietic stem cell transplant (HSCT) and negatively impacts clinical outcomes, response to therapy, quality of life, and costs. The intensive conditioning regimen administered before transplant causes inflammatory damages to the gastrointestinal system, which themselves contribute to trigger graft versus host disease (GvHD) in the allogeneic setting. GvHD and other post-transplant complications such as infections adversely affect food intake and gut absorption of nutrients. Consequently, patients exhibit signs of malnutrition such as weight loss and muscle wasting, thus triggering a "vicious circle" that favours additional complications. Among HSCT centres, there is marked variability in nutritional care, from screening for malnutrition to nutritional intervention. The present paper, elaborated by the Cellular Therapy and Immunobiology Working Party and the Nurses Group of the European Society for Blood and Marrow Transplantation, aims at defining a roadmap that identifies the main nutritional critical issues in the field of HSCT. This document will be propaedeutic to the development of clinical algorithms to counteract risk factors of malnutrition, based on scientific evidence and shared among HSCT centres, and thus maximize transplant outcomes.
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4.
American Society for Transplantation and Cellular Therapy Return to Work Guidance Committee Recommendations for Health Care Providers Who Take Care of Hematopoietic Cell Transplant Patients
Salit, R. B., Schoeppner, K., De Biase, C., Mohammed, J., Gonzales, A., Hashmi, S. K., Banacloche, J. G., Savani, B., Carpenter, P. A., Syrjala, K.
Transplantation and cellular therapy. 2022
Abstract
Hematopoietic cell transplantation (HCT) health care providers report a desire to improve long-term outcomes and quality of life for their patients. One of the items frequently cited by patients in terms of transitioning from being a patient back to pre-HCT life is returning to work (RTW). However, they report little support from their health care providers in facilitating this process and only 50-60% have returned to work at a median of 3 years later. Barriers are physical, psychological, and logistical as well as poor communication between the patient and their employer. We convened a group of experts in survivorship, rehabilitation, social work, and psychology to draft an evidence-based document to assist health care providers in guiding their patients' RTW journey. Guidance is drawn from what exists in the literature for HCT and general cancer patients. It is divided into pre-HCT, peri-HCT and post-HCT categories. Collaboration between health care providers, patients, and their employers is key to this transition. Suggested referrals and evaluations have also been provided. The goal is for this guidance to be continually updated as we advance the field with more HCT specific literature.
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5.
[Gynecologic care for women undergoing hematopoietic stem cell transplantation: Chinese expert consensus]
Zhonghua fu chan ke za zhi. 2022;57(6):401-406
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6.
[Palliative care in hematopoietic stem-cell transplanted patients: Guidelines from the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC)]
Polomeni, A., Prod'homme, C., Ainaoui, M., Bellec, A., Berr, A., Bonneau, J., Charbonnier, A., Coiteux, V., de Berranger, E., Descamps, T., et al
Bulletin du cancer. 2021
Abstract
Allogeneic hematopoietic cell transplantation (allo-HCT), the only curative therapy for numerous hematological malignancies, carries a significant risk of morbidity and mortality. The patients and families' expectations regarding the procedure, the prognosis uncertainties, as well as the existence of potential new therapeutic possibilities, lead to frequent use of intensive care. Even though the transplant physicians are highly skilled in acute care, their knowledge of palliative approach is limited, making the use of palliative care insufficient and often late. By promoting reflection on the proportionality of care and the patients' quality of life, palliative care may contribute to the allo-HCT patients management. Nevertheless, obstacles to this approach remain. The objective of this work is to propose recommendations to promote the implementation of palliative care into transplant units.
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7.
Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: children and adolescents
Nabarrete, J. M., Pereira, A. Z., Garófolo, A., Seber, A., Venancio, A. M., Grecco, C. E. S., Bonfim, C. M. S., Nakamura, C. H., Fernandes, D., Campos, D. J., et al
Einstein (Sao Paulo, Brazil). 2021;19:eAE5254
Abstract
The Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Children and Adolescents was developed by dietitians, physicians, and pediatric hematologists from 10 Brazilian reference centers in hematopoietic stem cell transplantation. The aim was to emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to patient´s nutritional assessment. This consensus is intended to improve and standardize nutrition therapy during hematopoietic stem cell transplantation. The consensus was approved by the Brazilian Society of Bone Marrow Transplantation. Publisher: Abstract available from the publisher. por
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8.
[Therapeutic Education Programs for the Patient (ETP) undergoing an allogeneic hematopoietic cell transplantation: Guidelines from the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC)]
Cheron, N., Riou, M., Babouche, I., Chevallier, N., Aimee Dann, M. P., Delorme, J., Denis, V., Girard, I., Godin, S., Tardieu, L., et al
Bulletin du cancer. 2021
Abstract
Patients undergoing an allogeneic hematopoietic cell transplant (allo-HCT) need to understand and adhere to the transplant process as well as post-transplant follow-up requirements. A working group has met during the eleventh edition of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC) Practice Harmonization Workshops. The analysis of a survey that was sent to several transplant centers belonging to the SFGM-TC has been used as a milestone to this article. While, post-transplant medical follow-up was comparable from one center to another, nursing care was found to lack harmonization between centers, although, all patients would receive therapeutic education at one time or another regarding potential transplant-related complications. A few centers in France has established a therapeutic education program that was approved by French health authorities. The aim of this work was to set up guidelines to help centers establishing such a program in well-harmonized way.
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9.
Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Graft- versus -host disease
Pereira, A. Z., Vigorito, A. C., Almeida, A. M., Candolo, A. A., Silva, A. C. L., Brandao-Anjos, A. E. P., Sa, B. L., Souza, C. L. S., Castro Junior, C. G., Oliveira, J. S. R., et al
Einstein (Sao Paulo, Brazil). 2020;18:eAE4799
Abstract
The Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplantation: Graft- versus -host disease was approved by Sociedade Brasileira de Transplante de Medula Ossea , with the participation of 26 Brazilian hematopoietic stem cell transplantation centers. It describes the main nutritional protocols in cases of Graft- versus -host disease, the main complication of hematopoietic stem cell transplantation.
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10.
Nursing role in the assessment and care of hepatic sinusoidal obstruction syndrome patients: a consensus paper by the "Gruppo Italiano Trapianto di Midollo Osseo"
Botti, S., Agreiter, I., Orlando, L., Gargiulo, G., Bonifazi, F., Banfi, M. M., Cappucciati, L., Caffarri, C., De Cecco, V., Deiana, G. M., et al
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2020
Abstract
PURPOSE Sinusoidal obstruction syndrome (SOS) is one of the most serious complications post haematopoietic stem cell transplantation (HSCT). The diagnosis of SOS is clinical, but nurses should be involved in the pre-transplant risk assessment period and play a crucial role in the early detection of signs and symptoms during and after hospitalization. The aim of this work is to achieve a consensus on nurses' behaviour in caring for SOS. METHODS On behalf of the Italian Group for Bone and Marrow Transplantation (GITMO), a promoter committee was established to put in place a consensus conference approach. A multidisciplinary group of GITMO together with four nurses, three haematology physicians and one patient representative acted as jury, who reviewed the reports and wrote recommendations and suggestions. Recommendations gaining 100% of consensus were considered 'Golden Points of Care'; if a consensus was achieved by ≥ 75% of the jury's members, those recommendations were defined as 'Good Practices'. RESULTS Eighteen papers written by nurses as first authors have been identified. Golden Points of Care and Good Practices were worked out for the following topics: nurses' role in general, nurses' role in pre-transplant assessment, pre-transplant risk assessment and risk stratification, baseline monitoring, suspected mild or moderate SOS, suspected severe or very severe SOS and late-onset cases. CONCLUSION SOS is relatively rare; therefore, a holistic approach to the patients' needs considering nursing role as essential may result in better care outcomes.