{
    "abstract": "Sepsis is the leading cause of mortality in patients with childhood cancer receiving cytotoxic chemotherapy. Pediatric hematology/oncology and transplant (PHOT) providers must counsel their patients on the safety of public activities and weigh the risk of infection exposure with the social and developmental benefits of in-person school and social outings. We hypothesize that there is significant variability in recommendations given by PHOT providers.\nAn electronic anonymous survey was developed and piloted by a group of PHOT providers to assess current methods for educating patients and families on limiting infectious exposures. Five clinical vignettes were created by the study team to explore how providers balance the competing priorities of safety and health-related quality of life (HRQoL). The electronic survey was institutional review board-approved and disseminated via email to all PHOT providers affiliated with the Children's Oncology Group across the United States.\nIn total, 545 clinicians completed the survey. Most respondents were attending physicians (393, 72%), followed by fellows (61, 11%), advanced practice providers (APPs; 38, 7%), and nurses (37, 7%). On average, nurses and fellows made more conservative recommendations for avoiding infectious exposures compared with the recommendations from attending physicians and APPs (\nThis survey demonstrates the importance of collaboration between all members of the care team in defining priorities for balancing safety risk and HRQoL to provide consistent messaging to patients. The variations in survey responses highlight the need for universal guidelines to standardize physician recommendations for limiting infectious exposures in pediatric patients on chemotherapy.",
    "authors": [
        {
            "affiliation": "Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY.\nDivision of Pediatric Hematology, Oncology and Cellular Therapy, Children's Hospital at Montefiore, Bronx, NY.",
            "firstname": "Rachel",
            "initials": "R",
            "lastname": "Offenbacher"
        },
        {
            "affiliation": "Albert Einstein College of Medicine, Bronx, NY.",
            "firstname": "Chloe",
            "initials": "C",
            "lastname": "Citron"
        },
        {
            "affiliation": "Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.",
            "firstname": "Juan",
            "initials": "J",
            "lastname": "Lin"
        },
        {
            "affiliation": "Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.",
            "firstname": "H Dean",
            "initials": "HD",
            "lastname": "Hosgood"
        },
        {
            "affiliation": "Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA.\nDepartments of Medicine and Pediatrics, Tufts University School of Medicine, Boston, MA.",
            "firstname": "Susan K",
            "initials": "SK",
            "lastname": "Parsons"
        },
        {
            "affiliation": "Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.",
            "firstname": "Scott",
            "initials": "S",
            "lastname": "Moerdler"
        },
        {
            "affiliation": "Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY.\nDivision of Pediatric Hematology, Oncology and Cellular Therapy, Children's Hospital at Montefiore, Bronx, NY.",
            "firstname": "Daniel A",
            "initials": "DA",
            "lastname": "Weiser"
        }
    ],
    "conclusions": "This survey demonstrates the importance of collaboration between all members of the care team in defining priorities for balancing safety risk and HRQoL to provide consistent messaging to patients. The variations in survey responses highlight the need for universal guidelines to standardize physician recommendations for limiting infectious exposures in pediatric patients on chemotherapy.",
    "copyrights": null,
    "doi": "10.1200/OP.23.00641",
    "journal": "JCO oncology practice",
    "keywords": [],
    "methods": null,
    "publication_date": "2024-06-25",
    "pubmed_id": "38917405",
    "results": "In total, 545 clinicians completed the survey. Most respondents were attending physicians (393, 72%), followed by fellows (61, 11%), advanced practice providers (APPs; 38, 7%), and nurses (37, 7%). On average, nurses and fellows made more conservative recommendations for avoiding infectious exposures compared with the recommendations from attending physicians and APPs (",
    "title": "Preventing Infection in Pediatric Patients Receiving Chemotherapy: A Survey of Provider Recommendations.",
    "xml": "<Element 'PubmedArticle' at 0x7885029f7920>"
}