Audit to monitor the uptake of national mouth care guidelines for children and young people being treated for cancer
Craig, JV, Gibson, F and Glenny, AM (2010) Audit to monitor the uptake of national mouth care guidelines for children and young people being treated for cancer Journal of Supportive Care in Cancer, 19 (9). pp. 1335-1341.
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Purpose The aim of this study is to review current oral care practices in children being treated for cancer against audit criteria derived from national guidelines, and to compare findings with data from a baseline survey carried out in 2002 prior to implementation of the national guidelines. Methods A telephone survey was carried out of all 21 haematology–oncology (HO) centres and seven bone marrow transplant (BMT) units within the UK Children’s Cancer Study Group focusing on key audit themes of: availability of evidence-based guidelines, oral and dental care prior to and during cancer treatment, oral assessment, prevention and treatment of oral complications. Results The national guidelines were used in 19/25 (76%) settings that employed written guidelines. There was little variation in advice given to patients/parents on basic oral hygiene, and this advice was commensurate with guideline recommendations. Inconsistencies in oral care assessment, reported at baseline, remained commonplace across the majority of settings. In only 10/21 HO centres, it was usual practice for children to undergo dental assessment prior to commencing cancer treatment, indicating no improvement since baseline survey. Few therapies outside of the guideline recommendations were being used. The routine use of preventive nystatin, not recommended in the guideline, had significantly decreased from baseline (by 40%). Conclusions Uptake of national guidelines by HO/BMT settings was good however certain oral care practices fell short of the guideline recommendations. Routine dental checks need to be embedded in practice. Further consideration is needed as to how oral assessment might be used more effectively in informing treatment.
|Subjects :||Biosciences and medicine|
|Divisions :||Faculty of Health and Medical Sciences > School of Biosciences and Medicine|
|Date :||31 July 2010|
|Identification Number :||https://doi.org/10.1007/s00520-010-0953-3|
|Uncontrolled Keywords :||Clinical audit Guidelines Oral health Mouth diseases Chemotherapy Radiotherapy Mouth care|
|Depositing User :||Symplectic Elements|
|Date Deposited :||01 Jun 2016 15:50|
|Last Modified :||01 Jun 2016 16:53|
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