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Developing a national 'low risk' febrile neutropenia framework for use in children and young people's cancer care

Gibson, F, Chisholm, J, Blandford, E, Donachie, P, Hartley, J, Lane, S, Selwood, K, Skinner, R and Phillips, R (2013) Developing a national 'low risk' febrile neutropenia framework for use in children and young people's cancer care SUPPORTIVE CARE IN CANCER, 21 (5). pp. 1241-1251.

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Abstract

Purpose A Delphi study was undertaken to develop a framework guidance that would rationalise and standardise the care of children with febrile neutropenia (FNP) across the UK. Methods A mailed Delphi survey was undertaken with health professionals working in children's cancer units. The survey employed two rounds of feedback on 22 practice statements drawn from a systematic review of clinical evidence. Consensus was assumed for any statement where 80+ % of respondents indicated that they “agreed” or “strongly agreed”. Results Consensus was reached on 21 of the 22 practice statements in round 1 that were categorised into six areas: definition of fever and neutropenia, initial management and choice of antibiotic, defining low-risk patients, strategy in low-risk patients and alternative approaches. Consensus could not be reached on whether patients needed to be afebrile to be suitable for discharge and the required length of outpatient antibiotic treatment. Conclusions A Delphi survey allowed the successful development of a national framework for identification and management of children with FNP. The use of an existing well-functioning professional network was key in this project's success.

Item Type: Article
Subjects : Biosciences and Medicine
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
AuthorsEmailORCID
Gibson, FUNSPECIFIEDUNSPECIFIED
Chisholm, JUNSPECIFIEDUNSPECIFIED
Blandford, EUNSPECIFIEDUNSPECIFIED
Donachie, PUNSPECIFIEDUNSPECIFIED
Hartley, JUNSPECIFIEDUNSPECIFIED
Lane, SUNSPECIFIEDUNSPECIFIED
Selwood, KUNSPECIFIEDUNSPECIFIED
Skinner, RUNSPECIFIEDUNSPECIFIED
Phillips, RUNSPECIFIEDUNSPECIFIED
Date : 1 May 2013
Identification Number : 10.1007/s00520-012-1653-y
Copyright Disclaimer : © Springer-Verlag Berlin Heidelberg 2012
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Oncology, Health Care Sciences & Services, Rehabilitation, HEALTH CARE SCIENCES & SERVICES, ONCOLOGY, REHABILITATION, SCI, Children, Febrile neutropenia, Delphi survey, Practice framework, PEDIATRIC ONCOLOGY PATIENTS, DELPHI TECHNIQUE, CONTROLLED-TRIAL, ORAL CIPROFLOXACIN, NURSING-RESEARCH, FEVER, BACTEREMIA, MANAGEMENT, OUTPATIENT, GUIDELINES
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 01 Jun 2016 17:05
Last Modified : 01 Jun 2016 17:05
URI: http://epubs.surrey.ac.uk/id/eprint/810897

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