Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians

Haeusler, GM; De Abreu Lourenco, R; Bakos, C; O'Brien, T; Slavin, MA; Clark, JE; McMullan, B; Borland, ML; Babl, FE; Krishnasamy, M; Vanevski, M; Thursky, KA; Hall, L

Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians

Haeusler, GM De Abreu Lourenco, R

Bakos, C O'Brien, T Slavin, MA Clark, JE McMullan, B Borland, ML Babl, FE Krishnasamy, M Vanevski, M Thursky, KA Hall, L

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Journal of Paediatrics and Child Health, 2021, 57, (6), pp. 826-834
Issue Date:: 2021-02-03

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Field	Value	Language
dc.contributor.author	Haeusler, GM
dc.contributor.author	De Abreu Lourenco, R https://orcid.org/0000-0002-5978-8774
dc.contributor.author	Bakos, C
dc.contributor.author	O'Brien, T
dc.contributor.author	Slavin, MA
dc.contributor.author	Clark, JE
dc.contributor.author	McMullan, B
dc.contributor.author	Borland, ML
dc.contributor.author	Babl, FE
dc.contributor.author	Krishnasamy, M
dc.contributor.author	Vanevski, M
dc.contributor.author	Thursky, KA
dc.contributor.author	Hall, L
dc.date.accessioned	2021-08-10T03:49:54Z
dc.date.available	2020-12-14
dc.date.available	2021-08-10T03:49:54Z
dc.date.issued	2021-02-03
dc.identifier.citation	Journal of Paediatrics and Child Health, 2021, 57, (6), pp. 826-834
dc.identifier.issn	1034-4810
dc.identifier.issn	1440-1754
dc.identifier.uri	http://hdl.handle.net/10453/150086
dc.description.abstract	<h4>Aim</h4>The Australian 'There is no place like home' project is implementing a paediatric low-risk febrile neutropenia (FN) programme across eight paediatric hospitals. We sought to identify the impact of the coronavirus disease 2019 (COVID-19) pandemic on programme implementation.<h4>Methods</h4>Paediatric oncology, infectious diseases and emergency medicine health-care workers and parent/carers were surveyed to explore the impact of the COVID-19 pandemic on home-based FN care. Online surveys were distributed nationally to health-care workers involved in care of children with FN and to parents or carers of children with cancer.<h4>Results</h4>Surveys were completed by 78 health-care workers and 32 parents/carers. Overall, 95% of health-care workers had confidence in the safety of home-based FN care, with 35% reporting changes at their own hospitals in response to the pandemic that made them more comfortable with this model. Compared to pre-pandemic, >50% of parent/carers were now more worried about attending the hospital with their child and >80% were interested in receiving home-based FN care. Among both groups, increased telehealth access and acceptance of home-based care, improved patient quality of life and reduced risk of nosocomial infection were identified as programme enablers, while re-direction of resources due to COVID-19 and challenges in implementing change during a crisis were potential barriers.<h4>Conclusion</h4>There is strong clinician and parent/carer support for home-based management of low-risk FN across Australia. Changes made to the delivery of cancer care in response to the pandemic have generally increased acceptance for home-based treatments and opportunities exist to leverage these to refine the low-risk FN programme.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Journal of Paediatrics and Child Health
dc.relation.isbasedon	10.1111/jpc.15330
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Pediatrics
dc.subject.mesh	Humans
dc.subject.mesh	Parents
dc.subject.mesh	Quality of Life
dc.subject.mesh	Child
dc.subject.mesh	Australia
dc.subject.mesh	Pandemics
dc.subject.mesh	Febrile Neutropenia
dc.subject.mesh	COVID-19
dc.subject.mesh	SARS-CoV-2
dc.subject.mesh	Australia
dc.subject.mesh	COVID-19
dc.subject.mesh	Child
dc.subject.mesh	Febrile Neutropenia
dc.subject.mesh	Humans
dc.subject.mesh	Pandemics
dc.subject.mesh	Parents
dc.subject.mesh	Quality of Life
dc.subject.mesh	SARS-CoV-2
dc.title	Managing low‐risk febrile neutropenia in children in the time of COVID‐19: What matters to parents and clinicians
dc.type	Journal Article
utslib.citation.volume	57
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	/University of Technology Sydney/Centre for Health Technologies (CHT)
utslib.copyright.status	closed_access	*
dc.date.updated	2021-08-10T03:49:52Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	57
utslib.citation.issue	6

Abstract:

Aim

The Australian 'There is no place like home' project is implementing a paediatric low-risk febrile neutropenia (FN) programme across eight paediatric hospitals. We sought to identify the impact of the coronavirus disease 2019 (COVID-19) pandemic on programme implementation.

Methods

Paediatric oncology, infectious diseases and emergency medicine health-care workers and parent/carers were surveyed to explore the impact of the COVID-19 pandemic on home-based FN care. Online surveys were distributed nationally to health-care workers involved in care of children with FN and to parents or carers of children with cancer.

Results

Surveys were completed by 78 health-care workers and 32 parents/carers. Overall, 95% of health-care workers had confidence in the safety of home-based FN care, with 35% reporting changes at their own hospitals in response to the pandemic that made them more comfortable with this model. Compared to pre-pandemic, >50% of parent/carers were now more worried about attending the hospital with their child and >80% were interested in receiving home-based FN care. Among both groups, increased telehealth access and acceptance of home-based care, improved patient quality of life and reduced risk of nosocomial infection were identified as programme enablers, while re-direction of resources due to COVID-19 and challenges in implementing change during a crisis were potential barriers.

Conclusion

There is strong clinician and parent/carer support for home-based management of low-risk FN across Australia. Changes made to the delivery of cancer care in response to the pandemic have generally increased acceptance for home-based treatments and opportunities exist to leverage these to refine the low-risk FN programme.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150086