Unmet clinical needs and challenges in the management of acute leukemia in Turkey: a modified Delphi study

Arat M., ALACACIOĞLU İ., Bolaman A. Z., BÜYÜKAŞIK Y., Cagirgan S., GÜVENÇ B., ...More

Future oncology (London, England), vol.19, no.14, pp.975-982, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 14
  • Publication Date: 2023
  • Doi Number: 10.2217/fon-2022-0984
  • Journal Name: Future oncology (London, England)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.975-982
  • Keywords: acute leukemia, acute lymphoblastic leukemia, acute myeloid leukemia, Delphi, management
  • Dokuz Eylül University Affiliated: Yes

Abstract

Aim: To determine the unmet needs and challenges in management, diagnosis, treatment, follow-up and patient-physician communication in acute leukemia (AL). Materials & methods: The study was based on a modified Delphi approach. A questionnaire including the major potential obstacles was circulated twice among 13 hematologists. Results: The obstacles in AL management were limited access to the novel treatments and genetic tests, limited bed capacity, insufficient level of knowledge among allied health personnel, limited availability of psycho-oncological support and low levels of awareness in the population about the importance of stem cell donation. Conclusion: The challenges in the management of AL are critical to guide the efforts to improve the quality of healthcare delivery and the evidence-based decision making at treatment of AL patients.