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  • Murray, JohnChristie NHS Foundation Trust (author)

Survey of European Blood and Marrow Transplant (EBMT) nurses to explore the current topical skin management of chronic cutaneous graft versus host disease in the real-world clinical environment

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • 2024

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:21a0371b-c264-4bf0-ac64-3e45fb8a3f31
  • https://lup.lub.lu.se/record/21a0371b-c264-4bf0-ac64-3e45fb8a3f31URI
  • https://doi.org/10.1016/j.ejon.2024.102547DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Purpose: To understand the current practice in relation to the management of topical therapy for cutaneous chronic Graft versus Host Disease (ccGvHD) and access to extracorporeal photopheresis (ECP) within European allogeneic haematopoietic cell transplantation centres by a survey of nurses. Method: This was a multicentre cross-national study at eligible European Blood and Marrow Transplant centres. Eligibility required more than 30% of treated patients having allogeneic haematopoietic cell transplant. Centres performing only autologous stem cell transplants were excluded from the study. Results: 12% of respondents were unaware of whether their centre had a policy or not for monitoring chronic cutaneous graft versus host disease. Over half had the affiliation of a dermatologist for referral, but only 19% had access to a specialist nurse. Patient education was routinely provided in most of the centres (86%). Results suggested as the severity of a patient's chronic cutaneous graft versus host disease increased, there was a reduction in the amount of topical emollients and steroids employed. Following topical therapies, systemic treatments, and other modalities such as ECP were employed with less focus directed towards topical care. Conclusions: Topical treatment is the backbone of any treatment paradigm for chronic cutaneous graft versus host disease, however, there is no universally agreed algorithm. Improved skin care may lead to a reduction in the amount of systemic therapy required, thus increasing patients’ quality of life. There is little standardisation in the topical management of chronic cutaneous graft versus host disease, despite skin being the most cited organ affected by chronic graft versus host disease, this should be addressed.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Liptrott, SarahRegional Hospital of Lugano (author)
  • Canesi, MartaUniversity of Milano-Bicocca (author)
  • Mooyaart, JarlEuropean Society for Blood and Marrow Transplantation (EBMT) (author)
  • Kisch, AnnikaLund University,Lunds universitet,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Care in high technological environments,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital(Swepub:lu)an8873ma (author)
  • Piepenbroek, BrianEuropean Society for Blood and Marrow Transplantation (EBMT) (author)
  • Stringer, JacquiChristie NHS Foundation Trust,University of Manchester (author)
  • Christie NHS Foundation TrustRegional Hospital of Lugano (creator_code:org_t)

Related titles

  • In:European Journal of Oncology Nursing691462-3889

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