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

Mutlu AratInci AlacaciogluAli Zahit BolamanYahya BuyukasikSeckin CagirganBirol GuvencEmin KayaMehmet Ali OzcanOzan SalimFiliz VuralMehmet YılmazMeltem Kurt YükselSirac BozkurtBirkan AverRüstü KayaOsman Ilhan
Published in: Future oncology (London, England) (2023)
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.
Keyphrases
  • healthcare
  • stem cells
  • decision making
  • public health
  • primary care
  • emergency department
  • combination therapy
  • climate change
  • case report
  • quality improvement
  • mesenchymal stem cells
  • minimally invasive