Lookup NU author(s): Dr Morven Brown,
Professor Simon Bailey
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© 2018 Wiley Periodicals, Inc. Background: Optic pathway gliomas (OPGs) are low-grade tumours of the visual pathway. Although survival rates are high, there is considerable morbidity and hence treatment focuses on preservation of vison and quality of life. The multiple, complex issues faced by these patients are often confounded by a concurrent diagnosis of neurofibromatosis type-1 (NF1). As there is a paucity of literature addressing the current practices of the multi-professional team (MPT) caring for children diagnosed with an OPG, individual professional experiences often guide the MPT's approach to the care of these children and their families. Aims: This study aimed to gain views on the management of children with OPGs, from MPT members involved in their care, in order to inform recommendations on how to improve the service offered to these children and their families. Methods: A qualitative design collected experiential data from MPT members via semi-structured interviews. MPT focus groups were used to validate the data. Results: Data collected from 20 MPT members resulted in the overarching themes of Issues Faced by the Patient and Family and Challenges to the Holistic Care of the Patient. Four recommendations are suggested, namely (1) the production of an MPT training resource, (2) improved visual team links, (3) an OPG patient passport and (4) a joint NF1-OPG clinic. Conclusion: There are many challenges to MPT members providing holistic care to patients with OPGs. As no OPG clinical practice guidelines currently exist, it is suggested that the above recommendations be piloted with evaluation to validate their use.
Author(s): Sturgess B, Brown M, Fraser F, Bailey S
Publication type: Article
Publication status: Published
Journal: Pediatric Blood and Cancer
Print publication date: 01/12/2018
Online publication date: 07/08/2018
Acceptance date: 01/07/2018
ISSN (print): 1545-5009
ISSN (electronic): 1545-5017
Publisher: John Wiley and Sons Inc.
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