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Comprehensive Protocol to Sample and Process Bone Marrow for Measuring Measurable Residual Disease and Leukemic Stem Cells in Acute Myeloid Leukemia

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Shared-Care in Complex Malignant Hematology: An Integrative Review Using the RE-AIM Evaluation Framework.

Shannon M Nixon¹, Dawn C Maze², Monica Parry³

¹Princess Margaret Cancer Centre, Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON M5S 1A1, Canada.

Current Oncology (Toronto, Ont.)

|September 27, 2024

Summary

Complex malignant hematology (CMH) shared-care programs improve patient access. However, formal evaluation of these programs, particularly regarding effectiveness and maintenance, is needed for comprehensive understanding.

Keywords:

RE-AIM complex malignant hematology health system implementation shared-care travel burden

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Published on: February 10, 2023

Area of Science:

Oncology
Healthcare Management
Public Health

Background:

Complex malignant hematology (CMH) shared-care programs aim to improve patient access to care closer to home.
These programs involve reciprocal patient-sharing between specialist centers and community hospitals.

Purpose of the Study:

To review existing literature on CMH shared-care programs.
To evaluate these programs using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.

Main Methods:

An integrative review of five electronic databases was conducted.
Searches included qualitative/quantitative studies, reviews, and discussion papers published up to January 16, 2024.
Included articles reported on CMH shared-care experiences and examined RE-AIM aspects.

Main Results:

Ten articles describing eight shared-care experiences were identified from 6523 initial articles.
Reach was reported for 65% of programs, focusing on eligibility criteria.
Effectiveness was reported for 28%, suggesting favorable survival outcomes, but lacking data on health system impact and quality of life.
Adoption (56%) and implementation (42%) highlighted multidisciplinary teams, infrastructure, and communication.
Maintenance was not reported.

Conclusions:

Common elements facilitate the implementation of CMH shared-care programs.
A significant need exists for formal evaluations, particularly concerning program effectiveness and long-term maintenance.