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Integrated Multimodal Approaches in Pediatric Palliative Oncology: A Systematic Review Focused on Infants and
Angela Prendin1, Martina Costa2, Gloria Angela Baracco3
1Research grant, University Hospital of Padua, Padua, Italy.
Insights
Multidisciplinary pediatric palliative care improves quality of life for children with serious illnesses. Home care and symptom management, including pain therapy, are key interventions, though more research is needed for infants.
Area of Science:
- Palliative Care
- Pediatric Oncology
- Child Health
Background:
- Pediatric palliative care enhances quality of life for children with cancer and life-limiting conditions.
- Increasing eligibility necessitates multidisciplinary and personalized care strategies.
Purpose of the Study:
- To systematically review effective interventions in pediatric palliative care.
- Focus on pharmacological assistance, home management, and nursing roles for children aged 0-2 years.
Main Methods:
- Systematic review of literature from PubMed, CINAHL, Google Scholar, and Scopus (2000-2024).
- Analysis focused on interventions for infants and toddlers (0-2 years).
Main Results:
- Multimodal approaches are crucial in pediatric palliative care.
- Key interventions include sedative drugs for symptom control, electronic monitoring, pain therapy, and home care.
- Families strongly prefer home-based care.
Conclusions:
- Integrated, multidisciplinary care models are essential for critically ill children's well-being.
- Limited studies on the 0-2 age group and lack of standardized protocols are significant clinical practice limitations.
Background/Aim:
Pediatric palliative care, particularly in oncology, is aimed at improving the quality of life for children with cancer and other life-limiting conditions. With an increase in the pediatric population eligible for such care, the need for multidisciplinary approaches and the integration of personalized care strategies emerges.
Materials And Methods:
We conducted a systematic review to analyze the available evidence regarding the most effective interventions, with particular attention to pharmacological assistance, home management, and the central role of the nurse in childcare. The literature search was conducted through the databases PubMed, CINAHL, Google Scholar, and Scopus, encompassing studies published between 2000 and 2024, with a focus on children aged 0 to 2 years.
Results:
Ten key studies were identified that highlighted the importance of the multimodal approach in pediatric palliative care. The main interventions include the use of sedative drugs for symptom management, electronic symptom monitoring to improve family involvement, the importance of pain therapy, and the effectiveness of home care, as preferred by most families.
Conclusion:
A care model that integrates multiple strategies, supported by a multidisciplinary team, is essential to ensure the optimal well-being of children in critical conditions. However, the paucity of specific studies on the 0-2 age group and the lack of standardized protocols represent significant limitations in clinical practice.
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