Managing Chronic Myeloid Leukemia: A Coordinated Team Care Perspective

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• 作者：Stacie Holloway¹ ; Katharine Lord¹ ; Beverly Bethelmie-Bryan² ; Marian W. Shepard² ; Jessica Neely² ; Morgan McLemore² ; Satyanarayan K. Reddy³ ; Aldemar Montero⁴ ; William S. Jonas⁵ ; Sara Pierson Gladney⁵ ; Shyam L. Khanwani⁶ ; Silpa C. Reddy⁷ ; Anup K. Lahiry⁸ ; Leonard T. Heffner² ; Elliott Winton² ; Martha Arellano² ; Hanna Jean Khoury² ; ^{hkhoury@emory.edu}
• 关键词：Adherence ; BCR-ABL ; Multidisciplinary team ; Patient education ; Tyrosine kinase inhibitor
• 刊名：Clinical Lymphoma Myeloma and Leukemia
• 出版年：2012
• 出版时间：April, 2012
• 年：2012
• 卷：12
• 期：2
• 页码：88-93
• 全文大小：495 K

文摘

Treatment of chronic myeloid leukemia (CML) has seen dramatic progress in recent years with the development of tyrosine kinase inhibitors (TKIs). To take maximum advantage of therapy with TKIs, compliance and good understanding of monitoring response to therapy are essential. We established a team that included a hematologist, a physician assistant (PA), and a nurse who work closely with a social worker, a pharmacist, and a research coordinator to assist patients throughout their journey with CML. The patient and the referring community oncologist were incorporated into this team. This coordinated team care approach takes advantage of each member's specific skills to provide patients with education about CML, encourage patients' strong involvement in tracking/monitoring results/response to therapy, and support patients with issues that arise throughout the long course of the disease. A low rate of noncompliance with clinic visits (3 % ) was an indirect measure of the impact of this approach. The inclusion of the referring oncologist in the team extended the tracking of monitoring results to the community practice. We conclude that a coordinated team care approach is feasible in the management of patients with CML. This approach provided patients with education and a good understanding of response to therapy and improved relations with the health care team.