A Shared Care Model between community and transplant centers facilitates access to allogeneic and autologous transplantation Journal Article

  


Authors: Fein, J. A.; McAuliffe, A.; Fischer, K.; Brady, O.; Devlin, S. M.; Willumsen, S.; Ozcan, G.; Montanaro, P.; Pristyazhnyuk, Y.; DiGiuseppe, J.; Lahoud, O. B.; Perales, M. A.; Pfister, D. G.; Giralt, S.; Dailey, M.; Yu, P. P.; Sauter, C. S.
Article Title: A Shared Care Model between community and transplant centers facilitates access to allogeneic and autologous transplantation
Abstract: Access to allogeneic and autologous hematopoietic stem cell transplantation (SCT) remains inadequate despite its curative potential across hematologic malignancies. In 2015, Hartford HealthCare (HHC) and the Memorial Sloan Kettering Cancer Center (MSK) established the Shared Care Model (SCM) with a primary aim of enhancing SCT access for HHC patients. The SCM comprises several components: an SCT-dedicated nurse-navigator, a health-information exchange for record sharing, telemedicine, and ongoing training of HHC clinicians in transplant patient selection and management. We evaluated the SCM's impact on SCT access across 126 patients with acute leukemia, myelodysplastic syndrome, and multiple myeloma from 2016-2020. The SCM facilitated 34 referrals. Socio-economic status of HHC referrals by Area Deprivation Index was significantly inferior (38 vs. 14, p < 0.001) when compared to 3,108 non-SCM referrals to MSK during the same period. Allogeneic recipients spent 68-247 days away from home, and autologous recipients 15-48, both requiring few subsequent visits to MSK.
Keywords: allogeneic stem cell transplantation; multiple myeloma; myelodysplastic syndrome; costs; adults; patient; hematopoietic-cell transplantation; healthcare disparities; acute myeloid leukemia; transplantation access
Journal Title: Leukemia and Lymphoma
Volume: 66
Issue: 4
ISSN: 1042-8194
Publisher: Taylor & Francis Group  
Date Published: 2025-01-01
Start Page: 713
End Page: 720
Language: English
ACCESSION: WOS:001371239100001
DOI: 10.1080/10428194.2024.2434171
PROVIDER: wos
PUBMED: 39641218
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Source: Wos
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MSK Authors
  1. Sergio Andres Giralt
    1050 Giralt
  2. David G Pfister
    389 Pfister
  3. Miguel-Angel Perales
    913 Perales
  4. Sean McCarthy Devlin
    601 Devlin
  5. Oscar Boutros Lahoud
    133 Lahoud
  6. Owen John Brady
    3 Brady
  7. Joshua Alexaner Fein
    2 Fein
  8. Kimberly Loren Fischer
    1 Fischer
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