Literature DB >> 28331981

Vaccination in oncology practice and predictors.

Ali Alkan1,2, Ebru Karcı3, Arzu Yaşar3, Gülseren Tuncay4, Elif Berna Köksoy3, Muslih Ürün3, Filiz Çay Şenler3, Ahmet Demirkazık3, Güngör Utkan3, Hakan Akbulut3, Yüksel Ürün3.   

Abstract

PURPOSE: Despite, vaccination is a highly effective and widely recommended for prevention of certain infections, vaccination coverage is very low. The purposes of this study were to evaluate the attitudes of medical oncologists towards vaccination and to identify predictors of intention to recommend vaccination in patients with cancer.
METHODS: A structured questionnaire is formed to evaluate the daily practice of vaccination. Turkish medical oncologists were invited to this study via email, SMS, or phone call. Questionnaire was filled out and the data were stored in an online survey platform.
RESULTS: Two hundred seventy-three medical oncologists participated in the survey. Influenza, Pneumococcus, and hepatitis B were the most commonly recommended vaccines (87.1, 72.8, 67.0%, respectively). Patients with lung cancer, lymphoma and breast cancer were the main malignancies that medical oncologists suggest vaccination (68.1, 68.1, 24.6%, respectively). The most common times for vaccination were during remission/follow-up period (68.4%) or before beginning chemotherapy (64.1%). Only 23.4% of the physicians thought that their recommendation for vaccination was efficient and adequate. Lack of time and lack of knowledge or experience about vaccination are the most common limitations. There is a positive correlation between experience in the field and evaluating patients for vaccination (r = 0.390, p < 0.001); on the other hand, there is negative correlation between number of patients seen per day and evaluating patients for vaccination (r = -0.080, p = 0.18). Experience with autologous or allogeneic bone marrow transplant patients is related with more tendency to evaluate patients for vaccination (p < 0.001).
CONCLUSIONS: Degree of experience in oncology especially in bone marrow transplant units and total number of patients seen per day are important predictors of vaccination practice in oncology. The frequency of recommendation increases with degree of experience, knowledge, and visit time per patient.

Entities:  

Keywords:  Cancer; Oncology; Primary prophylaxis; Vaccination

Mesh:

Year:  2017        PMID: 28331981     DOI: 10.1007/s00520-017-3675-y

Source DB:  PubMed          Journal:  Support Care Cancer        ISSN: 0941-4355            Impact factor:   3.603


  20 in total

Review 1.  Approach to immunization in the immunosuppressed host.

Authors:  P L Hibberd; R H Rubin
Journal:  Infect Dis Clin North Am       Date:  1990-03       Impact factor: 5.982

2.  Influenza vaccination perception and coverage among patients with malignant disease.

Authors:  Wolfgang Poeppl; Heimo Lagler; Markus Raderer; Wolfgang R Sperr; Christoph Zielinski; Harald Herkner; Heinz Burgmann
Journal:  Vaccine       Date:  2015-02-24       Impact factor: 3.641

3.  Low influenza vaccination rate among patients receiving chemotherapy for cancer.

Authors:  P Loulergue; O Mir; J Alexandre; S Ropert; F Goldwasser; O Launay
Journal:  Ann Oncol       Date:  2008-07-28       Impact factor: 32.976

4.  Coverage and predictors of influenza vaccine uptake among adults aged 16 to 59 years suffering from a chronic condition in Madrid, Spain.

Authors:  Cristina Rodríguez-Rieiro; Maria Felicitas Domínguez-Berjón; María D Esteban-Vasallodomínguez-Berjón; Agustin Rivero Cuadrado; Pilar Carrasco-Garrido; Rodrigo Jiménez-García
Journal:  Hum Vaccin       Date:  2011-05-01

5.  Family physicians beliefs and attitudes regarding adult pneumococcal and influenza immunization in Lebanon.

Authors:  Maya H Romani; Umayya M Musharrafieh; Najla A Lakkis; Ghassan N Hamadeh
Journal:  Fam Pract       Date:  2011-07-10       Impact factor: 2.267

6.  Influenza vaccination coverage in patients treated with chemotherapy: current clinical practice.

Authors:  M L Wumkes; A M T van der Velden; A W G van der Velden; J M L Stouthard; M R Nijziel; M Westerman; A Beeker; A Meerveld-Eggink; G T Rijkers; D H Biesma
Journal:  Neth J Med       Date:  2013-11       Impact factor: 1.422

7.  2013 IDSA clinical practice guideline for vaccination of the immunocompromised host.

Authors:  Lorry G Rubin; Myron J Levin; Per Ljungman; E Graham Davies; Robin Avery; Marcie Tomblyn; Athos Bousvaros; Shireesha Dhanireddy; Lillian Sung; Harry Keyserling; Insoo Kang
Journal:  Clin Infect Dis       Date:  2014-02       Impact factor: 9.079

8.  Perception about influenza and pneumococcal vaccines and vaccination coverage among patients with malignancies and their family members.

Authors:  Y Urun; H Akbulut; A Demirkazik; F Cay Senler; G Utkan; H Onur; F Icli
Journal:  J BUON       Date:  2013 Apr-Jun       Impact factor: 2.533

9.  Effect of 23-Valent Pneumococcal Polysaccharide Vaccine Inoculated During Anti-Cancer Treatment Period in Elderly Lung Cancer Patients on Community-Acquired Pneumonia Hospitalization: A Nationwide Population-Based Cohort Study.

Authors:  Wen-Yen Chiou; Shih-Kai Hung; Chun-Liang Lai; Hon-Yi Lin; Yu-Chieh Su; Yi-Chun Chen; Bing-Jie Shen; Liang-Cheng Chen; Shiang-Jiun Tsai; Moon-Sing Lee; Chung-Yi Li
Journal:  Medicine (Baltimore)       Date:  2015-07       Impact factor: 1.889

Review 10.  Respiratory viral infections in immunocompetent and immunocompromised persons.

Authors:  R B Couch; J A Englund; E Whimbey
Journal:  Am J Med       Date:  1997-03-17       Impact factor: 4.965

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