External consultation
The Pediatric Oncology and Hematology consultation includes healthcare, diagnostic and therapeutic activities, as well as disease prevention, which include:
- Initial assessment of the patient
- Joint assessment with reference hospitals of patients with pathologies of low prevalence and high complexity that require transplantation, radiotherapy or highly specialized surgery
- Indication and conduct of diagnostic examinations and procedures
- Indication of evaluation for other pediatric specialties and joint assessment of the pathology in a multidisciplinary team when necessary
- Teamwork in conjunction with specialized nursing
- Indication, carrying out and monitoring of the therapeutic treatments or procedures that the patient needs
- Information on discharge from diagnosis and procedures and care necessary for the correct follow-up of the patient to primary care.
Specifically, patients with the following pathologies are treated:
- Care activities (Outpatient Consultations + Day Hospital + Hospitalization)
- Solid tumors (40%)
- Leukemias (60%)
- Red Series:
- Alterations of the White Series:
- Alterations of the Plaquetar Series:
- Hemostasis disorders:
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Cancer care (80%)
- Lymphomas
- CNS tumors
- Neuroblastomas
- Willms tumor
- Sarcomas of soft parts
- Bone tumors
- Hepatoblastomas
- Germ cell tumors
- Histiocytosis
- Thyroid carcinoma
- Study of adenomegaly
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Care for non-neoplastic haematological diseases (20%)
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Congenital anemias:
- Spherocytosis
- Drepanocytosis
- Other hemolytic anemias
- Aplastic or hypoplastic anemia
- Thalassemias
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Acquired anemias:
- Ferropenic
- Hemolytics
- Megaloblasts
- Leukopenies
- Neutropenies
- Lymphocytosis
- Eosinophilia
- Idiopathic thrombocytopenic purpura
- Thrombopathies
- thrombocytosis
- Elongation of coagulation tests
- Congenital or acquired factor deficits
- Von Willebrand's disease
- Thromboembolic disease
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Congenital anemias:
If care for hematologic tumors (leukemias) were considered hematology, the proportion would be 50% pediatric oncology and 50% pediatric hematology.
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Internal coordination of oncological disease care
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Relationship with external and internal working groups (hematology and oncology)
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Relationship and coordination with reference centers for blood-oncology care
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Training and teaching MEF and other pediatric medical and surgical professionals
The activity takes place on an outpatient basis in a specific area for pediatrics. It is available 4 hours, 2 days a week for the classic outpatient consultation and daily for the day hospital.
Specialized hospital care by day
They include the diagnostic activities of those patients who need admission for a short stay under medical supervision to perform:
- Analytical determinations by patient assessment
- Intravenous chemotherapeutic treatments, port-a-cath, central catheter, etc.
- Administration of hemoderivatives, intravenous iron, ev immunoglobulins, hematopoietic stimulating factors, etc. according to the patient's pathology
Equipment
- 4 beds
- 3 reclining chairs
- Drug preparation board
- Shared bathroom for children
- Games, stories
- TV, video
The day hospital is shared with other patients suffering from chronic non-infectious diseases or who need functional tests and that the best means for their care or treatment is in the day hospital. 30% of patients treated in the day hospital are onco-hematological.
Specialized hospital care
The hospitalization activity is carried out, whenever possible, in single rooms. The aim is to get the best care for the child, often immunocompromised, and his family, preserving their privacy. The Pediatrics floor has two semi-isolation rooms with space at the entrance for hand washing and dressing gown, gloves and mask when the child's condition requires it. All have a full bathroom.
The average stay in hospital is 10 days, comparable (<5% deviation) to that of other hospitals.
Specialized care in pediatric ICU
When the clinical condition requires it, the patient is admitted to the Pediatric ICU, which has 6 individual boxes, 5 of which are "foldable". One of the boxes is especially spacious and is equipped with air recirculation systems and positive pressure and is intended for patients in special isolation.
Of the total number of patients treated at the ICU, an average of 10% correspond to blood-oncology patients.