Training and Practice Gaps in Pediatric Apheresis in Canada: A National Survey

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Autores principales: Soumitra Tole, Amrit Kirpalani
Formato: Artículo Open Access
Publicado: Wiley 2025
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author Soumitra Tole
Amrit Kirpalani
author_facet Soumitra Tole
Amrit Kirpalani
Soumitra Tole
Amrit Kirpalani
collection Wiley Open Access
contents Training and Practice Gaps in Pediatric Apheresis in Canada: A National Survey Soumitra Tole Amrit Kirpalani Journal of Clinical Apheresis ABSTRACTThis study explored the pediatric apheresis landscape in Canada by assessing provider comfort, training adequacy, and prescriber roles for therapeutic plasma exchange (TPE) and automated red blood cell exchange (RBCX). A national survey was completed by 52 pediatric subspecialists (27 nephrologists, 25 hematologists/oncologists) from 12 institutions. Most respondents (63%) reported that both TPE and RBCX were available at their site. Prescribing responsibilities varied by therapy and indication. Across seven clinical domains, comfort scores were moderate for both therapies, with training adequacy scores consistently lower. Training adequacy for TPE was significantly higher than that for RBCX in two domains: identifying (2.48 ± 1.03 vs. 2.10 ± 1.13, p = 0.043) and managing (2.44 ± 1.05 vs. 2.06 ± 1.14, p = 0.035) common complications. Free‐text responses emphasized informal training and the need for national education strategies. These findings highlight gaps in pediatric apheresis education and the need for standardized, competency‐based training across subspecialties. 10.1002/jca.70036 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/jca.70036
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spellingShingle Training and Practice Gaps in Pediatric Apheresis in Canada: A National Survey
Soumitra Tole
Amrit Kirpalani
Journal of Clinical Apheresis
Training and Practice Gaps in Pediatric Apheresis in Canada: A National Survey Soumitra Tole Amrit Kirpalani Journal of Clinical Apheresis ABSTRACTThis study explored the pediatric apheresis landscape in Canada by assessing provider comfort, training adequacy, and prescriber roles for therapeutic plasma exchange (TPE) and automated red blood cell exchange (RBCX). A national survey was completed by 52 pediatric subspecialists (27 nephrologists, 25 hematologists/oncologists) from 12 institutions. Most respondents (63%) reported that both TPE and RBCX were available at their site. Prescribing responsibilities varied by therapy and indication. Across seven clinical domains, comfort scores were moderate for both therapies, with training adequacy scores consistently lower. Training adequacy for TPE was significantly higher than that for RBCX in two domains: identifying (2.48 ± 1.03 vs. 2.10 ± 1.13, p = 0.043) and managing (2.44 ± 1.05 vs. 2.06 ± 1.14, p = 0.035) common complications. Free‐text responses emphasized informal training and the need for national education strategies. These findings highlight gaps in pediatric apheresis education and the need for standardized, competency‐based training across subspecialties. 10.1002/jca.70036 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Training and Practice Gaps in Pediatric Apheresis in Canada: A National Survey
topic Journal of Clinical Apheresis
url https://onlinelibrary.wiley.com/doi/10.1002/jca.70036