Table 4.

Care models for implementation of geriatrics into HCT

Model typeDescription
Multidisciplinary consultative clinic Patient is evaluated by multiple disciplines in 1 day or separate days
Allows for more patients to be seen
Limited follow-up
Treatment plan finalized by primary hematologist/transplant physician
Resource intensive 
Geriatrician alongside HCT clinic Allows patients to be seen longitudinally by geriatrics or with new geriatric syndromes 
Shared care Division of medical management of medical care between the geriatrician and transplant physician
Providers located in different clinic spaces with different support staff 
Embedded Incorporation of the geriatrician within the same clinical space as the transplant team
May take on a consultative role 
Geriatric hematologist/transplant physician primary provider Evaluated prior to HCT and geriatric syndromes addressed early
Monitor and address new geriatric syndromes
Treatment modifications as appropriate 
Model typeDescription
Multidisciplinary consultative clinic Patient is evaluated by multiple disciplines in 1 day or separate days
Allows for more patients to be seen
Limited follow-up
Treatment plan finalized by primary hematologist/transplant physician
Resource intensive 
Geriatrician alongside HCT clinic Allows patients to be seen longitudinally by geriatrics or with new geriatric syndromes 
Shared care Division of medical management of medical care between the geriatrician and transplant physician
Providers located in different clinic spaces with different support staff 
Embedded Incorporation of the geriatrician within the same clinical space as the transplant team
May take on a consultative role 
Geriatric hematologist/transplant physician primary provider Evaluated prior to HCT and geriatric syndromes addressed early
Monitor and address new geriatric syndromes
Treatment modifications as appropriate 
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