• Medicina clinica · Sep 2021

    Case Reports

    Prospective follow-up of adult long-term survivors of allogeneic haematopoietic stem cell transplantation.

    • Anna Torrent, Christelle Ferrá, Montserrat Batlle, Fátima Hidalgo, Maria-José Jiménez-Lorenzo, and Josep-Maria Ribera.
    • Servicio de Hematología Clínica, Institut Català d'Oncologia-Hospital Germans Trias i Pujol, Institut de Recerca contra la Leucemia Josep Carreras, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, España. Electronic address: atorrent@iconcologia.net.
    • Med Clin (Barc). 2021 Sep 24; 157 (6): 281-284.

    Background And ObjectivePatients who survive beyond two years after haematopoietic stem cell transplantation (HSCT) have an increased risk of long-term complications, which impact on their survival and quality of life. The aim of this study was to design and apply a long-term follow-up protocol to detect unmet needs and treat these complications early.Patients And MethodA prospective study to detect and treat complications and long-term problems within an interdisciplinary functional unit was applied to survivors beyond 2 years of allogeneic HSCT (alloHSCT).ResultsThirty-six (36%) of the 99 patients included, required intervention in a cardiovascular risk factor by health education or antihypertensive and lipid-lowering drugs. Nine of 36 (25%) patients required calcium and vitamin D intake. Low inclusion of women in gynaecological neoplasm detection protocols was detected, as well as a low adherence to dental follow-up after alloHSCT.ConclusionThe follow-up of long-term survivors after alloHSCT in a multidisciplinary unit allowed unmet needs to be detected and controlled, especially in cardiovascular risk, bone metabolism, cancer prevention, and dental control.Copyright © 2020 Elsevier España, S.L.U. All rights reserved.

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