Stem cell transplantation: supportive care and long-term complications.
With increasing hematopoietic stem cell transplant (HSCT) activity and improvement in outcomes, there are many thousands of HSCT survivors currently being followed by non-transplant clinicians for their healthcare. Several types of late sequelae from HSCT have been noted, and awareness of these complications is important in minimizing late morbidity and mortality. Late effects can include toxicities from the treatment regimen, infections from immunodeficiency, endocrine disturbances, growth impairment, psychosocial adjustment disorders, second malignancies, and chronic graft-versus-host disease (GVHD). A variety of risk factors for these complications have been noted. The clinician should be alert to the potential for these health issues. Preventive and treatment strategies can minimize morbidity from these problems and optimize outcomes.
Wingard
John R
JR
University of Florida, HSC, College of Medicine, Gainesville 32610, USA.
Vogelsang
Georgia B
GB
Deeg
H Joachim
HJ
D005500:Follow-Up Studies; D006086:Graft vs Host Disease / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006402:Hematologic Diseases / Q000150:complications / Q000628:therapy; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D016609:Neoplasms, Second Primary / Q000209:etiology* / Q000473:pathology; D017741:Survivors; D019172:Transplantation Conditioning / Q000009:adverse effects