title: Autologous hematopoietic stem cell transplantation for patients with multiple myeloma: an overview for nurses in community practice.
abstract: Autologous hematopoietic stem cell transplantation (AHSCT) is approved for the treatment of select solid tumors, autoimmune disorders, and most hematologic malignancies. Multiple myeloma (MM) is the most common indication for AHSCT. Despite improvement in response and survival rates in the era of novel agents, AHSCT remains an important treatment option for patients with MM who are eligible. Clinical management of patients with MM requires a multidisciplinary approach that incorporates healthcare professionals in a number of clinical settings as well as caregivers and the patient. Patients about to undergo AHSCT are generally referred to tertiary care centers that specialize in ASCT. Pre- and post-transplantation treatments and long-term follow-up often are managed by a community-based referring oncologist in collaboration with the transplantation team. Oncology nurses play an integral role in the care of patients with MM in each clinical setting. This article aims to provide non-transplantation oncology nurses with guidelines for education, clinical management, and support of patients with MM undergoing AHSCT with a primary focus on the pre- and post-transplantation period.
authors.affiliation: College of Medicine in the William von Liebig Transplant Center, Mayo Clinic, Rochester, MN.
authors.forename: Teresa
authors.initials: T
authors.lastname: Miceli
authors.forename: Kathryn
authors.initials: K
authors.lastname: Lilleby
authors.forename: Kimberly
authors.initials: K
authors.lastname: Noonan
authors.forename: Sandra
authors.initials: S
authors.lastname: Kurtin
authors.forename: Beth
authors.initials: B
authors.lastname: Faiman
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Mangan
mesh_terms: D003153:Community Health Services; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D009101:Multiple Myeloma / Q000451:nursing / Q000628:therapy*; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous; D000078329:Workforce