Rapports de transplantation : accès libre

Abstrait

After Hematopoietic Cell Transplantation, Certain Variables Are Connected To Self-Reported Physical and Mental Well

John R Wingard

Hematopoietic cell transplantation (HCT) is a ferocious treatment for hematologic malice that has the implicit to cure complaint or protract life, but also to vitiate quality of life for survivors. Before studies have suggested that colorful factors are associated with physical and internal health after HCT. In this study, we estimated demographic and clinical factors ahead and after HCT and named psychosocial factors after HCT, exploring their association with tone- reported physical and internal health. We studied a cohort of 662 survivors at a standard of6.6 times after HCT. Pre-HCT demographic and clinical factors reckoned for only a small quantum of the friction in physical and internal health post-HCT (3 and 1, independently). Adding post-HCT clinical variables to the pre-HCT factors reckoned for 32 and 7 of physical and internal issues, independently. When both clinical and psychosocial factors were considered, better physical health post-HCT was associated with youngish age, race other than white, advanced current family income, presently working or being a pupil, less severe transplantation experience( ie, not passing graft- versus- host complaint), smaller current comorbidities, advanced Panofsky status, lower social constraint, lower social support, and lower particularity anxiety. This multivariate model reckoned for 36 of the friction in physical health, with the psychosocial variables contributing veritably little. When both clinical and psychosocial factors were considered, better internal health after HCT was associated with more severe transplantation experience, lower social constraint, lesser spiritual wellbeing, and lower particularity anxiety. This multivariate model reckoned for 56 of the friction in internal health, with the psychosocial factors counting for utmost of the friction. These data suggest that clinical factors are explicatory for important of thepost-HCT physical health reported by HCT survivors, but veritably little of tone- perceived internal health. These compliances give sapience into the identification of factors that can allow recognition of at- threat cases, as well as factors amenable to intervention.