Late effects of hemopoietic stem cell transplant for sickle cell disease: monitoring and management.

IF 2.3 4区 医学 Q2 HEMATOLOGY
Marti Goldenberg, Sophie Lanzkron, Lydia H Pecker
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引用次数: 0

Abstract

Introduction: Allogeneic hemopoietic stem cell transplantation (HSCT) is a curative therapy for sickle cell disease (SCD). Exposure to both SCD and HSCT conditioning regimens is associated with late health effects.

Areas covered: This review addresses post-HSCT outcomes and late health effects among individuals with SCD exposed to allogeneic HSCT regimens, summarizes recommendations for long-term care, and identifies future survivorship research needs.

Expert opinion: Individuals with SCD exposed to HSCT and gene therapy require multidisciplinary care to monitor late health effects. To optimize care, multi-disciplinary clinics that include experts in late effects of HSCT exposure, SCD, complex chronic pain, mental health, and social work are needed. Research defining the late effects of exposure is needed to inform patient management and build clinical care infrastructure.

造血干细胞移植治疗镰状细胞病的后期影响:监测与管理。
简介异基因造血干细胞移植(HSCT)是治疗镰状细胞病(SCD)的一种治愈性疗法。暴露于 SCD 和造血干细胞移植调理方案与后期健康影响有关:本综述探讨了接受同种异体造血干细胞移植治疗的 SCD 患者接受造血干细胞移植后的预后和后期健康影响,总结了长期护理的建议,并确定了未来幸存者研究的需求:专家观点:接受造血干细胞移植和基因治疗的 SCD 患者需要接受多学科护理,以监测后期健康影响。为了优化护理,需要包括造血干细胞移植晚期效应、SCD、复杂慢性疼痛、心理健康和社会工作专家在内的多学科诊所。需要对暴露的晚期效应进行研究,以便为患者管理提供信息并建立临床护理基础设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
3.60%
发文量
98
审稿时长
6-12 weeks
期刊介绍: Advanced molecular research techniques have transformed hematology in recent years. With improved understanding of hematologic diseases, we now have the opportunity to research and evaluate new biological therapies, new drugs and drug combinations, new treatment schedules and novel approaches including stem cell transplantation. We can also expect proteomics, molecular genetics and biomarker research to facilitate new diagnostic approaches and the identification of appropriate therapies. Further advances in our knowledge regarding the formation and function of blood cells and blood-forming tissues should ensue, and it will be a major challenge for hematologists to adopt these new paradigms and develop integrated strategies to define the best possible patient care. Expert Review of Hematology (1747-4086) puts these advances in context and explores how they will translate directly into clinical practice.
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