Evidence map›Paper›PMID 26650840›Full record

ArticleCancer2016

Quality of life and mood predict posttraumatic stress disorder after hematopoietic stem cell transplantation.

Areej R El-Jawahri, Harry B Vandusen, Lara N Traeger, Joel N Fishbein, Tanya Keenan, Emily R Gallagher, Joseph A Greer, William F Pirl, Vicki A Jackson, Thomas R Spitzer and 2 more

Open access · greenAbstract read
In one paragraph

Article in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
4.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 129 citations in OpenAlex.

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  3. Multisite Randomized Trial of Inpatient Palliative Care Intervention for Patients Undergoing Hematopoietic Stem Cell Transplantation.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  10. Rates and Risk Factors for Post-Traumatic Stress Disorder Symptomatology among Adult Hematopoietic Cell Transplant Recipients and Their Informal Caregivers.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
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  17. Patients' symptoms and challenges during the first year after allogeneic haematopoietic cell transplantation-patients' own expressions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Areej R El-JawahriBone Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
Harry B VandusenBone Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
Lara N TraegerDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Joel N FishbeinBone Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
Tanya KeenanDepartment of Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Emily R GallagherBone Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
Joseph A GreerDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
William F PirlDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Vicki A JacksonPalliative Care Department, Massachusetts General Hospital, Boston, Massachusetts.
Thomas R SpitzerBone Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
Yi-Bin A ChenBone Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
Jennifer S TemelDepartment of Hematology-Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Massachusetts General Hospital · US

Funding

Optimizing Palliative and End of Life Care for Patients with CancerK24CA181253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TEMEL, JENNIFER SUE · 2014 to 2018
$737k
NCI NIH HHS K24 CA 181253NCI NIH HHS K24 CA181253
6 · The paper itself

Abstract

backgroundDuring hospitalization for hematopoietic stem cell transplantation (HCT), patients experience a steep deterioration in quality of life (QOL) and mood. To our knowledge, the impact of this deterioration on patients' QOL and posttraumatic stress disorder (PTSD) symptoms after HCT is unknown.

methodsWe conducted a prospective longitudinal study of patients hospitalized for HCT. They assessed QOL using the Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT) and depression and anxiety symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) at the time of admission for HCT, during hospitalization, and 6 months after HCT. We also used the Hospital Anxiety and Depression Scale (HADS) to measure patients' anxiety and depression symptoms at baseline and during HCT hospitalization. The PTSD Checklist was used to assess for PTSD symptoms. Multivariable linear regression models were used to identify predictors of QOL and PTSD symptoms at 6 months.

resultsWe enrolled 90 of 93 consecutively eligible patients (97%) undergoing autologous and allogeneic HCT. Data at 6 months were available for 67 participants. At 6 months, 28.4% of participants met the criteria for PTSD and 43.3% had clinically significant depression. On multivariable regression analyses adjusting for significant covariates, changes in QOL and depression scores from week 2 of HCT hospitalization to baseline predicted worse QOL (changes in scores between week 2 and baseline [Δ] QOL: β, 0.94 [P<.0001] and Δ PHQ-9: β, -2.59 [P = 0.001]) and PTSD symptoms (Δ QOL: β, -0.40 [P<.0001] and Δ PHQ-9: β, 1.26 [P<.0001]) at 6 months after HCT.

conclusionsSix months after HCT, a significant percentage of patients met the criteria for PTSD and depression. A decline in QOL and an increase in depressive symptoms during hospitalization for HCT were found to be the most important predictors of 6-month QOL impairment and PTSD symptoms. Therefore, managing symptoms of depression and QOL deterioration during HCT hospitalization may be critical to improving QOL at 6 months and reducing the risk of PTSD. Cancer 2016;122:806-812. © 2015 American Cancer Society.

Indexed as

AffectAdultAgedAnxietyDepressionFemaleHematologic NeoplasmsHematopoietic Stem Cell TransplantationHospitalizationHumansLeukemiaLongitudinal StudiesLymphomaMaleMiddle AgedMultiple Myelomadepressionmoodposttraumatic stress disorder (PTSD)quality of life (QOL)stem cell transplant

Identifiers

PMID26650840
PMCPMC4788001
OpenAlexW2193100439

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.