Evidence map›Paper›PMID 33813667›Full record

ArticleJournal of cancer survivorship : research and practice2022

Long-term treatment burden following allogeneic blood and marrow transplantation in NSW, Australia: a cross-sectional survey.

Gemma McErlean, Lisa Brice, Nicole Gilroy, Masura Kabir, Matt Greenwood, Stephen R Larsen, John Moore, David Gottlieb, Mark Hertzberg, Louisa Brown and 4 more

Abstract read
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In one paragraph

Article in Journal of cancer survivorship : research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

14 authors at 9 institutions in 2 countries.

Gemma McErleanSchool of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia. gmcerlean@uow.edu.au.ORCID 0000-0001-6496-5678
Lisa BriceDepartment of Haematology, Royal North Shore Hospital, Sydney, NSW, Australia.
Nicole GilroyBlood and Marrow Transplant Network, New South Wales Agency for Clinical Innovation, Sydney, NSW, Australia.
Masura KabirWestmead Breast Cancer Institute, Sydney, NSW, Australia.
Matt GreenwoodDepartment of Haematology, Royal North Shore Hospital, Sydney, NSW, Australia.
Stephen R LarsenInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
John MooreDepartment of Haematology, St Vincents Hospital, Sydney, NSW, Australia.
David GottliebDepartment of Haematology, Westmead Hospital, Sydney, NSW, Australia.
Mark HertzbergDepartment of Haematology, Prince of Wales Hospital, Randwick, NSW, Australia.
Louisa BrownDepartment of Haematology, Calvary Mater Hospital, Newcastle, NSW, Australia.
Megan HoggDepartment of Haematology, Westmead Hospital, Sydney, NSW, Australia.
Gillian HuangDepartment of Haematology, Westmead Hospital, Sydney, NSW, Australia.
Christopher WardDepartment of Haematology, Royal North Shore Hospital, Sydney, NSW, Australia.
Ian KerridgeDepartment of Haematology, Royal North Shore Hospital, Sydney, NSW, Australia.
The University of Sydney · AUWestmead Hospital · AUCalvary Mater Newcastle Hospital · AUCancer Institute of New South Wales · AUPrince of Wales Hospital · AURoyal North Shore Hospital · AURoyal Prince Alfred Hospital · AUSt Vincent's Hospital Sydney · AUUniversity of Wollongong · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllogenic blood and marrow transplant (allo-BMT) is an arduous treatment used increasingly for many life-threatening conditions. Recognition of the profound impacts of the long term and late effects is ever-growing, as is the healthcare workload (treatment burden) of survivorship. PURPOSE: To quantify the treatment burden of long-term survival following allo-BMT, regarding the range of health services, therapies and investigations accessed by survivors.

methodsA large, multi-centre cross-sectional survey of adult allo-BMT survivors transplanted between 2000 and 2012 in Sydney, Australia. Participants completed six validated instruments and one purposed designed for the study, the Sydney Post BMT Study (SPBS), answering questions relating to medication use, medical treatments, referrals, assessments and frequency of hospital/clinic attendance.

resultsOf the 441 allo-BMT survivors, over a quarter who were more than 2 years post BMT attended the hospital clinic at least monthly, and 26.7% required a number of regular medical procedures (e.g. venesection, extracorpororeal photopheresis). Specialist medical and allied health referral was very common, and compliance with internationally recommended long-term follow-up (LTFU) care was suboptimal and decreased as time from BMT increased.

conclusionRespondents reported a large medication (conventional and complementary), screening, assessment and health care burden. IMPLICATIONS FOR CANCER SURVIVORS: Treatment burden contributes significantly to the 'workload' of survivorship and can have a severe and negative impact on BMT survivors, carers and the healthcare system-making it difficult to comply with optimal care. Clinicians must be primed with skills to identify survivors who are overburdened by the health care required for survival and develop strategies to help ease the burden.

Indexed as

Bone MarrowHematopoietic Stem Cell TransplantationAdultAustraliaBone Marrow TransplantationCross-Sectional StudiesHumansallogeneic blood and marrow transplantlate effectslongtermmulti-morbiditystem cell transplantsurvivorshiptreatment burden

Identifiers

PMID33813667
OpenAlexW3146382889

What OpenQuestion holds

Textmetadata
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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.