Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life
Haematopoietic stem cell transplant (HSCT) can be a curative treatment for children and adolescents with very-high-risk acute lymphoblastic leukaemia (ALL). Improvements in supportive care and transplant techniques have led to increasing numbers of long-term survivors worldwide. However, conditionin...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:8f061980016d4f60aaf9b9cff0269caa2021-11-30T18:33:22ZLate Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life2296-236010.3389/fped.2021.773895https://doaj.org/article/8f061980016d4f60aaf9b9cff0269caa2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.773895/fullhttps://doaj.org/toc/2296-2360Haematopoietic stem cell transplant (HSCT) can be a curative treatment for children and adolescents with very-high-risk acute lymphoblastic leukaemia (ALL). Improvements in supportive care and transplant techniques have led to increasing numbers of long-term survivors worldwide. However, conditioning regimens as well as transplant-related complications are associated with severe sequelae, impacting patients' quality of life. It is widely recognised that paediatric HSCT survivors must have timely access to life-long care and surveillance in order to prevent, ameliorate and manage all possible adverse late effects of HSCT. This is fundamentally important because it can both prevent ill health and optimise the quality and experience of survival following HSCT. Furthermore, it reduces the impact of preventable chronic illness on already under-resourced health services. In addition to late effects, survivors of paediatric ALL also have to deal with unique challenges associated with transition to adult services. In this review, we: (1) provide an overview of the potential late effects following HSCT for ALL in childhood and adolescence; (2) focus on the unique challenges of transition from paediatric care to adult services; and (3) provide a framework for long-term surveillance and medical care for survivors of paediatric ALL who have undergone HSCT.Tamara Diesch-FurlanettoMelissa GabrielOlga Zajac-SpychalaAlessandro CattoniBianca A. W. HoebenBianca A. W. HoebenAdriana BalduzziFrontiers Media S.A.articlehaematopoietic stem cell transplantationlong-term survivorsquality of lifepaediatricadolescencelate effectsPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021) |
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haematopoietic stem cell transplantation long-term survivors quality of life paediatric adolescence late effects Pediatrics RJ1-570 |
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haematopoietic stem cell transplantation long-term survivors quality of life paediatric adolescence late effects Pediatrics RJ1-570 Tamara Diesch-Furlanetto Melissa Gabriel Olga Zajac-Spychala Alessandro Cattoni Bianca A. W. Hoeben Bianca A. W. Hoeben Adriana Balduzzi Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life |
description |
Haematopoietic stem cell transplant (HSCT) can be a curative treatment for children and adolescents with very-high-risk acute lymphoblastic leukaemia (ALL). Improvements in supportive care and transplant techniques have led to increasing numbers of long-term survivors worldwide. However, conditioning regimens as well as transplant-related complications are associated with severe sequelae, impacting patients' quality of life. It is widely recognised that paediatric HSCT survivors must have timely access to life-long care and surveillance in order to prevent, ameliorate and manage all possible adverse late effects of HSCT. This is fundamentally important because it can both prevent ill health and optimise the quality and experience of survival following HSCT. Furthermore, it reduces the impact of preventable chronic illness on already under-resourced health services. In addition to late effects, survivors of paediatric ALL also have to deal with unique challenges associated with transition to adult services. In this review, we: (1) provide an overview of the potential late effects following HSCT for ALL in childhood and adolescence; (2) focus on the unique challenges of transition from paediatric care to adult services; and (3) provide a framework for long-term surveillance and medical care for survivors of paediatric ALL who have undergone HSCT. |
format |
article |
author |
Tamara Diesch-Furlanetto Melissa Gabriel Olga Zajac-Spychala Alessandro Cattoni Bianca A. W. Hoeben Bianca A. W. Hoeben Adriana Balduzzi |
author_facet |
Tamara Diesch-Furlanetto Melissa Gabriel Olga Zajac-Spychala Alessandro Cattoni Bianca A. W. Hoeben Bianca A. W. Hoeben Adriana Balduzzi |
author_sort |
Tamara Diesch-Furlanetto |
title |
Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life |
title_short |
Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life |
title_full |
Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life |
title_fullStr |
Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life |
title_full_unstemmed |
Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life |
title_sort |
late effects after haematopoietic stem cell transplantation in all, long-term follow-up and transition: a step into adult life |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/8f061980016d4f60aaf9b9cff0269caa |
work_keys_str_mv |
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