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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Autores principales: Tamara Diesch-Furlanetto, Melissa Gabriel, Olga Zajac-Spychala, Alessandro Cattoni, Bianca A. W. Hoeben, Adriana Balduzzi
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/8f061980016d4f60aaf9b9cff0269caa
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic haematopoietic stem cell transplantation
long-term survivors
quality of life
paediatric
adolescence
late effects
Pediatrics
RJ1-570
spellingShingle 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
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