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Survival in HCT and Non-HCT Recipients Evaluated

J Clin Oncol; ePub 2016 Nov 21; Chow, et al

History of hematopoietic cell transplantation (HCT) was linked with late morbidity and mortality in a study involving nearly 24,000 individuals.

Participants included 2-year HCT cancer survivors (n=1,792), non-HCT 2-year cancer survivors (n=5,455), as well as a cohort from the general population (n=16,340). Investigators looked at late outcomes and any subsequent cancers. Among the results:

  • After median follow-up of ~7 years, HCT cancer survivors experienced 280 hospitalizations/1,000 person-years, vs 173 for non-HCT cancer survivors.
  • They were also 10% more likely to experience all-cause mortality.
  • HCT survivors were also 40% more likely to experience hospitalization or death with infection, and 40% more likely to have respiratory complications.
  • They were also at risk for more digestive, skin, and musculoskeletal complications.
  • Circulatory complications and second cancers were similar in both groups.
  • Both contingents were more likely to have incidences with major organs vs the general population.

Citation:

Chow E, Cushing-Haugen K, Cheng G, et al. Morbidity and mortality differences between hematopoietic cell transplantation survivors and other cancer survivors. [Published online ahead of print November 21, 2016]. J Clin Oncol. doi:10.1200/JCO.2016.68.8457.