The Evaluation and Counseling of Candidates for Hematopoietic Cell Transplantation

Scott, Bart L.; Sandmaier, Brenda M.

doi:10.1002/9781118416426.ch29

Cited by 1 publication

(4 citation statements)

References 143 publications

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“…The rigorous eligibility determination process ensures that patients under consideration for HCT are evaluated by an experienced multi-disciplinary team. 12 In an era of expanding donor pools, indications for transplant, reduced intensity conditioning, and cellular therapy 43 , it is the duty of our HCT centers to ensure these assessments are used to improve outcomes rather than limit access to transplant for vulnerable populations.…”

Section: Discussionmentioning

confidence: 99%

“…11 Eligibility assessments consider several disease-, patient-, and donor-related factors that in uence the anticipated success of transplant. 12 The National Marrow Donor Program also recommends a comprehensive psychosocial assessment that considers any issues that would adversely in uence transplant outcomes. 12 The goal of the psychosocial assessment s to ensure patients have the necessary supports to succeed both during and after the HCT process.…”

Section: Introductionmentioning

confidence: 99%

“…12 The National Marrow Donor Program also recommends a comprehensive psychosocial assessment that considers any issues that would adversely in uence transplant outcomes. 12 The goal of the psychosocial assessment s to ensure patients have the necessary supports to succeed both during and after the HCT process. 13 Due to a lack of prospective data or comprehensive consensus guidelines, psychosocial eligibility assessments vary across transplant centers and determination is made on a caseby-case basis.…”

Section: Introductionmentioning

confidence: 99%

“…13 Due to a lack of prospective data or comprehensive consensus guidelines, psychosocial eligibility assessments vary across transplant centers and determination is made on a caseby-case basis. 11,12,14 For solid organ transplantations (SOT), psychosocial evaluations are standard of practice due to a limited supply of organs. 16 There is an association between the Psychosocial Assessment of Candidates for Transplantation (PACT) score and survival in SOT recipients.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Disparities in Access to Hematopoietic Cell Transplant Persist at a Transplant Center

Shoag,

Rotz*,

Hanna

et al. 2024

Preprint

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Race, ethnicity, and socioeconomic status impact access to hematopoietic cell transplant (HCT). Whether differences in accessibility occur within HCT centers remains unknown. We performed a single-center retrospective review of 1,102 patients who underwent HCT consultation. We examined the association between race (Black vs. non-Black and White vs. non-White), ethnicity (Hispanic vs. non-Hispanic) and socioeconomic status (defined by zip code median household income quartiles) with receipt of HCT, time to HCT, and Psychosocial Assessment of Candidates for Transplantation (PACT) scores. Race and ethnicity were not associated with receipt of HCT (p>0.20 for all comparisons). Those living in higher income quartiles and those with private insurance were more likely to receive HCT (p=0.02 and p<0.001, respectively). Among HCT recipients, patients of White race had a shorter time to transplant than those of non-White race (p=0.0175). There was a strong association between lower PACT scores and poorer income quartiles (p<0.001). Socioeconomic status impacts receipt of HCT and PACT scores among patients evaluated at an HCT center. Race and ethnicity did not affect receipt of HCT. However, non-White patients waited longer from consultation to transplant. Further investigation as to whether the psychosocial eligibility evaluation impedes access to HCT in vulnerable populations is warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Disparities in Access to Hematopoietic Cell Transplant Persist at a Transplant Center

Shoag,

Rotz*,

Hanna

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

The Evaluation and Counseling of Candidates for Hematopoietic Cell Transplantation

Cited by 1 publication

References 143 publications

Disparities in Access to Hematopoietic Cell Transplant Persist at a Transplant Center

Disparities in Access to Hematopoietic Cell Transplant Persist at a Transplant Center

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