Literature DB >> 21479522

Impaired physiological function and health-related QOL in patients before hematopoietic stem-cell transplantation.

Shinichiro Morishita1, Katsuji Kaida, Kazuhiro Ikegame, Satoshi Yoshihara, Kyoko Taniguchi, Masaya Okada, Norihiko Kodama, Hiroyasu Ogawa, Kazuhisa Domen.   

Abstract

PURPOSE: Patients' physiological functions and health-related quality of life (QOL) are useful for planning physical therapy after allogeneic hematopoietic stem-cell transplantation (allo-HSCT), but have not been extensively examined prior to transplantation. We investigated whether physiological functions and health-related QOL were reduced in patients before undergoing allo-HSCT.
METHODS: All patients (n = 110) who underwent allo-HSCT between May 2007 and April 2010 at Hyogo College of Medicine Hospital were included in this study and evaluated for hand-grip and knee-extensor strength; 6-min walk test (6MWT) and health-related QOL (SF-36) were also used for evaluation.
RESULTS: Grip strength, knee-extensor strength, 6MWT, and all eight SF-36 health-related QOL subscale scores significantly decreased in HSCT patients compared to population norms (all, P < 0.01). Health-related QOL is associated with various confounding factors such as fatigue and sex. Loss of physiological function is also associated with confounding factors; one such association was found between skeletal muscle strength and previous HSCT treatment.
CONCLUSION: Health-related QOL and loss of physiological function have a variety confounding factors. Patients scheduled for HSCT may have physiological weaknesses prior to transplant, which need to be considered when planning an exercise regimen during and after transplantation.

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Year:  2011        PMID: 21479522     DOI: 10.1007/s00520-011-1156-2

Source DB:  PubMed          Journal:  Support Care Cancer        ISSN: 0941-4355            Impact factor:   3.603


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