Financial toxicity in patients with leukemia undergoing hematopoietic stem cell transplantation: A systematic review

Pail, Orrin; Knight, Thomas

doi:10.1016/j.beha.2023.101469

Cited by 3 publications

(1 citation statement)

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“…Financial toxicity—the objective financial burden of medical expenses—can negatively impact clinical outcomes and quality of life (QoL) after transplantation. This underscores the need for financial support for pwMS undergoing aHSCT ( 32 ).…”

Section: Discussionmentioning

confidence: 94%

“A second birthday”? Experiences of persons with multiple sclerosis treated with autologous hematopoietic stem cell transplantation—a qualitative interview study

Volz,

Sippel,

Fischbach

et al. 2024

Front. Neurol.

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Introduction and objectiveAutologous hematopoietic stem cell transplantation (aHSCT) is a promising treatment option for persons with multiple sclerosis (pwMS). Patients undergoing aHSCT face unique challenges in all aspects of life. In this study, we explored the lived experiences of pwMS undergoing aHSCT.MethodsSemi-structured interviews of 12 pwMS treated with aHSCT were conducted using a maximum variation sampling strategy. Interviews were transcribed verbatim and analyzed thematically using inductive and deductive categories.ResultsThree major themes were identified: (1) preparing for aHSCT, (2) experiencing the procedure, and (3) post-treatment time. A difficult decision-making process, organizational effort, and funding difficulties characterized the preparation for transplantation. AHSCT was seen as a life-changing event accompanied by both psychological and physical stress, with an associated feeling of regaining control. The transplantation had a lasting positive effect on the lives of the interviewed pwMS. However, the early post-treatment time was characterized by successes and failures alike. Particularly the independently organized medical aftercare was perceived as challenging. Retrospective revaluation has led most pwMS to wish for earlier information provision about the treatment option of aHSCT during their treatment history.ConclusionAHSCT had a clear impact on patients’ physical and psycho-social health, influencing their perception of life and its quality. Assessing and attending to unmet needs of patients before, during, and after transplantation may positively influence their experience of aHSCT.

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Section: Discussionmentioning

confidence: 94%