scholarly journals Developing a Palliative Care Guideline for a Stem Cell Transplant Program

2018 ◽  
Vol 24 (3) ◽  
pp. S327
Author(s):  
Chris Rimkus ◽  
Tom Sanger
Keyword(s):  
Palliative Care ◽  
Stem Cell ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Care Guideline ◽  
Transplant Program

Results of an Autologous Noncryopreserved, Unmanipulated Peripheral Blood Hematopoietic Stem Cell Transplant Program: A Single-Institution, 10-Year Experience

2003 ◽  
Vol 110 (4) ◽  
pp. 179-183 ◽  
Author(s):  
Guillermo J. Ruiz-Argüelles ◽  
David Gómez-Rangel ◽  
Guillermo J. Ruiz-Delgado ◽  
Alejandro Ruiz-Argüelles ◽  
Beatriz Pérez-Romano ◽  
...  
Keyword(s):  
Stem Cell ◽  
Hematopoietic Stem Cell ◽  
Peripheral Blood ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Single Institution ◽  
Hematopoietic Stem ◽  
Transplant Program

scholarly journals Perceptions of specialty palliative care and its role in pediatric stem cell transplant: A multidisciplinary qualitative study

2021 ◽  
Author(s):  
Griffin S. Collins ◽  
Hannah Beaman ◽  
Alvin M. Ho ◽  
Michelle L. Hermiston ◽  
Harvey J. Cohen ◽  
...  
Keyword(s):  
Palliative Care ◽  
Stem Cell ◽  
Qualitative Study ◽  
Stem Cell Transplant ◽  
Cell Transplant

Characterizing advance care planning, palliative care utilization, and location of end-of-life for adult allogeneic hematopoietic stem cell transplant recipients.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 7034-7034
Author(s):  
Stephanie Hoffman ◽  
Pavan Reddy ◽  
John Martin Magenau ◽  
Attaphol Pawarode ◽  
Brian Parkin ◽  
...  
Keyword(s):  
Palliative Care ◽  
Stem Cell ◽  
End Of Life ◽  
Hematopoietic Stem Cell Transplant ◽  
Stem Cell Transplant ◽  
Patient Characteristics ◽  
Cell Transplant ◽  
Care Planning ◽  
Hematopoietic Stem ◽  
Advance Care

7034 Background: The impacts of advance care planning (ACP) on end-of-life (EOL) outcomes in allogeneic hematopoietic stem cell transplant (allo HCT) recipients are not well known. ACP includes advance directive (AD) completion, and palliative care (PC) consultation. Using these two components, we aimed to explore the current state of ACP and its impact on EOL outcomes in allo HCT recipients to provide the groundwork for future prospective studies. Methods: We performed a retrospective study of deceased adult patients who underwent allo HCT between December 2015-December 2019. We summarized patient characteristics, the rate of AD completion, PC consultation, and location of end-of-life (EOL). Univariate and multivariate analyses were performed to evaluate patient characteristics that may be associated with AD completion, PC consultation and assess the impact of these two factors on location of EOL. Results: See Table for summary of patient characteristics. Of the 125 patients included, we found that 66% (n = 82) completed ADs. All patients with ADs completed them prior to undergoing transplant and never modified them. The majority of patients (84%) with an AD expressed the desire to avoid life-sustaining treatment in the event of terminal illness or irreversible coma. PC was consulted for 46% (n = 58) of patients within 6 months prior to time of death (TOD). Regarding location of EOL, 30% of all patients died in the hospital (non-ICU), 20% in the ICU, 38% at home with hospice, and 10% in a hospice facility. Patients with ADs appeared more likely to die outside of the hospital compared to those without (53% vs. 44%, p = 0.4506). By multivariate analysis, there were no significant patient characteristics associated with the presence of an AD or PC consultation. After adjusting for age and comorbidity index, we found that patients with an AD were significantly more likely to die outside of the ICU (OR 3.0, 95% CI 1.2-7.5, p = 0.02), an effect that was further amplified in patients who both had an AD and received PC consultation at any point (n = 30, p = 0.0077). Conclusions: Our findings highlight the importance of ACP for EOL outcomes in the allo HCT population. While the rate of AD completion in our study population is higher than that of prior studies, future prospective studies aimed to improve the rate of ACP are needed.[Table: see text]

scholarly journals The Palliative Care Service and the Stem Cell Transplant Unit – a Happy Marriage

2016 ◽  
Vol 22 (3) ◽  
pp. S363 ◽  
Author(s):  
Catherine Wood ◽  
Alison Rowe ◽  
Alwyn D'Souza ◽  
Lisa Speedy ◽  
Jonathan Adler ◽  
...  
Keyword(s):  
Palliative Care ◽  
Stem Cell ◽  
Stem Cell Transplant ◽  
Care Service ◽  
Palliative Care Service ◽  
Cell Transplant ◽  
Happy Marriage
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